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Nursing 3 > Nursing 3 Test 4 > Flashcards

Nursing 3 Test 4 Flashcards

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1
Q

What is the best way to take an antacid?

A

With 2-4 oz of water

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2
Q

When should antacids be taken?

A

1-3 hours after meals and at bed time

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3
Q

What is included in triple therapy for H. Pylori?

A

PPI plus 2 antibiotics for 7-14 days

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4
Q

What does long term use of PPIs place patients at risk for?

A

fractures

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5
Q

unexplained paroxysmal crying or fussing in infants

A

colic

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6
Q

When do infants typically outgrow colic?

A

3-4 months

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7
Q

What medication is given for colic?

A

Anti-gas medications (Simethicone)

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8
Q

results when the circular area of muscle surrounding the pylorus hypertrophies and obstructs gastric emptying

A

pyloric stenosis

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9
Q

What is a common symptom of pyloric stenosis?

A

moveable, palpable, olive shaped mass

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10
Q

an incision of the pyloric muscle to release obstruction

A

pyloromyotomy

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11
Q

How is IV hydration determined for infants?

A

1st 10 kg: multiply by 100 mL
2nd 10 kg: multiply by 50 mL
Each kg after 20 kg, multiply by 20 mL

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12
Q

vagus nerve is cut to control acid secretions

A

vagotomy

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13
Q

opens the pylorus

A

pylorplasty

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14
Q

partial stomach removal

A

gastrectomy

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15
Q

What are the three types of ulcers?

A
  1. Gastric
  2. Duodenal
  3. Stress
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16
Q

a pre-cancerous condition of the lining of the esophagus as a result of GERD

A

Barrett’s Esophagus

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17
Q

inserted during surgery to vent for trapped gas or left for feedings

A

Gastrostomy Tube

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18
Q

Medication used to deter alcohol use

A

Disulfiram

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19
Q

Medications used to treat alcohol withdrawal

A

Diazepam, Lorazepam, Oxazepam, Chlordiazepoxide

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20
Q

Medications used to treat ADHD

A

Methyphenidate, Dextroamphetamine

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21
Q

What are the four stages of overcoming codependency?

A
  1. Survival Stage
  2. Reidentification Stage
  3. Core Issue Stage
  4. Reintegration Stage
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22
Q

Which labs need to be monitored during substance use withdrawal to prevent Wernicke Encephalopathy?

A

Thiamine and glucose

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23
Q

capable of making informed decisions about one’s own care

A

autonomy

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24
Q

positive actions to help each other

A

beneficence

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25
preventing harm and ensuring client's well- being
nonmaleficence
26
all patients should be treated equally and fairly
justice
27
keeps obligation and promises to patients
Fidelity
28
truthful
Veracity
29
What is the drug name for “roofies?”
Rohypnol
30
What are the stages of rape trauma?
1. Disorganization 2. Outward Adjustment Phase 3. Organization
31
Infants have more ____________ speech than ______________ speech.
Receptive, expressive
32
What are normal RBCs in women?
4.2-5.4
33
What are normal RBCs in men?
4.7-6.1
34
What is normal hemoglobin in women?
12-16
35
What is normal hemoglobin in men?
14-18
36
What is normal hematocrit in women?
37-47%
37
What is normal hematocrit in men?
42-52%
38
What is a normal WBC count?
5000-10,000
39
What is a normal platelet count?
150,000-400,000
40
Decrease in RBCs and H&H
anemia
41
Immature WBCs
Blast Phase Cells
42
a disease that destroys the blood
Hemolytic
43
Increased number of blast cells
Leukemia
44
Decrease in WBCs
Leukopenia
45
Decrease in RBCs and WBCs
Pancytopenia
46
Too many RBCs and H&H
Polycythemia
47
Low platelets
Thrombocytopenia
48
Hemoglobin S instead of HbA
Sickle Cell Disease
49
A period of extensive RBC sickling
SCD Crisis
50
MODS
Multiple Organ Dysfunction Syndrome
51
What will labs look like with an SCD Crisis?
Hematocrit low, bilirubin high, WBCs high
52
Prolonged penile erection
Priapism
53
Decreases pain episodes, stimulates hemoglobin F, helps with gas exchange
Hydroxyurea
54
a disorder that can lead to leukemia
myelodysplastic syndrome
55
How is leukemia diagnosed?
Bone Marrow Aspiration
56
What will the labs of someone with leukemia look like?
Low hemoglobin, low hematocrit, low platelets, high WBC
57
Wipes bone marrow, replaced with new cells into marrow, begin the process of hematopoiesis
Hematopoietic Stem Cell Transplant (HSCT)
58
What is the medication given to increase RBC?
erythropoietin alfa
59
What is the medication given to increase WBC?
Filgastrim (Neupogen)
60
What is the patient at risk for if their platelets are <50,000?
Bleeding
61
What is the patient at risk for if their platelets are <20,000?
Spontaneous bleeding
62
What might the patient need if their platelets are <10,000?
Platelet transfusion
63
apply radio-frequency energy at the gastroespohageal junction to reshape the opening and provide a barrier to prevent acid from entering the esophagus (non surgical)
Stretta Procedure
64
the stomach fundus is wrapped around the distal esophagus
Laparoscopic Nissen Fundoplication (LNF)
65
What are the PPIs?
Omeprazole, Lansoprazole, Pantoprazole
66
What is a significant adverse effect of misoprostol (cytotec)?
uterine contraction
67
What teaching is important for parents of a baby in a Pavlik Harness?
- Follow up with HCP (adjustment ever 1-2 weeks) - Skin care and monitoring - How to feed, hold, and diaper - Leg position - Monitor perfusion
68
What teaching is important for a patient with a Spica Cast?
- Support extremities with pillows - Keep dry (change diapers frequently) - Monitor for signs of infection - Care seat/ car vest restraint - Change positions every 2 hours
69
What test is used to diagnose DDH in infants?
Barlow and Ortalani

Nursing 3 (2 decks)

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