Week 1 Flashcards
(56 cards)
Which fetal presentation is associated with “back labor”?
The occiput posterior position.
What is the priority intervention with rhabdo?
Aggressive fluid resuscitation
Should incident reports be documented in the medical record?
No.
If a pt experiences orthostatic s/sx during orthostatic blood pressures what should the nurse do?
Discontinue measurements, return the patient to the recumbent position, and notify HCP
What cleansers are appropriate for a SLE rash?
Mild soap and water. No harsh chemicals, ever.
What are the 2 common side effects of isoniazid?
- Peripheral neuropathy (take B6 if necessary and report any s/sx)
- Hepatotoxicity (avoid alcohol and report any s/xx)
How should urine samples be collected from a catheter?
Aseptically from the port in the catheter tubing.
Don’t get it from the collection bag!!
What is the priority assessment when a pt arrives in 2nd stage labor?
Assessing the perineum to see if birth is imminent (bulging or crowning of the fetal presenting part)
What type of stethoscopes are used for pts on contact precautions?
Single use ones. In fact all equipment should either be single use or left in the room only for that patient.
What is the major complication (and priority) for an inguinal hernia?
Strangulated bowel
possibly indicated by increased, severe pain and n/v
What 3 things should the nurse know before placing a fetal scalp electrode?
- Cervical dilation
- Membrane Status
- History of bloodborne infections
What are the 2 major symptoms of an impending AAA?
-Abd/back pain
-a pulsatile mass
may also have a bruit
What is the normal magnesium lab range?
1.5-2.5 mEq/L
What is the therapeutic magnesium range in a pt w/ preeclampsia?
4-7 mEq/L
How often should a pt receiving continuous tube feedings be assessed for gastric tolerance?
Every 4 hrs.
Check for abd distention, gastric residual, etc.
What are the 4 things to look for when assessing sling fit?
- Elbow flexed at 90 degrees
- Hand is held slightly above elbow
- Sling ends in the middle of the palm, fingers visible
- Sling supports the wrist joint
Where and how should an Epipen be administered?
Into the mid-outer thigh area, even through clothing.
Be sure to hold for 10 seconds after injection.
When can FHR be detected by dopplar?
10-12 weeks gestation
Which type of infection is the greatest priority for isolation?
Airborne infections
This is because they can spread so quickly
What type of precautions are used for drug resistant organisms?
Contact precautions
What is the mnemonic for walking with a cane?
up with the good and down with the bad. The cane always moves before the weaker leg
Where are injections given in children <7months old?
In the vastus lateralis/anterolateral thigh
What is the normal WBC range?
4,000-11,000/mm3
[4.0-11.0×109/L]
Where is the phelobostatic axis?
On the chest at the level of the atria (4th intercoastal space at the midaxillary line)
