Flashcards in Term 3 Cumulative Deck (95)
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*Care of the client after biopsy of prostate for possible cancer
.
2
Care of the client receiving isoniazid
first line drug for active TB and for prophylaxis.
may cause peripheral neuropathy, and hepatitis.
do not administer with:
aged cheese
processed meats and fish
bananas
dried fruits
yeast products
soy sauce
red wine
take on empty stomach
administer vitamin B5 as prescribed to reduce risk of neurotoxicity.
3
Care of the client with HHNS
BS >600. put on fluids and focus on hydration. start with 0.9 then 0.45, check sugar, then 5% dextrose
4
Care of the client with leukemia
neutropenic precautions.
5
Indications for a carotid endarterectomy
surgical removal of part of the inner lining of an artery, together with any obstructive deposits, most often carried out on the carotid artery or on vessels supplying the legs
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Care of the client with an abdominal aneurysm
observe signs: gnawing feeling in abdomen, flank or back pain, pulsating abdominal mass, bruit, and elevated BP
monitor vitals q15mins, check pain often, focus on lowering BP, surgical intervention:
resection.. excision of the aneurysm and the placement of a synthetic graft
7
Monitoring Labs for the cancer client
CBC
WBC
RBC
Platelets
8
Care of the pregnant client with AIDS.
do not breastfeed
can transfer disease during childbirth
9
Care of the client receiving allogenic bone marrow transplant
With this type of BMT, the transplant comes from a donor. Often family members are found to be the best match. High doses of chemotherapy with or without radiation are administered, then the bone marrow is transplanted to "rescue" the host. This type is most commonly used in leukemia patients.
BMT allows for large doses of chemotherapy (with or without radiation) to be administered to clients where tumours are resistant to the standard doses of treatment. Once these treatments are complete, a bone marrow transplant is used to replace the client's bone marrow.
The Goal of a BMT is to cure a client's malignant or nonmalignant disease.
10
Care of the client with an abdominal aortic aneurysm
monitor s/s.
take antihypertensives to lower BP
11
Care of the client with pulmonary edema
relax
high fowlers
12
levothyroxine
Synthetic Thyroxine (T4). Thyroid hormone replacement
13
Care of the client undergoing radiation treatment
body fluids will be contaminated and should be disposed of appropriately
14
Dietary education for the client with Cushing’s
eat foods high in calcium and vitamin D.
no alcohol or caffeine
15
Care of the client with Hashimoto’s thyroiditis
is hypothyroidism believed to be autoimmune in origin. It is of the type of autoimmune disorders known as organ specific because the body builds up antibodies against thyroid tissue only.
16
Client education about the spread of TB
airborne/droplet
anti tubercular therapy: rifampin, isoniazid, pyrazinadmide, streptomycin and ethambutol. 2-3 weeks continuous meds
encourage fluid intake
proper handwashing
cover mouth when coughing/sneezing
17
Give example of the 4 different types of immunity
Active natural: client gets disease. body makes antibodies
active artificial: client receives immunization
Passive natural: mother to child
Passive artificial: client received immunoglobulin containing someone else antibodies
18
Care of the client with thrombocytopenia
safety precautions. watch for bruising. check pt, ptt, INR
19
Care of the client with breast cancer
can metastasize to the bone
will have orange peel skin, dimpling, nipple discharge
meds:
tamoxifen, raloxifine, lupron
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dexamethasone
Synthetic Adrenocortical Steroid. Anti-inflammatory, Diagnostic aid, Immunosuppressant.
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spironolactone
Aldosterone antagonist, antihypertensive, diagnostic aid for primary hyperaldosteronism, diuretic (potassium sparing diuretic)
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methimazole
Thioimidazole derivative. Antithyroid
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Care of the client with Addison’s disease
treat with IV fluid
hydrocortisone
flonuet
low sodium. high potassium.
dysrhythmias
muscle weakness
bronze skin pigmentation
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Care of the client with hypoparathyroidism
MONITOR CALCIUM LEVELS
25
Describe how vaccines affect the immune system
when a client receives an immunization, they get dead antigens and the body will make antibodies from it
26
Priority of care for the client receiving external radiation therapy
patient will be fatigued. will need periods of rest.
monitor:
skin blanching
mucositis, xerostomia
difficulty swallowing
gastroenteritis
CBC
do not wash off the x tattoos
27
Discuss the drug therapy for the HIV infected client
HAART therapy.
includes:
enfuvirtide (fuzeon)
maraviroc (selzentry)
delavirdine (descriptor)
interferon
used in combination with other antiretroviral meds to reduce medication resistance, adverse effects, and dosages.
28
Care of the client with hypothyroidism, including diet
Give Levothyroxine
everything is low and slow. Provide diet with fiber. lotion skin. allow rest periods. eat smaller more frequent meals.
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Care of the client with hemolytic anemia
premature destruction (lysis) of RBC's
monitor for hypoxemia.
Corticosteroid hormones and splenectomy may also be of benefit.
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