Term
| What blood test is done for bone marrow depression |
|
Definition
CBC
look at WBC, RBC, H&H, platelets, MCV |
|
|
Term
| BPH what is a post surgical rule |
|
Definition
| No rectal temps. for at least 24 hours |
|
|
Term
|
Definition
|
|
Term
|
Definition
| DIRE: diaphorisis, Increase HR,restlessness and extreme hunger ALSO: shaking, sweating, confusion, change in mentation |
|
|
Term
|
Definition
|
|
Term
| was is included with CBC with differential r/t bone marrow depression |
|
Definition
| includes usual blood values plus focus on neutrophils |
|
|
Term
|
Definition
| unilateral edema-swelling on one side |
|
|
Term
| If someone with a catheter can't urinate |
|
Definition
| first thing to do is check for kinks |
|
|
Term
|
Definition
| swelling-unilateral and absent pulses |
|
|
Term
| Drainage classifications/descriptions |
|
Definition
Yellow-purulent
Red-Sanguinous
Serosanguious-pink
serous-clear |
|
|
Term
| What is priority assessment for Angiography care |
|
Definition
assess site for bleeding or hematoma
24 hour bedrest |
|
|
Term
| First line of treatment for MI |
|
Definition
|
|
Term
| Lactate Solution is Hypertonic, Isotonic or hypertonic |
|
Definition
|
|
Term
|
Definition
| increased respirations, increased thirst, weight decrease, S/S of dehydration, fruity breath, skin is warm and dry (High and Dry) |
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
| What is Intermittent Claudication |
|
Definition
| leg cramps due to arterial insufficency |
|
|
Term
| Ischemia can occur with this |
|
Definition
|
|
Term
|
Definition
|
|
Term
| what would blood count be with Pancytopenia |
|
Definition
| diaphoretic-all counts would be low |
|
|
Term
| What is one thing Lasix does? |
|
Definition
|
|
Term
| S/S Crohn's Disease r/t bowel appearance |
|
Definition
| entire wall of bowel is edematous |
|
|
Term
| BPH what is a post surgical rule |
|
Definition
| No rectal temps. for at least 24 hours |
|
|
Term
| Least amount of UO expected for 24 hour period |
|
Definition
1500 ml least
every pound of body weight = 15 ml of UO |
|
|
Term
| Morphine priority list for assessing |
|
Definition
| Best assessment for post care- 1.Pulse Ox. due to respiratory depression 2. UO will decline with epidural 3. BP |
|
|
Term
|
Definition
|
|
Term
| Naproxsyn-NSAID effects on stomach |
|
Definition
| destroys/blocks prostaglandins which protect the stomach |
|
|
Term
| S/S of Ulcerative Colitis where is the pain |
|
Definition
|
|
Term
| S/S Crohn's Disease bowel movements |
|
Definition
|
|
Term
|
Definition
| fever, chills, cough:flu like symptoms |
|
|
Term
| S/S of Ulcerative Colitis bowel movements |
|
Definition
| 10-20 bloody stools per day |
|
|
Term
|
Definition
|
|
Term
| S/S Crohn's Disease what does it look like |
|
Definition
| Presence of inflammatory cells, skip lesions, mucousal ulcerations |
|
|
Term
|
Definition
|
|
Term
| PAD what is a sign of this? |
|
Definition
|
|
Term
| S/S Crohn's Disease where does it attack the bowel |
|
Definition
| Full thickness of bowel layers are affected |
|
|
Term
|
Definition
Be aware of GERMS
no fresh fruit or veg.
reverse isolation
bottled water
increased risk for bleeding-gums, stool, urine |
|
|
Term
|
Definition
|
|
Term
| Post op priority assessments |
|
Definition
1. VS
2. TCDB
3.dressings
4. LOC |
|
|
Term
| Procardia classification of this drug |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
| prevents airway collapse and air trapping during expiration |
|
|
Term
| Gerd can result in the development of this |
|
Definition
|
|
Term
| Unconscious patient with hypoglycemia tx. |
|
Definition
|
|
Term
| S/S Crohn's Disease what part of the bowel is affected |
|
Definition
| Bowel can be affected anywhere |
|
|
Term
| do not give with prior surgery |
|
Definition
|
|
Term
| Name a Rapid acting Bronchodilator |
|
Definition
|
|
Term
| S/S Crohn's Disease classic sign |
|
Definition
|
|
Term
| Predisposes person to bowel obstruction |
|
Definition
|
|
Term
| S/S Crohn's Disease where is the pain |
|
Definition
|
|
Term
| Sign of Large Bowel obstruction |
|
Definition
|
|
Term
| With PUD patient should be advised to |
|
Definition
|
|
Term
| S/S of Ulcerative Colitis what kind of pain does this present with |
|
Definition
| abdominal cramping relieved with defaction |
|
|
Term
| Name a cardiac ionotropic |
|
Definition
|
|
Term
| Triple Drug therapy for H pylori |
|
Definition
|
|
Term
| S/S of Ulcerative Colitis how severe is this disease symptoms |
|
Definition
|
|
Term
| What do we teach with use of Coumadin? |
|
Definition
| PT and INR 2-3 is normal done weekly |
|
|
Term
| S/S of Ulcerative Colitis |
|
Definition
|
|
Term
| what should be monitored with the use of Calan and Inderal |
|
Definition
|
|
Term
|
Definition
|
|
Term
| Sign of Large Bowel obstruction |
|
Definition
|
|
Term
| what is priority assessment for Vasotec |
|
Definition
|
|
Term
|
Definition
| amazacort, serevent, spiriva |
|
|
Term
| Treating hypoglycemia in a conscious patient |
|
Definition
| 15 grams of sugar (1 life saver) |
|
|
Term
|
Definition
| forward leaning on elbows helps with lung expansion |
|
|
Term
|
Definition
|
|
Term
| Obtaining Urine C&S from cath. |
|
Definition
| cleanse site prior to inserting needle |
|
|
Term
|
Definition
| weight gain, cold sensitivity, constipation |
|
|
Term
| What do we teach with use of Coumadin? r/t diet |
|
Definition
| Vit. K - avoid green leafy vegetables |
|
|
Term
| With PE tell Dr. immediately if |
|
Definition
|
|
Term
| Test used to assess for renal calculi |
|
Definition
|
|
Term
| Best lab test for assessing renal status |
|
Definition
|
|
Term
| Bleeding increases risk for |
|
Definition
|
|
Term
| Cardiogenic shock is characterized by |
|
Definition
| BP decrese, HR increases and irregular, |
|
|
Term
| Cherry colored urine is known as |
|
Definition
|
|
Term
| energy loss can be caused from this disease |
|
Definition
|
|
Term
| good assessment for heart failure |
|
Definition
| 2# weight gain over 2 days |
|
|
Term
|
Definition
|
|
Term
|
Definition
| weight gain, cold sensitivity, constipation |
|
|
Term
| Name an ionatropic medication |
|
Definition
|
|
Term
| lower esophageal spinchter incompetence causes |
|
Definition
|
|
Term
| niphedapine is the same as |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
| venous return disorder presents as |
|
Definition
| homans sign, ulcerations, swollen dry, scaley skin |
|
|
Term
| what to do if 2# weight gain over 2 days |
|
Definition
|
|
Term
| what are S/S of hypovolemia |
|
Definition
|
|
Term
| Fluid which expands the cells is called |
|
Definition
|
|
Term
| Fluids which osmolity similar to plasma |
|
Definition
| Normal Saline-0.9% solution |
|
|
Term
| Fluids which pull from the cells |
|
Definition
|
|
Term
| Fluids that stay in the vessel |
|
Definition
|
|
Term
| Fluids flow into that flow into the cells |
|
Definition
|
|
Term
|
Definition
| 0.9% sodium chloride and is called normal saline |
|
|
Term
|
Definition
| hypertonic expressed as D5W for example meaning 5 grams of dextrose per 100mls of water |
|
|
Term
| Dextrose mixed with blood can cause |
|
Definition
|
|
Term
| Prolonged therapy with dextrose can cause |
|
Definition
| hypokalemia, hyponatremia, and water intoxication by diluting normal levels of electrolytes |
|
|
Term
|
Definition
| provide calories, prevent ketoacidosis |
|
|
Term
|
Definition
encephalopathy, brain damage, death
look for confusion, mental changes |
|
|
Term
| Hypertonic solutions can cause |
|
Definition
|
|
Term
Post Operative Complications
Pulmonary embolism |
|
Definition
Sudden onset of SOB
CP
O2 sats<90
Restless/
anxious
P increase
Risk factor
management
O2
anticoagulant
Support respiratory status |
|
|
Term
shock:Shock
Hypovolemic
Cardiogenic
Septic
Hemorrhage |
|
Definition
increased pulse
decreasedBP
LOC
weakness
pale & clammy skin
U/O decreased
restless
anxious |
|
|
Term
| Post Operative Complications DVT |
|
Definition
assess for Unilateral edema to affected leg
Tenderness in calf
Redness in calf
Risk factors
management
Rest
Moist heat
Anticoagula-tion therapy
Elevate leg |
|
|
Term
| Post Operative Complications prevention of DVT |
|
Definition
Leg exercises
Early ambulation
TED’s
SCD
Encourage
Fluids
ROM |
|
|
Term
| Post Operative Complications |
|
Definition
Dry mouth & mm
Thirst
increased pulse
BP decreased
decreased U/O |
|
|
Term
|
Definition
Atelectesis
Collapsed alveoli with retained mucous or secretions |
|
|
Term
|
Definition
respiratory signs
Fever
Diminished lung sounds
increased P
RR increases
Sats decrease
may have scattered crackles |
|
|
Term
| cardiovascular management of shock |
|
Definition
MD to Rx the cause of shock
Fluids
Support heart
(medications)
Antibiotics
blood products
Control bleeding |
|
|
Term
|
Definition
Fluid replacement
IV
Crystalloids
Albumin
Blood
Po fluids |
|
|
Term
| prevention of post op shock-F&E |
|
Definition
Monitor I/O
IV per MD
Notify MD early if any changes |
|
|
Term
|
Definition
Hypervolemia
FVE
and or
2nd phase 3rd spacing |
|
|
Term
| name the signs and symptoms of neutropenia |
|
Definition
| fever, cough, flulike symptoms |
|
|
Term
| what do we do if a patient has extrvastation during chemotherapy? |
|
Definition
| Leave IV in, stop mediation, aspirate, draw back, provide antidote, flush |
|
|
Term
| what do we teach for radiation therapy? |
|
Definition
|
|
Term
| How would an adult learners describe their needs? |
|
Definition
|
|
Term
| what are cognitive, affective and pyschomotor? |
|
Definition
|
|
Term
| what are concerns related to epidural administration of medication? |
|
Definition
|
|
Term
| What is the correct body positioning for enternal feeding? |
|
Definition
|
|
Term
| what are s/s of cholecystitis? |
|
Definition
| radiating pain, ascities, N/V, increased WBC, fever, increased BP |
|
|
Term
| what complaints might a patient voice with gallbladder disease? |
|
Definition
| pain that radiates to the back or shoulders, pain in RUQ, indigestion pain afetr eating a fatty meal |
|
|
Term
| What tests would be ordered for a patient presenting with gallbladder disease? |
|
Definition
| billirubin levels, and ultrasound |
|
|
Term
| what is assessed post cholectomy? |
|
Definition
|
|
Term
| what would you do if post cholectomy patient had little or no drainage? |
|
Definition
| check for kinked line, if kinked straighten it out. If not kinked and there is little/no drainage possible obstruction and call the DR. |
|
|
Term
| what are possible nsg. dx for gallbladder disease? |
|
Definition
| acut pain, risk for infection, inbalanced nutrition |
|
|
Term
| what is a diet plan for gallbladder disease? |
|
Definition
|
|
Term
| what food should be avoided by someone with gallbladder disease? |
|
Definition
| high fat foods, whole milk and luch meat |
|
|
Term
| what does insulin do in the body? |
|
Definition
| facilitates movement of glucose from blood to cell and decreases BG |
|
|
Term
| How does the body use insulin? |
|
Definition
| convert glucose to energy |
|
|
Term
| Type I DM generally presents at what age? |
|
Definition
|
|
Term
| Type I DM is the result of? |
|
Definition
| the body not making insulin |
|
|
Term
| what is a medication used for the treatment of gallbladder disease? |
|
Definition
|
|
Term
| risk for hypoglycemia is associated with? |
|
Definition
| poorly controlled DM,too little food, increased exercise without adequate food, increased insulin intake, excessive alcohol intake with poor nutrition, gastroenteritis, reflex action of insulin caused by increased carbohydrate intake |
|
|
Term
|
Definition
| tender to touch, extremity pain, edema, +Homan's sign |
|
|
