Flashcards in Term 3 Cumulative Deck (95)
*Care of the client after biopsy of prostate for possible cancer
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:
processed meats and fish
take on empty stomach
administer vitamin B5 as prescribed to reduce risk of neurotoxicity.
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
Care of the client with leukemia
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
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
Monitoring Labs for the cancer client
Care of the pregnant client with AIDS.
do not breastfeed
can transfer disease during childbirth
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.
Care of the client with an abdominal aortic aneurysm
take antihypertensives to lower BP
Care of the client with pulmonary edema
Synthetic Thyroxine (T4). Thyroid hormone replacement
Care of the client undergoing radiation treatment
body fluids will be contaminated and should be disposed of appropriately
Dietary education for the client with Cushing’s
eat foods high in calcium and vitamin D.
no alcohol or caffeine
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.
Client education about the spread of TB
anti tubercular therapy: rifampin, isoniazid, pyrazinadmide, streptomycin and ethambutol. 2-3 weeks continuous meds
encourage fluid intake
cover mouth when coughing/sneezing
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
Care of the client with thrombocytopenia
safety precautions. watch for bruising. check pt, ptt, INR
Care of the client with breast cancer
can metastasize to the bone
will have orange peel skin, dimpling, nipple discharge
tamoxifen, raloxifine, lupron
Synthetic Adrenocortical Steroid. Anti-inflammatory, Diagnostic aid, Immunosuppressant.
Aldosterone antagonist, antihypertensive, diagnostic aid for primary hyperaldosteronism, diuretic (potassium sparing diuretic)
Thioimidazole derivative. Antithyroid
Care of the client with Addison’s disease
treat with IV fluid
low sodium. high potassium.
bronze skin pigmentation
Care of the client with hypoparathyroidism
MONITOR CALCIUM LEVELS
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
Priority of care for the client receiving external radiation therapy
patient will be fatigued. will need periods of rest.
do not wash off the x tattoos
Discuss the drug therapy for the HIV infected client
used in combination with other antiretroviral meds to reduce medication resistance, adverse effects, and dosages.
Care of the client with hypothyroidism, including diet
everything is low and slow. Provide diet with fiber. lotion skin. allow rest periods. eat smaller more frequent meals.
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.