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nursing 102
nursing 102
77
Anatomy
4th Grade
10/21/2014

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Term
What should you monitor for in a client with Thrombocytopenia r/t bone marrow dysfunction?
Definition
Bleeding
Term
What do you need to assess for a gas exchange assessment?
Definition
Reparation
Term
How does the mucous of goblet cells and cilia protect the airway?
Definition
Blanket toward the pharynx to be expelled
Term
Movement of gas into and out of the lungs:
Definition
Perfusion
Term
02 for emphysema, what should you remember?
Definition
emphysema patients function on low levels of 02
Term
Cheyne-Stokes Respirations:
Definition
slow breathing followed by periods of apnea
Term
Breath sounds are heard longer on:
Definition
Bronchial
Term
Grating sounds in the lungs indicate
Definition
inflammation
Term
What is the recommendation for URI?
Definition
Clear liquids
Term
What causes chemical pneumonia?
Definition
Aspiration of gastric contents
Term
Goal of therapy with pneumonia:
Definition
clear airway
Term
Most common cause of atelectasis:
Definition
Alveoli collapse
Term
Treatment for atelectasis:
Definition
thoracentesis
Term
What medication is given for a pulmonary embolism?
Definition
Heparin
Term
how is pulmonary edema characterized?
Definition
rapid shift in fluid, frothy blood tinged sputum
Term
Sings of emphysema
Definition
am cough with clear sputum
Term
What is bronchiectasis?
Definition
chronic bronchiole dilation
Term
What does a thoracotomy tube do?
Definition
prevents negative pressure
Term
Treatment for acute distress urinary retention
Definition
catheterization
Term
How do you measure residual urine?
Definition
catheterize immediately after voiding, then measure
Term
Goal of surgery to treat incontinence
Definition
restore and reconstruct the support of the pelvic floor muscles
Term
Client has MS and total urinary incontinence. What is the initial treatment?
Definition
indwelling catheter
Term
Client teaching for nocturnal enuresis
Definition
limit fluid intake after 6pm
Term
normal changes that may contribute to cystitis
Definition
weakening of the bladder muscles resulting in the inability to empty bladder
Term
What organism most commonly causes cystitis?
Definition
E-Coli
Term
When treating a client for cystitis, what intervention is implemented first?
Definition
collection of specimen for C&S
Term
Client treated for cystitis and complains of dysuria and is taking Pyridium. What should be included in teaching?
Definition
Med turns urine red/orange and can stain
Term
a client is given Amoxil to treat a UTI, but reports having and allergy to Sulfa. What should the nurse do?
Definition
Give meds as ordered
Term
What should clients with frequent UTI's be taught?
Definition
void frequently, especially after sex.
Term
Client with tonsillitis develops sever flank pain, hematuria, and smoky urine. What condition is the client experiencing?
Definition
Acute Glomerulonephritis
Term
Client is receiving ESWL to treat urolithiasis. What should the client expect following treatment?
Definition
bloody urine for about 1-2 days
Term
Early warning signs of bladder cancer
Definition
painless bleeding, increased urine frequency, and sometimes bloody urine
Term
intervention when client is being treated with intravesical chemo
Definition
Change positive every 15 minutes
Term
What should the nurse do is a stoma is dark blue?
Definition
notify HCP immediately
Term
What is the goal of treatment for a client with polycystic kidney disease?
Definition
preserve kidney function
Term
Sings of end stage renal disease
Definition
severe fluid and electrolyte imbalance
Term
what should be included in treatment for a client with ESRD receiving hemodyalysis?
Definition
each therapy session takes several hours to perform and will happen 3x/week
Term
When palpating a hemodyalysis site, what should the nurse do if there is no thrill?
Definition
check site with the doppler
Term
what appearance should return dialysis have?
Definition
clear and light yellow
Term
what are signs of infection in a postop kidney on immunosupressive therapy?
Definition
cloudy urine
Term
what indicated that a fistula is patent?
Definition
palpated thrill of fistula
Term
when should meds be administered when a patient is receiving hemodyalysis?
Definition
after dialysis
Term
what is a main concern when a client has decreased ROM and ambulatory abilities?
Definition
prevent contractures
Term
when assessing a client for muscoloskeletal disorder, what should the nurse focus on?
Definition
functional abilities
Term
what does a complex rupture require
Definition
surgery
Term
what is the therapy for a severe sprain?
Definition
RICE
Term
what is a major fracture complication?
Definition
fat embolism
Term
what is a major disadvantage of ORIF?
Definition
introducing infection to the bone
Term
treatment of a client with a fat embolism includes bed rest, oxygen and..
Definition
IV fluids
Term
why would a physician order a window to be cut over the abdomen for a client with hip spica case?
Definition
relieve pressure from abdominal distention
Term
what should the nurse assess a client with a leg cat for?
Definition
pulselessness
Term
what is the most common cause of osteomylitis?
Definition
infection of an open fracture
Term
what is a silent disease that often goes untreated?
Definition
osteoporosis
Term
what should be included with teaching for a client with osteoporosis?
Definition
regular exercise
Term
why is a client with a below the knee amputation placed in the prone position?
Definition
to prevent hip contracture
Term
medical management for TMJ
Definition
heat and cold therapy
Term
what is the first therapy for carpal tunnel syndrome?
Definition
apply immobilizing splint
Term
what is the primary function of insulin?
Definition
stimulate active transport of glucose
Term
cornerstone therapy for type 2 diabetes
Definition
nutritional therapy
Term
what is a client experiencing what glucose drops below 70 before meals or insulin?
Definition
hypoglycemia
Term
Sub Q medication is most quickly absorbed where?
Definition
abdomen
Term
complication of insulin therapy that occurs at night?
Definition
somogyi phenomenon
Term
what mixing up two types of insulin, what order do you draw them up?
Definition
regular, NPH... Remember RN**
Term
what is an intervention to minimize the risk of lipodystrophe?
Definition
rotate injection site.
Term
major goal of nutritional therapy for diabetes mellitus
Definition
maintain glucose level as near to normal as possible
Term
Sick day management for diabetic client
Definition
keep taking insulin or they will become hypoglycemic
Term
what is the first thing a nurse should do if a hypoglycemic reaction is suspected?
Definition
assess blood glucose and give OJ or candy
Term
what condition is a client experiencing if they suffer from nausea, vomiting, weakness and fruity breath?
Definition
Diabetic Ketoacidosis
Term
client with excess growth hormone has a condition called
Definition
acromegaly
Term
what therapy will be required if the pituitary tumor is removed?
Definition
hormone replacement
Term
what is a symptom of a syndrome of antidiuretic hormone?
Definition
weight gain
Term
what would the nurse monitor for with increased thyroid hormone production?
Definition
rate increase with weight loss and increased appetite
Term
what nursing intervention is required for a client that has undergone a subtotal thyroidectomy?
Definition
reverse trendelenburg position
Term
thyroid replacement therapy instructions
Definition
take in the AM on an empty stomach
Term
what are the reversible causes of incontenence?
Definition
DRIP, delirium, restricted mobility, infection, polyuria
Term
steps of pin care
Definition
report fever of 101.5, remove drainage, monitor for swelling, redness, and drainage
Term
complications of calcium gluconate hypocalcemia... what?
Definition
hypercalcemia, seizures, laryngeal spasm.
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