The flashcards below were created by user
sh3ilamarie
on FreezingBlue Flashcards.
-
in genital herpes, what happens first?
Puritis (itching)
-
mantoux test - what angle should needle be
10-15 degree angle
-
increase risk of suicide
teen with depression over recent breakup with a friend
-
kidney transplant surgery...what causes immediate concern?
hemorrhage-->can cause hypovolemic shock (post-op bleeding)
-
what s/s of renal failure?
anemia
-
SATA: deep partial thickness burn (2nd degree burn)..s/s?
- painful open nerve ending when blisters break
- injury to deeper portion of dermis
-
burn pt, TBSA 40%, wt 132 lbs, use parklin's formula: (4ml/kg/%TBSA)
1. what is his wt in kg?
2. how many cc of fluid infused in first 24 hrs?
3. how many cc in first 8 hrs?
4. how many ml/hr should the iv pump be set for the first 8hr?
5. how ml/hr should iv pump be set in next 16hrs?
6. macrodrip (15gtt = 1cc) how many drop/min should the pump be set for 16hrs?
- 1. 60 (132/2.2)...(1kg = 2.2lb)
- 2. 9600 (4 x 60 x 40)
- 3. 4800 (9600/2)
- 4. 600 (4800/8)
- 5. 300 (4800/16)
- 6. 4.69=5 (300/960 x 15)...(15gtt = 1cc)
-
the following are tx for burn, except
cool the burn with ice
-
what will u see when pt has voluemia?
erosion of dental amal
-
doing trache care at home, what technique will u use?
use medically aseptic (as clean as possible)
-
SATA: warning signs of suicide?
- withdrawal
- apathetic
- angry outburst
-
IN UR OWN WORDS: give 5 things to consider in application and job interview?
- 1. dress properly
- 2. firm hand shake
- 3. positive attitude
- 4. promptness (being on time)
- 5. good eye contact
-
breast feeding pt, how can she do a self breast exam when nursing?
after the infant has empty the breast
-
burns on left arm and left anterior leg..using rule of nine, what %?
18%
-
battered wife, where in the community will provide assistance?
woman's shelter
-
SATA: alcohol withdrawal syndrome..going to enter rehab, what is intervention are appropriate?
- ask him to talk to his family
- refer to alcoholic anonymous
- promote participation in tx program
-
nx diagnosis is correctly worded?
related to..and because of (3 parts)
-
trache suctioning should last no longer than..
suction no longer than 10 secs
-
pt has hiv..which results indicate that pt need intibation?
PaO2 <80%
-
nx diagnosis where no problem exist, the pt desire a higher level of wellness...what kind of dx would u give the pt?
a wellness diagnosis
-
alcohol withdrawal..pulling on his central veinous catheter..nx should..
protect the pt from harm
-
nx suspects pt is experiencing alcohol withdrawal..what action should nx do?
ask pt about his drinking
-
details are distorted, learning are disabled...what type of anxiety
panic
-
what give the highest concentration (flow rate) of oxygen will need which delivery system?
venturi mask
-
SATA: cystoscopy
- helps identify source of hematuria...
- allows collections of tissues samples, cell washings, n urine samples
- uses a light source to visualize the internal structure
- requires no surgical incision...
-
opportunistic disease HIV/AIDS
pneumocystis carini
-
pt is on 100% FiO2, but intibated n is coughing out copious secretion, what intervention is a priority?
suction
-
nx student is working with a nx and is working with an AIDS pt. the student does not want to suction...what should nx do?
talk with students
-
which is an example of subjective data?
pt's feeling and statements about health problems
-
which nx intervention for a pt with renal failure?
wt pt daily before breakfast
-
pulse oximeter..where should nx place for accurate reading?
apply to pt's finger
-
what the complication of detox?
seizure
-
post-menapausal pt wants to prevent osteoporosis..what should nurse
wt baring exercise
-
pt has ph = 7.52, PaCO2 = 28, HCO3 = 24
respiratory alkalosis
-
immediately after the distillate solution...
clamp tubing
-
thorocentesis..what position should pt be in? and what is the rational is correct?
up-right position...rational: fluid accumulates at the bases (of the lungs)
-
FILL-IN
______ is a step in the nx process where the nx establishes outcomes and actions to achieve the overall goal
planning
-
SATA: for which problems of identifying in sexual partner, what cx female reproductive system
-
brochicoscopy, what states that pt understands?
"i will not eat or drink starting at midnight until the procedure is done"
-
risk for impaired tissue integrity. which person would be most at risk?
a pt having a reconstructive breast surgery
-
lazze a fair..everything is true, except?
communication is mutual back and forth
-
breast examination..what position?
standing up in front of a mirrow
-
_______ is transferring competent individual the authority to perform selected nx task in a given situation.
delegation
-
breast self exam, which statement that pt understand frequency to check?
1 week after period
-
masectomy on left breast, and iv on lower right arm. where do u take bp?
leg
-
himlic menuvor..where should hands be?
below sternum
-
fill-in?
_____ a graft obtained by deceased human
allograft
-
what diagnostic test is a sensitive indicator of kidney disease?
serum creatine level
-
to prevent bladder infection for a pt with foley..what will nx do?
encourage showers rather than bath
-
significance positive tb test
antibodies are present in pt blood
-
oliguria stage of renal failure. oliguria scanty urine, how many ml in a day would u expect?
100-500ml/day
-
anorexia nervosa..social theory causation, its a sign for?
sign of pain within whole family system
-
alcohol dependence...pt was admitted..what indication pt is using rationalization?
"i always remember what happens the next day"
-
anorexia nervosa..what is the nx most likely to assess or see?
growth of fine body hair
-
what statement shows that pt is ready for AA program?
"i am powerless over alcohol and need help"
-
pt has been sexually assaulted n she appears with police officer, what nx intervention receive priority?
attempting to reduce panic to moderate level
-
suspected family violence, what approach should nurse use?
support treatment
-
______ is the ulcer acquired with burns.
curling's ulcer
-
what will u do before and after peritoneal displays to make sure tx is working?
check body wt
-
incentive spirometer..purpose?
helps pt to visualize deep breathing to prevent atolectisis
-
behavior modification..phobic cx, being tx with behavioral therapy..how does it work?
systemic desensitization
-
with substance transmits HIV?
blood
-
manually assessing AV fist, what will expect?
feel for thrill
-
removing indwelling cath, what action is appropriate?
document the time of the removal
-
SATA: nutrition in a burn pt
- enteral feeding can reduce n/v...
- carbohydrates
- need to increase vitamins and mineral
-
alcoholic..what should u include in discharge plan?
participate in support groups like AA
|
|