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Flashcards in Term 3 Cumulative Deck (95)
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1

*Care of the client after biopsy of prostate for possible cancer

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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

6

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

20

dexamethasone

Synthetic Adrenocortical Steroid. Anti-inflammatory, Diagnostic aid, Immunosuppressant.

21

spironolactone

Aldosterone antagonist, antihypertensive, diagnostic aid for primary hyperaldosteronism, diuretic (potassium sparing diuretic)

22

methimazole

Thioimidazole derivative. Antithyroid

23

Care of the client with Addison’s disease

treat with IV fluid
hydrocortisone
flonuet

low sodium. high potassium.
dysrhythmias
muscle weakness
bronze skin pigmentation

24

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.

29

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.

30

Client education; Care of the client pre/post cardiac catheterization

most definitive but most invasive test in the diagnosis of heart disease.

client is strapped to a table the cath lab and the table is turned during the procedure

local analgesic injected at the insertion site

client may have mild sedative but most be able to report any chest pain, pressure, or other symptoms.

informed consent

NPO 8 hr prior to procedure

report iodine/shellfish allergies