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Nursing of Adults
Test 1
74
Other
Undergraduate 4
06/19/2008

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Term
Emphysema or Chronic Bronchitis? S&S
Diminished lung sounds particularly in the bases.
Definition
Emph
Term
Emphysema or Chronic Bronchitis? S&S
Cor pulmonale
Definition
Emphysema
Term
Emphysema or Chronic Bronchitis? S&S
Chest diameter 2:1
Definition
Emph
Term
Emphysema or Chronic Bronchitis? S&S
Polycythemia
Definition
Bronchitis, uncompensated respiratory acidosis leads to increased production of blood cells.
Term
Emphysema or Chronic Bronchitis? S&S
Use of accessory muscles.
Definition
both
Term
Emphysema or Chronic Bronchitis? S&S
Barking cough
Definition
Bronchitis
Term
Emphysema or Chronic Bronchitis? S&S
severe constant dysapnea
Definition
emph, need rest periods
Term
Emphysema or Chronic Bronchitis? S&S
weight loss
Definition
emph
Term
Emphysema or Chronic Bronchitis? S&S
decreased FEV1
Definition
both
Term
Emphysema or Chronic Bronchitis? S&S
Copius amounts of sputum
Definition
bronchitis
Term
Chronic cough and sputum production are associated with what type of COPD?
Definition
Chronic bronchitis
Term
Dypnea which is persistant and progressive, and weight loss are associated with what type of COPD?
Definition
emph
Term
age group most at risk for COPD?
Definition
60-70
Term
Gender predisposition of COPD?
Definition
none
Term
Normal FEV1 %?
Definition
75-83%
Term
FEV % of less than 70% would indicate?
Definition
Obstructive d/o
Term
Normal WBC?
Definition
5-10,000
Term
what type of infection is indicated with elevated neutrophils?
Definition
bacterial infection
Term
CBC w/diff - shift to the left- what type of infection?
Definition
bacterial, neutrophils
Term
a shift to the right indicates?
Definition
lymphocytes elevated, viral infection
Term
segments are _____ neutrophils?
Definition
mature
Term
bands are ____ neutrophils
Definition
immature
Term
7.33
51
19
Definition
Combined Resp/Metabolic acidosis
Term
What are the dangers of using O2?
Definition
Drying of mucous membranes
CO2 Narcosis
Resp arrest
Retrolental fibroplasia
Term
what type of diet for copd patient?
Definition
High protein, low carbs, increased fat
smal frequent feedings
avoid dairy and chocolate
use bronchodilator 30min before meal.
Term
7.44
51
29
Definition
Fully compensated resp acid
Term
7.32
51
19
Definition
metabolic and resp acid
Term
7.38
32
18
Definition
Term
S&S of TB? True or false?
yellow sputum
Definition
Yes
Term
S&S of TB? True or false?
Fatigue
Definition
yes
Term
S&S of TB? True or false?
weight gain
Definition
no
Term
S&S of TB? True or false?
night sweats
Definition
yes
Term
S&S of TB? True or false?
high temp?
Definition
no, low grade
Term
S&S of TB? True or false?
auscultated crackles?
Definition
yes
Term
Risk factors for TB?
Definition
immigrants
elderly
MEN
crowded conditions
vocation
Term
Proper insertion of needle for mantoux test?
Definition
intradermal, left arm
Term
what is a positive result with the mantoux test? what does it mean?
Definition
>10mm, exposure to TB.
Term
Vaccine given in some foreign countries that may cause false pos on mantoux test?
Definition
Calmette-Guerin vaccine
Term
drug tx for persons exposed to TB?
Definition
6-9 mo of INH therapy
Term
Nursing implications for INH?
What is used as prophylaxis for this drug?
Definition
peripheral neuritis,
hepatic ezyme eleva
hepatitis
Pyroxidine-Vit B used to prevent periph. neuritis
Term
Nusing implications for Rifampin?
Definition
N and V
Hepatitis
Orange urine and secretions, orange contacts
contraceptives
Term
patho of pneumonia?
Definition
stiff lungs- decrease compliance
impaired ventilation
exudate fill alveoli
decrease V/Q
Term
S&S of pneumonia?
low temp
Definition
no, high temp >40
Term
S&S of pneumonia?
dullness on percussion
Definition
yes
Term
S&S of pneumonia?
green sputum
Definition
yes-pseudomonus
Term
S&S of pneumonia?
rust sputum
Definition
yes, pnumococcal
Term
S&S of pneumonia?
pleurisy
Definition
yes. pain breathing
Term
most common s$S in elderly for pneumonia?
Definition
dec LOC
Term
Is community acquired pneumonia easier to tx or hospital acquired?
Definition
comunity- gram +
Term
diagnosis of pneumonia is made with?
Definition
chest x ray
cbc
Term
left shift in cbc?
Definition
bacterial
Term
right shift in cbc?
Definition
viral
Term
nursing implications for tetracycline?
Definition
no milk products
Term
nursing implications for antivirals?
Definition
monitor bun/cre
cbc
b control
Term
nurtrition for pneumonia?
Definition
3L fluids q day
high protein
small frequent feedings
soft diet if better tolerated
Term
alternative therapy for pneumonia>
Definition
echinacea
goldenseal
ma huang
Term
greatest complication with pneumonia??
Definition
septicemia
Term
increased capillary permeability so that blood and plasma leak into interstitial space and alveolar sacs resulting in loss of surfactant is called?
Definition
ARDS, complication of pneumonia, reslut in atelactasis
Term
mircrocytic, hypochromic
Definition
iron def anemia
Term
macrocytic, normochromic
Definition
pernicious anemia
Term
high fiber intake can cause what type of anemia>
Definition
iron def
Term
foods high in iron?
Definition
Legumes
dried fruits
green leafy veggies
whole grain
enriched bread and cereal
liver
muscle meats
Term
Pernicous or Iron def?
Ruddy complexion
Definition
neither
Term
Pernicous or Iron def?
glossitis
Definition
both
Term
Pernicous or Iron def?
more neuro s&s
Definition
pernicous
Term
Pernicous or Iron def?
pica
Definition
iron
Term
Pernicous or Iron def?
cheilitis
Definition
iron
Term
Risk factors for pernicious anemia?
Definition
Vegatarians
loss of intrinsic factor resp for b12 absorbtion
Term
nursing imp. w/iron def anemia supplements?
Definition
dark color stools
give with OJ
Z track
stain teeth
avoid caffeine
gi upset
Term
what is schillings test? used for?
Definition
outpatient diagnosis of pernicious anemia..give pt b12, then IM b12
24 hour urine
Term
Positive shillings test?
Definition
24hr urine that shows little or no b12, because it is secreted in stool.
Term
which patients with pernicous anemia are not tx with diet mods?
Definition
those with no intrinsic factor
Term
A person with pernicous anemia is at risk for?
Definition
falls
neuro symptoms
Term
chelosis is?
Definition
inflammation of oral mucous membranes due to pernicous anemia
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