Q Bank 1
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What are persistent late decelerations associated with?
What are variable decelerations associated with?
Cord compression and fetal distress
What causes pernicious anemia?
Inability to absorb B12
How is pernicious anemia treated
Monthly B12 injections
What is rationalization?
Justification for an unreasonable act or idea to make it appear reasonable
What is projection?
Attributing to others one's feelings, impulses, thoughts, or wishes (blaming or scapegoating)
What is intellectualization?
Excessive use of reasoning or logic to prevent person from feeling
What foods should a person with hx of kidney stones avoid?
- Foods high in oxalates such as :
What is SIADH?
Uninhibited production of ADH
What does SIADH cause?
- Increased fluid volume
- Hypothermia (due to CNS disturbance)
What do Pts with Cushing's need to be monitored for?
What is the average head circumference of a newborn?
What medications are less effective for African Americans than Caucasians?
- Beta blockers (-lol)
- ACE Inhibitors (-ril)
What if the therapeutic level for lithium?
What precautions does disseminated herpes zoster require?
Airborne and Contact
What does outward rotation of leg indicate after total hip replacement?
Dislocation of prosthesis
Digoxin initial dose?
- 10-15 mcg/kg q 6-8hrs divided into 3 doses with first dose being about 1/2 of total
- 125-350 mcg in 1-2 divided doses
Therapeutic range for Digoxin?
What action is important before a Pt gets spinal anesthesia?
Ensuring Pt is adequately hydrated
What dietary teaching is needed for a Pt with an abdominal aortic aneurysm?
Increase fluids and fiber to avoid straining
What kind of breathing is used for a Pt receiving a barium enema?
Slow deep breaths to help ease discomfort
What does a bruit over the abdominal aorta indicate?
An aneurysm- notify doc
Dietary teaching for Pt taking Lithium?
Increase fluids and Na
What does a Pt who misses 2 birth control pill doses in a row need to do?
- Take 2 pills a day for the next 2 days, then continue on regular schedule.
- Use another form of BC for remainder of cycle
What are the symptoms of autonomic dysreflexia?
- Severe Headache
- Severe HTTN
Can a LPN irrigate an NG tube?
Yes, on a stable Pt
When can autologous blood donation be first and last done?
- Up to 5 weeks before surgery
- At least 3 days before surgery
What is plasmapheresis?
A therapy that removes all of the blood from the body and then removes antigens from the blood before replacing it
What vitamin are Pts with turberculosis often going to need?
B6 (pyridoxine hydrochloride) in order to combat some of the side effects of INH, which is a mainstay drug for this disease
What is the correct order in body assessments?
- Auscultation (Except in bowel-I,A,P)
What is a nonstress test on a pregnant Pt looking for?
For the baby's heart beat to increase with activity (good sign)
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