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Med Surg Final
8 chapters for the final
84
Nursing
Undergraduate 3
06/03/2010

Additional Nursing Flashcards

 


 

Cards

Term
Periods of tachypnea means that the respiration rate is?
Definition
Greater than 20
Term
No Breath sounds in the lower right lobe indicates what?
Definition
The airway is obstructed
Term
Why do you monitor bilateral breath sounds following a thoracentesis?
Definition
To check for puncture
Term
Which intervention would be inappropriate in performing a tracheal suction?
Definition
20 second suction pass
Term
What is the residual you hold for a tube feed and report to a doctor your findings?
Definition
30 mLs
Term
Symptoms of hypoxemia are?
Definition
Tachycardia, Tachypnea and Restlessness
Term
Wheezes in a patient with asthma occur because why?
Definition
Constricted Airways
Term
What intervention that will enahnce the nutritional status of a patient with COPD
Definition
6 small meals
Term
A sign of right sided heart failure is?
Definition
Decreased urine output
Term
A rising PaCO2 level in a COPD patient means?
Definition
Respiratory Acidosis
Term
An alternative to manuel chest physiotherapy
Definition
Flutter mucus clearence device
Term
Discharge Planning should include what when teaching about the CPAP ventilation device?
Definition
Works for sleep apnea, basics of how to use it
Term
What are some normal age-related changes in older adults that make them susceptible to cardiovascular disease?
Definition
arterlosclerosis
Term
A DVT that ould predispose the patient to a development of a more serious condition, what is the condition?
Definition
Pulmonary Embolism
Term
Burning, aching, pain in the legs when walking to the mailbox these symptoms are relieved with rest
Definition
PVD
Term
Define Poikelothermy, Pallor, Pulselessness
Definition

Poikelothermy- coolness of the body parts

Pallor - Pale

Pulselessness - occlusion distal to the clot

Term
Adequate Capillary Refill
Definition
less then 3 seconds
Term

What is a positive Homan's sign?

What is the Allen test?

Definition

Homans - Dorisflexion with pain in the calf or popilteal

 

Allens - perfusion of the hand

Term
Describe what +3 edema is
Definition
Depressions of 1/2 - 1 inch
Term
Ulcerations on the surface of the patients toes is assessed as what?
Definition
PAD or Chronic Venous Insufficiency
Term

   Following an angiogram, you will make a point of care to assess and document what?

Definition
Hemmorrhage at site, allergic reaction
Term
Instruction related to a stress test on a treadill would include what?
Definition
Don't smoke, No caffeine, No eating, its going to get harder as you go
Term

How does something as simple as walking could help his venous vascular disorder, your response is?

Definition
increases circulation, improves muscle tone
Term

How is the Buerger-Allen exercise performed?

Definition
Dangle legs before getting up
Term
Patient with PVD that has continued smoking causes detriental vasoconstriction for up to ______ after only one cigarette
Definition
1 hour
Term
A factor that aggravates vascular disease
Definition
obesity, sedentary life
Term
When caring for a patient with elastic stockings, the nurse should?
Definition
Apply in the morning, take off at night.  Make sure they are clean and not stretched
Term
A patient with aterial insuddiciency should be instructed to?
Definition
stay away from cold
Term
When injecting low-molecular weight heparin for anticoagulant therapy you should?
Definition
Not aspirate and Not massage
Term
Teaching plan for the use of warfarin
Definition
Check INR weekly, take same time of day everyday
Term
Nursing care for a client who returned from a vein ligation and stripping?
Definition
Check for tissue perfusion
Term
An antiplatelet edication that can bring on symptoms of tinnitus
Definition
Aspirin
Term
An obese patient complains of sudden discomfort in her leg, the leg is cold and pale, with no pedal or popliteal pulse, what is your assessent?
Definition
Embolism
Term
An important postoperative sign to report iediately hen carin g for a patient with an endarterectoy ith a synthetic graft is?
Definition
Thrombus
Term
Raynaud's disease has a nursing diagnosis of " Ineffective tissue perfusion related to vasoconstriction" is being given discharge instructions.  The nurse should caution the patient to?
Definition
Stay away from cold
Term
Patient teaching for the patient ith varicose veins should include?
Definition

watch weight, stockings, don't stand for to long, elevate legs

 

Term
What is a Normal adult's bloodpressure?
Definition
120/80
Term
The nurse explains that hypertension in older adults is
Definition
higher then 120/80
Term
Modifiable risk factor for hypertension include?
Definition
Weight, Diet, Exercise, Smoking Cessation
Term
Hypertension headaches characteristically occur where?
Definition
Occiptial, in the AM
Term
A patient has hypertension and reports no symptoms. To encourage medication compliance, the nurse cautions the patient that uncontrolled hypertension can lead to sudden alterations in health that include? 
Definition
CVA, TIA, MI
Term

You explain that treatment of secondary hypertension primarily focuses on what?

Definition
the cause
Term

Hypertension is evaluated to confirm consistent blood pressure readings over?

Definition
140/90
Term

What dietary teaching would be included while taking hydrochlorothiazide (HCTZ) for hypertension?

Definition
Increase potassium intake
Term
A 38 year old black obses diabetic patient is being evaluated for the use of propranolol (Inderal) in controlling his HTN.  The nurse points out that a contraindication for that drug's use in this patient would be his?
Definition
Diabetes, because it decreases blood glucose and suppress the usual signs of hypoglycemia
Term
An 89 year old patient is taking an antihypertensive edication. Hoe care teaching by the nurse would include instructing the patient to?
Definition
Dangle, Monitor BP
Term
The nurse should instrcut the patient who is started on verapail (Calan) for his elevated BP to monitor his?
Definition
Pulse  (and BP)
Term
A patient is prescribed an angiotensin-converting enzyme inhibitor, enalapril (vasotec). The nurse instructs the pt. to?
Definition
watch for changes in urinary output, monitor pulse
Term
An 87 year old patient is taking fluroseide (Lasix) for elevated bloof pressure. The nurse knows that older patients are at risk for
Definition
hypokalemia, decreased blood volume
Term
A patient on diuretic therapy for his HTN reprots experienceing uscle weakness. The nurse explains that this symptom is related to
Definition
Hypokalemia, dehydration
Term
A patient being evaluated for the cause of hypertension reports experiencing HDL, 68 mg/dL and LDL, 82 mg/dL. The nurse reports this finding as
Definition
Normal
Term
The nurse points out the DASH diet has the advantages of
Definition
lowers BP in HTNers and reduces the risk for non HTNers
Term
The nurse reminds a patient that bradycardia is a side effect of which medication
Definition
Digoxin,
Beta Blockers "olols" - atentolol, propranolol
Calcium channel blockers verapail, nifedipine, diltizam
ganglionic blockers - meconytaine
Term
In a teaching plan for a hypertensive patient, the nurse would include
Definition
diet, exercise, watch sodium and alcohol intake
Term
The nurse cautions that beta blockers work by
Definition
block beta effects of catecholamines
Term
When a patient reports drosiness fro his antihypertensive medications, the nurse ould include a nursing intervention instructing a patient to
Definition
take at night, stay away from dangerous activites
Term
A patient who has been taking methyldopa (Aldomet) for his HTN presents to the eergency departent ith a severe heachache, blurred vision, and a bloof pressure of 200/94 mm Hg. The nurse would suspect
Definition
Stopped taking meds
Term
The patient with HTN comes to the ER and is experiencing nausea and vomiting and is restless and confused. His vitals are BP 220/130, P 120 and R 24. Based on these assessents the nurse would conclude that the patient is experiencing?
Definition
HTN crisis
Term
The nurse caring for a patient with HTN crisis will place priority on?
Definition
Rapidly decreasing BP to a non-life threatening level and bring it slowly to a normal range
Term
What should the nurse do before infusing a brevity flow tube feeding using a large syringe you should?
Definition
Check placement
Term
The nurse assess a risk factor that increases the chances of developing oral cancer, which is
Definition
tobacco use
Term
The hoe health nurse observes the patient ith esophageal cancer tilt his head back hile eating, which could result in
Definition
Aspiration Pneumonia
Term
After adinistering prothazine (Phenergan) for nausea, the nurse takes extra precautionary implementaion because of the coon side effect of antiemetics which is
Definition
drowsiness
Term
The gial for your patient with gastritis who has experienced nausea, vomiting and diarrhea is to have to return to a normal elimination patterns. which best reflects this goal
Definition
They have normal bowl elimination
Term
What is the process when you collect several stool specimens that are to go to the laboratory?
Definition
Parasites - warm
Pathogens - Cold
Term
Your 44-year-old client admitted with severe diarrhea and fatigue, which has been going on for several days, why would diarrhea cause chronic fatigue?
Definition
Because it interferes with absorption of nutrients and can lead to malnutrition and anemia
Term
The most appropriate way to ensure effectiveness of Stool softeners to promote normal elimination of feces would be?
Definition
Try high fiber foods, drinking at least 8 glass of water, and exercise first. To only use for occasional constipation, if they are used regularly they will interfere with normal elimination
Term
The best indication that a client with intestinal obstruction has achieved normal hydration would be?
Definition
Equal I&O
Term
Following abdominal surgery, your patient ust cough and take deep breaths. How can you best achieve this with your patient?
Definition
Splint Pillow, Incentive Spirometery
Term
What are risk factors in an older man that puts him at risk for developing diverticulosis?
Definition
Age, obesity, constipation and emotional tension
Term
What client teaching should be included about avoidance to promote self-care of Client with diverticulitis?
Definition
Avoid spicy foods, seeds and opiods.
Term
What complication would the nurse monitor for after a liver biopsy?
Definition
Hemmorrhage and Pneumothorax
Term
What sign would be a contraindication for the need of increased fluid intake?
Definition
Increased abdominal girth
Term
The Occupational Health and Safety Administration (OSHA) has a requirement that all health care providers have the vaccination for?
Definition
Hep B
Term
The nurse will evaluate that dietary teaching is successful when the patient on a low-sodium diet selects:
Definition
foods low in sodium
Term
The nurse reports the observation that would indicate blocked flow of bile from the liver to the intestine, which is
Definition
Clay Colored Stool
Term
A facial characteristic that is a sign of fluid retention is
Definition
Periorbital Edema
Term
When a pt comes to the medical clinic with complaints of urgency, frequency, pain in the area of the symphysis pubis, and dark cloudy urine, the nurse suspects that this pt. has
Definition
Bacterial UTI
Term
The hoe health patient who has cystitis has been put on the drug phenazopyridine (Pyridium) and should be cautioned about
Definition
Red, Orange Urine that stains clothes
Term
Your are caring for a pt with acute glomerulonephritis. The inflammation of the capillary loops in the glomeruli leads to
Definition
Increased BP, decreased Cardiac Output, proteinuria, Renal Failure
Term
When the nurse caring for a patient with an AV fistula in the forearm assesses that there is an absence of a "thrill" hen palpating the venous side of the fistula, the nurse should
Definition
Call the charge nurse, bc it's occluded
Term
The patient on dialysis asks hy he is receiving aluinum hydroxide gel (Amphojel) for his renal disorder. The nurse explains that Amphojel will
Definition
Binds with phosphate, raises serum calcium
Term
You become alarmed when the dialysis patient who is taking gentamicin (Garamycin) states
Definition
I can't hear
Term
Erythropoietin is a hormone produced by the kidney. When the patient is in chronic renal failure, loss of this hormone will result in
Definition
decreased RBCs
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