Shared Flashcard Set

Details

Med-Surg II Final
Neuro/Cardio/CA/EOL
105
Nursing
Undergraduate 2
03/10/2013

Additional Nursing Flashcards

 


 

Cards

Term
What precaution does the nurse implement to ensure the safety of the pt who has seizures while in the hospital?
Definition
Have suction equipment at the bedside
Term
What medication will be used for status epilepitus?
Definition
Ativan, phenobarbital, valium, Dilantin
Term
What is the characteristic of status epilepitus?
Definition
Repeated seizures over 30 minutes
Term
What is the characteristic for regular seizures?
Definition

Tonic-clonic, absence, tonic, partial

Can't speak

Term
What is a priority assessment for a pt with Alzheimer's?
Definition

Psychosocial assessment

Reaction to change in environment

Term
What is a motor change that happens in Huntington's disease?
Definition
Jerky hand movements
Term
What can Levadopa cause as a side effect?
Definition
Dyskinesia
Term
What is the pathophysiology for Parkinson's disease?
Definition
Not enough dopamine
Term
What is a priority with a cervical spine injury?
Definition
Airway, breathing, respiratory
Term
What medication is used for multiple sclerosis?
Definition
Methylprednisolone for acute exacerbation
Term
What is a concern for the long term management of spinal cord injury?
Definition
Safety
Term
What could be anticipated for a patient with Guillian Barre's who is exhibiting shallow breathing and difficulty clearing secretions?
Definition
Patient needs to be intubated
Term
What is the purpose of plasmaphersesis in Guillian Barre's?
Definition
To remove circulating antibodies
Term
What is priority for trigeminal neuralgia?
Definition
Excruciating pain
Term
What is a clinical manifestation of trauma to the cerebrum?
Definition
Memory loss
Term
What is a manifestation of a frontal lobe injury?
Definition
Impaired judgment
Term
What is a priority intervention when a patient has a hypoactive response to deep tendon reflexes?
Definition
Assist with ambulation
Term
What is the name of the posture when the patient's arms become flexed into the core?
Definition
Decorticate
Term
What is the name of the posture when the patient's arms are extended?
Definition
Decerebrate
Term
What would cause a MRI to be canceled?
Definition
Patient has an insulin pump
Term
What would complicate a lumbar puncture?
Definition
Restlessness and agitation
Term
What is a priority intervention after a cerebral angiography on the right femoral artery?
Definition
Checking lower right leg pulses for circulation
Term
What is a normal finding of cerebral spinal fluid?
Definition
Crystal clear
Term
What would cause a U wave on an ECG?
Definition
Electrolyte imbalance
Term
What is the amount of blood pumped from the left ventricle in one minute?
Definition
Cardiac output
Term
What is a test for a possible MI?
Definition
Troponin
Term
What medication would be used for a patient with chronic atrial fibrillation?
Definition
Warfarin
Term
What does the P wave represent?
Definition
Depolarization of the atria
Term
What is the normal P-R interval?
Definition
0.12-0.20 seconds
Term
What would a nurse expect to see ordered for a complete 3rd degree heart block?
Definition
External pacing
Term
What are the primary symptoms of left sided heart failure?
Definition
Dyspnea
Term
What are the primary symptoms of right sided heart failure?
Definition
Systemic edema
Term
What is an important lab value to monitor for a patient taking Lasix?
Definition
Potassium
Term
Why must a patient be on blood thinners for life when they have a prosthetic valve replacement?
Definition
Blood clots form easier on prosthetic valves
Term
What is the treatment for cardiac tamponade?
Definition
Pericardiocentesis
Term
What is a concern when a patient has a cardiac dysrhythmia?
Definition
The heart cannot pump effectively throughout the body
Term
What rhythm needs defibrillation?
Definition
Ventricular fibrillation
Term
What is one of the six Ps of arterial insufficiency?
Definition
Pain
Term
What is a priority intervention after a patient has a cardiac catheter?
Definition
The leg used must be kept straight to prevent bleeding
Term
Why should the insertion site be monitored after a cardiac catheter?
Definition
Hematoma
Term
Arteriosclerosis is?
Definition
Hardening of the arterial wall
Term
Atherosclerosis is?
Definition
Plaque inside the arterial walls
Term
What might the nurse see with right sided heart failure?
Definition
Jugular vein distention
Term
What might the nurse see with left sided heart failure?
Definition
Edema
Term
What is the normal response after a patient has received adenosine?
Definition

A brief asytole

Given to stimulate regular rhythm

Term
What is the first action if a patient has a run of sustained ventricular tachycardia?
Definition

Cardiovert patient with biphasic defibrillator

Check ABCs

Term
What is a concern with ventricular tachycardia?
Definition

Fatal, shockable rhythm

No blood being pumped out of heart

Term
What will be ordered for a complete heart block?
Definition
External pacing
Term
What are the symptoms of a woman having a MI?
Definition
nausea, vomiting, indigestion, right side or back pain
Term
What is the expected outcome for a beta-blocker?
Definition
Increased contractility and output
Term
What is a common finding for Lasix?
Definition
Potassium imbalance
Term
What is a major concern for mean arterial pressure?
Definition
MAP must be above 60 for perfusion of major organs.
Term
What is the cardiac output?
Definition

Stroke volume x heart rate for one minute

Amount of blood that exits the left ventricle per minute

Term
What is a priority teaching for a patient with Beurger's?
Definition
Do not smoke or have any type of nicotine
Term
What is the definition of hypertension?
Definition
Systolic above 160 and diastolic above 100
Term
What is commonly assessed in peripheral vascular disease?
Definition
Intermittent claudication
Term
What follows the QRS complex?
Definition
T wave
Term
What is ventricular fibrillation?
Definition
Electrical chaos in the ventricles
Term
Cancer is considered a?
Definition
Disease of the aging
Term
What might alert a nurse of a possible cancer?
Definition
A patient with a mouth sore that does not heal
Term
What is the cause of cancer?
Definition
Damaged cells that replicate
Term
What is the most common type of cancer in women?
Definition
Breast cancer
Term
What is the most common cause of cancer death?
Definition
Lung cancer
Term
What is hyperplasia?
Definition
Many cells replicating
Term
What is hypertrophy?
Definition
Cells growing larger - can be normal
Term
What is neoplasia?
Definition

Replacement of dead and damaged tissues

abnormal cells

Term
WHat is the characteristics of a benign tumor?
Definition
Firm, no migration, orderly, small nuclear to cytoplasm ratio
Term
What are some examples of benign neoplasia?
Definition
Endometriosis, skin tags, fibroid tumors
Term
What does anaplasia look like?
Definition
Does not look like parent cell
Term
What is carcinogenesis?
Definition
Development of cancer
Term
What is the first stage of cancer development
Definition
initiation - results from intense or prolonged exposure to external agent
Term
What medication is given before chemotherapy?
Definition
Antiemetic such as Zofran, compazine
Term
Why is the patient wrong if they state they have 2 cancers after metastasis?
Definition
After cancer has metastasized, it is still the primary cancer cell type
Term
What can a normal cell do to grow?
Definition
Hypertrophy and hyperplasia
Term
What happens to a cancer in the female reproductive if a woman is given estrogen?
Definition
Cancer grows
Term
Why would a man get estrogen (hormonal treatment)?
Definition

Testosterone promotes growth of cancer in male reproductive

Estrogen slows growth in men - testosterone slows growth in female

Term
What is the difference between G1 and G4?
Definition
G1 is well-differentiated and G4 is poorly differentiated
Term
What might happen if a cancer is left untreated?
Definition

Reduced immunity and blood producing

altered GI structure/function

Motor and sensory deficits

decreased respiratory function

Term
What is the purpose of palliative care?
Definition
Relief of symptoms
Term
What is the purpose of radiation therapy?
Definition
Kill cancer cells with limited exposure/effects on normal cells
Term
What are side effects of radiation therapy?
Definition
Fatigue, local/permanent hair loss, altered taste sensation, tissue fibrosis, scars
Term
What are important teaching for patient receiving radiation therapy?
Definition
Provide accurate, objective information, tell patient not to remove ink markings until all radiation is complete, only use lotion as prescribed, avoid sun exposure for one year
Term
What is an important intervention for cancer patients?
Definition
oral care - no alcohol based rinses
Term
What is a major complication of IV cancer treatment?
Definition
extravasation
Term
What is the purpose of pallative surgery?
Definition
relieve symptomatic effects of disease
Term
What shows treatment is effective when a patient has superior vena cava syndrome?
Definition
hand swelling is reduced
Term
What is tumor lysis syndrome?
Definition
Cancer cells are killed so quickly that their waste products build up in the blood
Term
What is radiation therapy and primary side effect?
Definition

Localized treatment of cancer

Fatigue is primary side effect

Term
What are the nursing priorities when a patient is receiving chemo-therapy?
Definition
Cell-targeted, IV, invasive procedure, give antiemetics before treatment
Term
What is antimetabolites?
Definition
interferes with cell's metabolism
Term
What does antimiotic agents do?
Definition
Prevents growth
Term
What does antitumor agents do?
Definition
Damages the DNA
Term
What is a vesicant?
Definition
Damaging to skin and tissue destroying
Term
What is priority intervention when a patient is complaining of nausea and vomiting?
Definition

Give antiemetics IVPB before chemo

Zofran, Compazine, Kytril

Term
What is mucositis and what teaching is needed?
Definition

Sore in the mouth

Rinse with saline every hour and use a soft bristle brush

Term
What are some side effects of chemo-therapy?
Definition
Alopecia and peripheral neuropathy
Term
What is a side effect of hormonal manipulation?
Definition
Risk for deep vein thrombosis
Term
What is immunotherapy?
Definition
Cytokines and other BRM work together to stimulate the body's immune system to recognize cancer cells and take action to destroy them
Term
What are side effects of interleukins and interferon?
Definition
Neuropathy, skin inflammation, rashes
Term
What is targeted therapy?
Definition

Combination of gene therapy and immunotherapy

  • Binding of receptor prevents division

Multikinase inhibitor

Term
What are some oncologic emergencies?
Definition

Sepsis

  • can cause DIC

Disseminated intravascular coagulation

  • Treat with anticoagulant (especially heparin)

syndrome of inappropriate diuretic hormone

  • Stop ADH
Term
If a patient is dying and experiencing dyspnea, pain, and anxiety, give?
Definition
morphine
Term
If the family is concerned about the patient's breathing because of the wet sound, the nurse should?
Definition
put patient on side
Term
A therapeutic response to a family member about death?
Definition
Does not bring up spirituality - not fit with culture or religious belief
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