Random Questions Flashcards
(206 cards)
1
Q
Never give K+
A
IV push
2
Q
Mineral Corticoids are given with
A
addisons disease
3
Q
DKA: When the body is breaking down ___ instead of ___ for energy. Fats leave ____ (acids) that cause the…..
A
fat
sugar
ketones, pH to decrease
4
Q
DKA is rare in DM type 2 because there is enough…..
A
insulin to prevent breakdown of fats
5
Q
Sign of embolism…
How to treat…
A
petechiae
heparin
6
Q
What to use for knee replacement
A
continuous passive motor machine
7
Q
What to give before any invasive procedure
A
prophylactic antibiotics
8
Q
Glaucoma patients lose _____ _____ and tx with meds.
A
peripheral vision
9
Q
Vision with cataracts. Treated how?
A
cloudy, blurry vision.. lens-removal surgery
10
Q
CO2 causes…
A
vasoconstriction
11
Q
Most spinal cord injuries are at the ____ and ____ regions
A
lumbar and cervical
12
Q
Autonomic dysreflexia (life threatening inhibited _____ ____ if nervous system to a noxious stimuli) patient with spinal cord injuries T7 and above. Usually caused by….
A
sympathetic response,
full bladder
13
Q
Spinal shock usually occurs immediately after..
A
spinal cord injury
14
Q
Myelin sheath destruction, disruption in nerve impulse conduction..
A
multiple sclerosis
15
Q
MG= decrease in receptor sites for _______. Since smallest concentration of ____ receptors are in the cranial nerves, expect weakness and fatigue where?
A
`acetylcholine
ACTH
mastication, eye, pharyngeal muscles
16
Q
What is given if muscle is tense in MG?
A
Tensilon test
17
Q
GBS is ____ ____. Keep an eye on ____ ____.
A
ascending paralysis
respiratory system
18
Q
Parkinson’s think RAT ! treat with ?
A
rigidity
akinesia (loss of muscle movement)
tremors
19
Q
Mini stroke with no dead brain tissue
A
TIA
20
Q
Stroke with dead brain tissue
A
CVA
21
Q
Cancer of the lymph very curable in the early stages
A
Hodgkins
22
Q
Rule of 9's for burns ? head and neck = each upper extremity= each lower extremity= front trunk= back trunk= genital=
A
9 9 18 18 18 1
23
Q
Birth weight…
A
Doubles by 6 months, triple by a year
24
Q
If HR is _____ don’t give dig to children
A
25
1st sign of cystic fibrosis ?
| Baby is...
meconium ileus
| inconsolable, does not eat, not passing meconium
26
```
Heart defects ( 3 T's)..
Prevent blood from...
If problem does not fix or can't be surgically, what will occur followed by death?
```
```
ToF
Truncys arteriosis
Transposition of greater vessels
going to the heart
CHF
```
27
With R side cardiac cath look for
valve problems
28
With L side cardiac cath look for
coronary complications
29
Rheumatic fever can lead to....
cardiac valve formation
30
Poor muscle control due to birth injuries and or decrease oxygen to brain tissue ?
cerebral palsy
31
ICP should be...
| Measure ?
less than 2
| head circumfrence
32
Dilantin level..
| Can cause..
10-20
| gingival hyperplasia
33
Kernig's/Brudzinkski's sign
meningitis
34
Wilms tumor is usually encapsulated where?
| causing what kind of pain?
above the kidney
| flank pain
35
Hemophila is..
| How is it passed...
x-linked
| mom-son
36
When phenylalanine increases..
brain problems
37
Buck's traction=
knee immobility
38
Russell traction=
femur or lower leg
39
Dunlap traction=
skeletal or skin
40
Bryant's traction= children ages and weight with what fracture
less than 3 or under 35 lbs
41
Place ___ first than place the ___ when putting traction
apparatus, weight
42
Where should the placenta be located
upper part of the uterus
43
Eclampsia is a ....
seizure
44
A patient with a vertical C-section surgery will most likely...
have another C-section
45
Perform amniocentesis before ___ weeks gestation to check for what abnormalities?
20, cardiac and pulmonary
46
___ mothers receive Rhogam to protect next baby
Rh -
47
Anterior fontanelle closes at ______ and posterior____
18months
| 6-8 weeks
48
Caput succedaneum= ____ ____ of the fetal scalp that crosses the ___ ___. Swelling reabsorbs within 1 to 3 days
diffuse edema, suture lines
49
Pathological Jaundice occurs...
before 24 hours, and lasts 7 days
50
Physiological Jaundice occurs...
after 24 hours
51
Placental Previa = ____ pain, there is ____. Placenta Abruption ___ pain but ____ _____
no pain, bleeding
| pain, no bleeding
52
Bethamethasone (celestone) is
surfactant for lung expansion
53
Baby cannot make it down to canal
dystocia
54
Pitocin med is used for...
uterine stimulation
55
Magnesium Sulfate ( used to halt ____ labor) is contraindicated if ________ are ineffective. If patient experiences seizure during magnesium admin. Get the baby out stat (emergency).
preterm
| deep tendon
56
NCLEX FACT
Do not use why or I understand statement when dealing with patients
57
Milieu therapy= taking care of...
patient/environment
58
Cognitive therapy=
counseling
59
Crisis intervention= short term or long term
short term
60
Five interventions for psych patients
safety, setting limits, establishing trusting relationship, meds, less restrictive methods/environment
61
Mineral Corticoids are given with
addisons disease
62
DKA: When the body is breaking down ___ instead of ___ for energy. Fats leave ____ (acids) that cause the.....
fat
sugar
ketones, pH to decrease
63
DKA is rare in DM type 2 because there is enough.....
insulin to prevent breakdown of fats
64
Sign of embolism...
| How to treat...
petechiae
| heparin
65
What to use for knee replacement
continuous passive motor machine
66
What to give before any invasive procedure
prophylactic antibiotics
67
Glaucoma patients lose _____ _____ and tx with meds.
peripheral vision
68
Vision with cataracts. Treated how?
cloudy, blurry vision.. lens-removal surgery
69
CO2 causes...
vasoconstriction
70
Most spinal cord injuries are at the ____ and ____ regions
lumbar and cervical
71
Autonomic dysreflexia (life threatening inhibited _____ ____ if nervous system to a noxious stimuli) patient with spinal cord injuries T7 and above. Usually caused by....
sympathetic response,
| full bladder
72
Spinal shock usually occurs immediately after..
spinal cord injury
73
Myelin sheath destruction, disruption in nerve impulse conduction..
multiple sclerosis
74
MG= decrease in receptor sites for _______. Since smallest concentration of ____ receptors are in the cranial nerves, expect weakness and fatigue where?
`acetylcholine
ACTH
mastication, eye, pharyngeal muscles
75
What is given if muscle is tense in MG?
Tensilon test
76
GBS is ____ ____. Keep an eye on ____ ____.
ascending paralysis
| respiratory system
77
Parkinson's think RAT ! treat with ?
rigidity
akinesia (loss of muscle movement)
tremors
78
Mini stroke with no dead brain tissue
TIA
79
Stroke with dead brain tissue
CVA
80
Cancer of the lymph very curable in the early stages
Hodgkins
81
```
Rule of 9's for burns ?
head and neck =
each upper extremity=
each lower extremity=
front trunk=
back trunk=
genital=
```
```
9
9
18
18
18
1
```
82
Birth weight...
Doubles by 6 months, triple by a year
83
If HR is _____ don't give dig to children
84
1st sign of cystic fibrosis ?
| Baby is...
meconium ileus
| inconsolable, does not eat, not passing meconium
85
```
Heart defects ( 3 T's)..
Prevent blood from...
If problem does not fix or can't be surgically, what will occur followed by death?
```
```
ToF
Truncys arteriosis
Transposition of greater vessels
going to the heart
CHF
```
86
With R side cardiac cath look for
valve problems
87
With L side cardiac cath look for
coronary complications
88
Rheumatic fever can lead to....
cardiac valve formation
89
Poor muscle control due to birth injuries and or decrease oxygen to brain tissue ?
cerebral palsy
90
ICP should be...
| Measure ?
Less than 2
| head circumference
91
Dilantin level..
| Can cause..
10-20
| gingival hyperplasia
92
Kernig's/Brudzinkski's sign
meningitis
93
Wilms tumor is usually encapsulated where?
| causing what kind of pain?
above the kidney
| flank pain
94
Hemophila is..
| How is it passed...
x-linked
| mom-son
95
When phenylalanine increases..
brain problems
96
Buck's traction=
knee immobility
97
Russell traction=
femur or lower leg
98
Dunlap traction=
skeletal or skin
99
Bryant's traction= children ages and weight with what fracture
less than 3 or under 35 lbs
100
Place ___ first than place the ___ when putting traction
apparatus, weight
101
Where should the placenta be located
upper part of the uterus
102
Eclampsia is a ....
seizure
103
A patient with a vertical C-section surgery will most likely...
have another C-section
104
Perform amniocentesis before ___ weeks gestation to check for what abnormalities?
20, cardiac and pulmonary
105
___ mothers receive Rhogam to protect next baby
Rh -
106
Anterior fontanelle closes at ______ and posterior____
18months
| 6-8 weeks
107
Caput succedaneum= ____ ____ of the fetal scalp that crosses the ___ ___. Swelling reabsorbs within 1 to 3 days
diffuse edema, suture lines
108
Pathological Jaundice occurs...
before 24 hours, and lasts 7 days
109
Physiological Jaundice occurs...
after 24 hours
110
Placental Previa = ____ pain, there is ____. Placenta Abruption ___ pain but ____ _____
no pain, bleeding
| pain, no bleeding
111
Bethamethasone (celestone) is
surfactant for lung expansion
112
Baby cannot make it down to canal
dystocia
113
Pitocin med is used for...
uterine stimulation
114
Magnesium Sulfate ( used to halt ____ labor) is contraindicated if ________ are ineffective. If patient experiences seizure during magnesium admin. Get the baby out stat (emergency).
preterm
| deep tendon
115
NCLEX FACT
Do not use why or I understand statement when dealing with patients
116
Milieu therapy= taking care of...
patient/environment
117
Cognitive therapy=
counseling
118
Crisis intervention= short term or long term
short term
119
Five interventions for psych patients
safety, setting limits, establishing trusting relationship, meds, less restrictive methods/environment
120
How long do SSRIs take to work ?
3 weeks to work
121
Obsession is to ___ as compulsion is to ______
thought, action
122
If patients have hallucinations ____ them, if they have delusions ___ them
redirect, distract
123
Thorazine (Chlorpromazine) and Haldol can have
extrapyramidal side effects
124
Alzheimer's disease is a chronic, progressive, degenerative cognitive d/o that accounts for more than .....
60% of all dementia
125
Nicole Richie RN
Air into NPH, air into regular. Draw up regular and then draw up NPH
126
HYPERthyrodism think of Michael Jackson in Thriller !
Skinny, nervous, bulging eyes, up all night, heart beating fast
127
Atropine used to...
decrease secretions
128
Phenergan is an antiemetic used to...
reduce nausea
129
Diazepam is a commonly used tranquilizer given to....
reduce anxiety before OR
130
Demorol is for....
| Don't give to what patients?
pain control
| sickle cell crisis
131
How should iron injections be given...
give Z-track method so it doesn't leak into subcutaneous tissues
132
APE To Man
```
atrial
pulmonary
Erb's point
tricuspid
mitral
Ape to man heart assessment -A= aortic valve (second intercostal space on the right) P= pulmonic valve (second intercostal space on the left) E= erb's point (a good spot to hear heart murmurs so listen with the bell here too) 3rd intercostal space on the left T=Tricuspid valve (5th intercostal space on the left) M= Mitral valve (5th intercostal space at the midclavicular line)
```
133
Cranial Nerves ! GO
```
Oh- olfactory
Oh- optic
Oh- oculomotor
To-trochlear
Touch- trigeminal
And- abducens
Feel- facial
A- auditory
Girls- glospharyngeal
Vagina - vagus
And- accessory
Hymen- hypoglossal
```
134
Hypernatremia - SALT
skin flushed, agitation, low grade fever, thirst
135
Turns head side to side
2-3 months
136
Grasps, switch & roll
4-5 months
137
Sit at... and waves bye-bye
6-7 months
138
Stands straight at...
8-9 months
139
Belly to butt (phrase at 10 letters)
10-11 months
140
... and Up, drink from a cup
12-13 months
141
Hepatitis A
vowel comes from the bowel
142
Hepatitis B
blood and body fluids
143
Hepatitis C
C is just like B
144
Apgar measures (5 different things)
8-10=
0-3=
Each=0-2 points
HR, RR, Muscle tone, Reflexes , Skin Color
8-10=ok
0-3=Resuscitate
145
Glasgow coma scale measures three things...
max 15 points
In a coma if...
(kind of like dating)
verbal, motor, eyes
| 8
146
The person who hyperventilates is most likely to experience...
respiratory alkalosis
147
Avoid salt substitutes when taking ____ and ____ because many are ?
K+ and dig
| K+ based
148
Signs of hypoxia....
restlessness, anxious, cyanotic, tachycardia, increased resp (also monitor ABGs)
149
Addisons disease you need to ADD more?
| Cushing syndrome you have extra "cushion" of??
hormones
| hormones
150
Dumping Syndrome : increase ___ & ___, ___ ___ meals , what to do after meal to decrease peristalsis, wait ____ after meals to drink
fat & protein
small & frequent
lie down
1 hour
151
For blood types : universal donor? Universal receipient?
O
| AB
152
Disseminated Herpes Zoster is ________ , as to localized Herpes Zoster is _______.
airborne
| contact
153
A nurse with localzied Herpes Zoster CAN care for patients as long as the patients are NOT ________ and the lesions MUST...
localized, be covered
154
Name the fat soluble vitamins.
V, D, E, A, K
155
What drugs to give with food. NCSBC
NSAIDs, Corticosteroids, drugs for Bipolar, cephalosporins, sulfanomides
156
Drug of choice for status epilepticus?
ativan
157
What to admin first bronchodilator or gluccocortocoid inhaler.
bronchodilator
158
Who can't have Beta-Blockers?
Diabetics ! Asthmatics ! masks symptoms
159
_____ increases the risk of digoxin toxicity and decreases the effects of lithium and digoxin
Theophylline-Treats symptoms of asthma and other lung problems such as emphysema and on-going bronchiti
160
An inhaler used to treat allergy induced asthma that may cause bronchospasm, think INto the asthmatic lung.
intal
161
Isoniazid causes...
| Take ____ to prevent Hepatotoxic
isoniazid (treats TB) peripheral neuritis
| Vit B6
162
Peptic ulcers caused by H.pylori are treated with FBP (football please). This treatment kills bacteria and stops production of stomach acid but does not heal ulcer
Flagyl
Priolesec
Biaxin
163
Weighted Naso Intestinal tubes must float from the stomach to intestine. Don't tape the tube right after placement, may leave coiled next to pt on HOB. Position patient on ___ to facilitate movement throughout the pylorus
RIGHT
164
```
Best time to take..
Growth Hormone
Steroids
Diuretics
Aricept
```
PM
AM
AM
AM- alzeheimiers disease
165
Diaphragm must stay in place for ____ after intercourse. They are also fitted so must be refitted if you lose or gain a significant amount of weight
6 hours
166
Carafate (sulcrafate) take..
before meals, mucosal barrier; constipation
167
Tagamet take ..... what kind of drug? messes with elderly so be careful,
with meals
| H2
168
Take antiacids..
aftermeals
169
Long term use of this binds to phosphate, increases calcium, robs the bones, leads to increased Ca restoration from bones and weak bones
Amphogel
170
Cushings ulcers r/t ____ _____
brain injury
171
Cushings triad r/t ICP in the brain
HTN, bradycardia, irr. resp
172
Thyroid storm is ___
hyperthermia
173
Myexdema coma is ___
hypothermia
174
Glaucoma intraocular pressure is greater than the normal (____) , give ___ to constrict ! Do NOT give _____
22
Pilocarpine
Atropine
175
Helps keep your heart rate stable after a heart attack or during surgery. Lowers the amount of body fluids inside your mouth and throat before a surgery. This keeps you from possibly choking on your saliva while you are unconscious
Atropine
176
Non diary sources of calcium
Rhubarb, Sardines, Collard Greens
177
You can petal the rough edges of plaster cast with tape to ....
avoid skin irritation
178
With lower back pain...
bend knees
179
Why should we push fluids with Allopurinaol
flush the uric acid out of the system
180
Red spots with blue center characteristics of prodromal stage of measles. usually in the mouth.
Koplick's spots
181
Rifampin use? what color urine/tears?, also what doesn't work as well with these drugs?
TB, red/orange, oral contraceptives
182
Ethambutol use? messes with?
| Apply eye drops to conjunctivial sac and afterwards apply pressure to nasolacrimal duct/ inner canthus.
TB, eyes
183
Pancreatitis place patient...
NPO
Gut rest
prepare ______ site for PICC cuz they'll probably be getting...
fetal position
| antecubital site , TPN/lipids
184
Trendelenburg test for .....
varicose veins, if they fill proximally= variscosity
185
Tell me the rule of 9's !
```
head-9
arm= 18
torso=36
legs=36
perineum= 1
```
186
What to worry about when you give kayexalate? and why?
worry about dehydration, because K has a inverse relationship with sodium
187
Yogurt has live cultures so...
not for immunosuppressed patients
188
What to do with itching under cast.
| & never do what to scratch?
icepack 10-15 mins, cool air via blow dryer, never use qtip or anything to scratch
189
Murphy's sign
Pain with palpation of gallbladder area seen with cholecystitis
190
Cullen's sign
ecchymosis on umbilical area, seen with pancreatitis
191
Turner's sign
flank grayish blue (turn around to see your flanks) pancreatitis
192
McBurney's Point
pain in RLQ indicative of appendicitis
193
Diverticulitis : where, ___ residue, avoid what foods
LLQ, low, seeds, nuts, peas
194
Appendicitis: Where? watch for ?
RLQ- appendicitis, watch for peritonitis
195
Guthrie Test
tests for PKU, baby should have source of protein first
196
Shilling Test
test for pernicious anemia, how well one absorbs B12
197
Allens Test
occlude both ulnar and radial artery until hand blanches than release ulnar. If the hand pinks up , ulnar artery is good and you can carry on with ABG/ radial stick as planned. ABGS must be put on ice and whisked to the lab.
198
It's okay to have abdominal cramps , blood tinged outflow and leaking around site if the peritoneal dialysis cath....
What's not normal ?
1-2 weeks
| cloudy outflow
199
Amniotic fluid yellow with particles
meconium stained
200
Hyper-reflexes
upper motor neuron ( reflexes are over the top)
201
Absent reflexes
lower motor neuron issue
202
Rhogam given ? Route?
| Only to?
28 weeks, 72 hours after birth, IM
| rH negative mother
203
If indirect Coomb's test is + ...
don't need to give RhoGAM because she has an antibody only give if negative Coombs
204
Vitamin K is to ____
Protamine Sulfate is to ____
CaGlu is to ____
Mucomyst is to _____
coumadin
heparin
MgS04
Acetominophen
205
Order of assessment ?
```
Inspection
Palpation
Percussion
Auscultation
Except with abdomen because you don't want to mess with the bowels and their sounds so inspect, auscultate, percuss, then palpate
```
206
Latex Allergies
bananans, apricot, cherries, grapes, kiwis, passion fruit, avocados, chestnuts, tomatoes, peaches
