Card Set Information
Warning signs of suicide?
A graft obtained from deceased humans?
Whats the correct rationale for the positioning of a thorocentesis? i.e Sitting up right leaning over pillow.
Fluid accumulates at the bases
Early signs of UTI?
Fever and change in clarity of urine
Although no conclusivly proven the Nx tells a pt with Fibrocystic disease that eliminating what from their diet could improve their condition?
Technique at home for trach care?
What would you NOT do with a burn?
Cool the burn with ice
Pt prescribed Mestinon and now has difficulty swallowing and excessive secretions what would you prepare to administer?
Make believe playmate, father is concerned, what would the Nx tell the father?
This type of behavior is normal for a preschooler
Deep partial thickness burn (2nd degree)
Painful open nerve endings when blisters break
Injury to deeper portions of the dermas
Immediatly after the diasylate solution is instilled what Nx action?
Clamp the tubing
Nx teaching about dietary considerations for parkinson's disease, what is the best for the Nx to cover?
dysphagia and constipation
Signs of bullemia?
erosion of dental enamel
18yo female with menstraul cramps?
mild anagesic such as ibuprofen
Increasing unrest among staff, what is the best action to take as the team leader?
Discuss the problem with the staff
Ruptured abdominal aortic aneurysm (AAA), S/S?
Severe lower back pain, decreased BP, and decreased RBCs
Kidney transplant, Nx immediate concern?
Hypovolemic shock caused by post op bleeding
Pt deteriorated to early renal failure, what would you expect to find?
22month old kid who says "No" to everything, what would you tell the parents?
Its normal behvior of a 2yo
What makes multiple sclerosis (MS) worse as a female?
Significance of a positive TB test?
Antibodies are present in the clients blood
Oliguria stage of renal failure, how much urine would you expect to see?
Nx caring for pt who had MI, purpose of goving Nitrates?
To dialate coronary arteries
Toilet training, what statement by the mother warrants need for further teaching?
I should begin bladder training before bowel training
Adolecent, increased risk for suicide?
Recent break up with a friend
Mantoux test, which angle is the needle inserted intradermal?
10 degree angle
Life threating cardiac arrythmias?
Angina, types of pain most characteristic?
Female with anorexia nervosa, treated with family therapy, which description fits social causation?
A sign of pain within the whole family system
35yo ratinalizing alcohol abuse, which statement?
I always remember what happens the next day
If the sympathetic nervous system is stimulated how would is effect the heart?
20month old child, home health Nx visiting at home, what safety issue would you discuss with parents if you saw this?
Child is eating raw Carrots
What immunization did a child have a birth?
Steps in time management?
Time to plan and establish priorites
Highest priority task first
Reasses and reprioritize tasks based on any changes
Vancomycin 250cc in 3hrs...Approx.?
250/3= 83.33333= 80
FYI Red Man Sydrome if given too fast
______________system is a system which determines staffing needs, measures clients illness, and uses catagories to detemine level of care needed.
Pt in ER with police officer, has been raped, Nx priority?
Bring anxiety from panic to moderate level
Psychosocial approach, ER Nx suspects family violence?
Anorexia Nervosa, clinical finding?
Growth of fine body hair
AA, how do you know when the person is ready, he says?
I know I am powerless over alcohol and I need help
Genital Herpes, how do you know an outbreak in coming?
genital puritis and parasthesia
Incintive spiromenter, follow statement correct
Helps pt visualize breathing to prevent atolectisis
Renal Failure, pt having perotoneal dialysis, most important measure?
Weigh pt before and after procedure, body weight
Best form of infection control?
Washing Hands before and after client
Treatment for habitual abortions?
Progesterone to support endometrium
FYI clomid for multiple births
Modified masectomy, pt needs further teaching if?
Wearing a robe with elastic arm bands
Female with 2 prescription bottles, one lasix one fuerosimide, you would tell her?
Its the Same thing
Which finding of a pt given oxycodon shows med is working?
pain level 0-2
Sexual partners, which conditioin requires treatment of both partners?
Laizze fair communication, which is true?
Back and forth
Most common abused substance?
14yo daughter of alcoholic, where would you refer her?
Chlamydia, which statement by pt shows an understand of possible complications?
I need to treat this infection so it doesnt spread into my pelvis because I want to have children some day
Overdose of salicylates, what treatment?
Nx action for pt with panic attack?
Enusre client safety
Give simple instructions
Masectomy, left breast, IV in right arm, where would you take the BP?
In the leg
Hemlich manuver, where would you place your hands?
Cystoscopy, pt asks Nx to outline positives of procedure?
Identifies source of hematuria
Allows collection of tissue samples
Light source to visualize
No surgical incision
Rule of Nines
Client in ER 2nd and 3rd degree burns, on arm and anterior leg, percentage of burn?
Transferring to a compentent individual, tasks that can be performed...?
Advanced kidney disease, what test?
Serum Creatinine Level
Breasting feeding client asks when to perform breast exam?
After the infant empties the breast
Pre renal, acute renal failure, common cause?
Decreased cardiac output
Best time to start discharge planning?
Acute Renal failure, which diuretic would you question?
Contusions in a child, child abuse suspected...?
All lesions including location, shape, and color will be documented
Multiple bruises that cannot be explained
Indwelling cath, what would you teach to best prevent UTI?
Take a shower instead of a bath
Significance of Positive PPD test?
Anitbodies in the blood
Impaired skin integrity related to immobility as manifested by?
Redness on perianal area
Decubitis of 2x3cm on coccyx area
Nx should perform which of the following interventions in a pt with Autonomic Dysreflexia?
Place pt in high fowlers
Pt with MS, plasmapheresis diminishes syptoms, by removing?
Trach, why do they have cuffs?
Should not suction longer than?
Person had total larengectomy, what is an early sign that O2 is comprimised?
Spasticity in a spinal cord injury, what medication would be used?
Chest tubes, pt had pneumothorax, what will tell you when it is no longer needed?
No fluctuation in the water seal tank
Autonomic dysreflexia, causes?
Broncoscopy, pt is now thirsty, when can they have water?
Presence of gag reflex
PUT IN ORDER
Safety and Security
Love and Belonging
Esteem and Self Esteem
Pt with SOB, O2 88%, given oxygen, action based on what need?
Trach suction, everything is correct EXCEPT?
Applying suction while inserting
Laryngeal obstruction due to an allergy, what med?
1000cc needs to last 12hrs, How many cc per hour APPROX?
1000/12= 83.333= 80
Laryngoscopy, pt has been having a hoarse voice, statement by pt shows an understanding of procedure?
I am having this done because I may have cancer.
OD on heroin what med will they use?
Hep B, what activity can this pt NOT do for the rest of his life?
Pt has advanced direct, on hospice, no major interventions, pain med every 3-4hours, what would hospice Nx do?
Administer medication every 3hrs
Nx should anticipate what med to pt with Hypothyroidism?
Cirrohsis, what alterations in lab values would you expect to find?
Esophageal varices, which measure should Nx focus on?
Nx would expect to administer what med to a pt with Hypothyroidism?
Immediatly after liver biopsy what does Nx have to worry about?
What strongly indicates cirrohsis?
Acute pancreatitis, which S/S should be primary concern for Nx?
The loss of elasticity of the arteries that accompanies the aging process is called:______?
Pulmonary Capillary Wedge Pressure is the?
Retrograde pressure of the fluid on the left side of the heart at the end of left ventricular diastole
Verchow triad is..?
Venous stasis-slowed circulation
Altered blood coagulation
Injury or trauma to the vein
Female with MI who is taking coumadin, what would you tell her to avoid?
Mitral valve prolapse, S/S include?