-
SATA
Warning signs of suicide?
- Withdrawl
- Apathy
- Angry Outbursts
-
A graft obtained from deceased humans?
Allograft
-
Whats the correct rationale for the positioning of a thorocentesis? i.e Sitting up right leaning over pillow.
Fluid accumulates at the bases
-
Early signs of UTI?
Fever and change in clarity of urine
-
Although no conclusivly proven the Nx tells a pt with Fibrocystic disease that eliminating what from their diet could improve their condition?
caffiene
-
Technique at home for trach care?
Medically aseptic
-
What would you NOT do with a burn?
Cool the burn with ice
-
Pt prescribed Mestinon and now has difficulty swallowing and excessive secretions what would you prepare to administer?
Atropine Sulfate
-
Make believe playmate, father is concerned, what would the Nx tell the father?
This type of behavior is normal for a preschooler
-
SATA
Deep partial thickness burn (2nd degree)
- Painful open nerve endings when blisters break
- Injury to deeper portions of the dermas
-
ABGs
Ph 7.52
PaCo2 28
Hco3 24
Respiratory Alkalosis
-
Immediatly after the diasylate solution is instilled what Nx action?
Clamp the tubing
-
Nx teaching about dietary considerations for parkinson's disease, what is the best for the Nx to cover?
dysphagia and constipation
-
Signs of bullemia?
erosion of dental enamel
-
SATA
18yo female with menstraul cramps?
- mild anagesic such as ibuprofen
- warm compress
-
Increasing unrest among staff, what is the best action to take as the team leader?
Discuss the problem with the staff
-
Ruptured abdominal aortic aneurysm (AAA), S/S?
Severe lower back pain, decreased BP, and decreased RBCs
-
Kidney transplant, Nx immediate concern?
Hypovolemic shock caused by post op bleeding
-
Pt deteriorated to early renal failure, what would you expect to find?
Anemic
-
22month old kid who says "No" to everything, what would you tell the parents?
Its normal behvior of a 2yo
-
What makes multiple sclerosis (MS) worse as a female?
Pregnancy
-
Significance of a positive TB test?
Antibodies are present in the clients blood
-
Oliguria stage of renal failure, how much urine would you expect to see?
100-500mL/day
-
Nx caring for pt who had MI, purpose of goving Nitrates?
To dialate coronary arteries
-
Toilet training, what statement by the mother warrants need for further teaching?
I should begin bladder training before bowel training
-
Adolecent, increased risk for suicide?
Recent break up with a friend
-
Mantoux test, which angle is the needle inserted intradermal?
10 degree angle
-
SATA
Life threating cardiac arrythmias?
- Ventricular Fibrulation
- Ventricular Tachycardia
-
Angina, types of pain most characteristic?
Tightness
-
Female with anorexia nervosa, treated with family therapy, which description fits social causation?
A sign of pain within the whole family system
-
35yo ratinalizing alcohol abuse, which statement?
I always remember what happens the next day
-
If the sympathetic nervous system is stimulated how would is effect the heart?
Tachycardia
-
20month old child, home health Nx visiting at home, what safety issue would you discuss with parents if you saw this?
Child is eating raw Carrots
-
What immunization did a child have a birth?
Hep B
-
SATA
Steps in time management?
- Time to plan and establish priorites
- Highest priority task first
- Reasses and reprioritize tasks based on any changes
-
Vancomycin 250cc in 3hrs...Approx.?
250/3= 83.33333= 80
FYI Red Man Sydrome if given too fast
-
FIB
______________system is a system which determines staffing needs, measures clients illness, and uses catagories to detemine level of care needed.
Acuity
-
Pt in ER with police officer, has been raped, Nx priority?
Bring anxiety from panic to moderate level
-
Psychosocial approach, ER Nx suspects family violence?
Support treatment
-
Anorexia Nervosa, clinical finding?
Growth of fine body hair
-
AA, how do you know when the person is ready, he says?
I know I am powerless over alcohol and I need help
-
Genital Herpes, how do you know an outbreak in coming?
genital puritis and parasthesia
-
Incintive spiromenter, follow statement correct?
Helps pt visualize breathing to prevent atolectisis
-
Renal Failure, pt having perotoneal dialysis, most important measure?
Weigh pt before and after procedure, body weight
-
Best form of infection control?
Washing Hands before and after client
-
SATA
Treatment for habitual abortions?
- Progesterone to support endometrium
- Sexual abstinence
- Light diet
FYI clomid for multiple births
-
Modified masectomy, pt needs further teaching if?
Wearing a robe with elastic arm bands
-
Female with 2 prescription bottles, one lasix one fuerosimide, you would tell her?
Its the Same thing
-
Which finding of a pt given oxycodon shows med is working?
pain level 0-2
-
SATA
Sexual partners, which conditioin requires treatment of both partners?
-
Laizze fair communication, which is true?
Back and forth
-
Most common abused substance?
Nicotin
-
14yo daughter of alcoholic, where would you refer her?
Alateen
-
Chlamydia, which statement by pt shows an understand of possible complications?
I need to treat this infection so it doesnt spread into my pelvis because I want to have children some day
-
Overdose of salicylates, what treatment?
Hemodialysis
-
SATA
Nx action for pt with panic attack?
- Enusre client safety
- Give simple instructions
-
Masectomy, left breast, IV in right arm, where would you take the BP?
In the leg
-
Hemlich manuver, where would you place your hands?
Below sternum
-
Cystoscopy, pt asks Nx to outline positives of procedure?
- Identifies source of hematuria
- Allows collection of tissue samples
- Light source to visualize
- No surgical incision
-
Rule of Nines
Client in ER 2nd and 3rd degree burns, on arm and anterior leg, percentage of burn?
18
-
Transferring to a compentent individual, tasks that can be performed...?
Delagation
-
Advanced kidney disease, what test?
Serum Creatinine Level
-
Breasting feeding client asks when to perform breast exam?
After the infant empties the breast
-
SATA
Pre renal, acute renal failure, common cause?
- Decreased cardiac output
- Cardiogenic Shock
-
Best time to start discharge planning?
When addmitted
-
Acute Renal failure, which diuretic would you question?
Aldactone
-
SATA
Contusions in a child, child abuse suspected...?
- All lesions including location, shape, and color will be documented
- Multiple bruises that cannot be explained
-
Indwelling cath, what would you teach to best prevent UTI?
Take a shower instead of a bath
-
Significance of Positive PPD test?
Anitbodies in the blood
-
Impaired skin integrity related to immobility as manifested by?
- Redness on perianal area
- Decubitis of 2x3cm on coccyx area
-
Nx should perform which of the following interventions in a pt with Autonomic Dysreflexia?
Place pt in high fowlers
-
Pt with MS, plasmapheresis diminishes syptoms, by removing?
Antibodies
-
SATA
Trach, why do they have cuffs?
- Prevents leakage
- Prevents Aspiration
-
Should not suction longer than?
5-10seconds
-
Person had total larengectomy, what is an early sign that O2 is comprimised?
Restlessness
-
Spasticity in a spinal cord injury, what medication would be used?
Baclofen
-
Chest tubes, pt had pneumothorax, what will tell you when it is no longer needed?
No fluctuation in the water seal tank
-
SATA
Autonomic dysreflexia, causes?
- Full bladder
- Fecal impaction
-
Broncoscopy, pt is now thirsty, when can they have water?
Presence of gag reflex
-
PUT IN ORDER
Maslows Needs:
- Physiological Needs
- Safety and Security
- Love and Belonging
- Esteem and Self Esteem
- Self Actualization
-
Pt with SOB, O2 88%, given oxygen, action based on what need?
Physiological
-
Trach suction, everything is correct EXCEPT?
Applying suction while inserting
-
Laryngeal obstruction due to an allergy, what med?
Epinephrine
-
1000cc needs to last 12hrs, How many cc per hour APPROX?
1000/12= 83.333= 80
-
Laryngoscopy, pt has been having a hoarse voice, statement by pt shows an understanding of procedure?
I am having this done because I may have cancer.
-
OD on heroin what med will they use?
Narcan
-
Hep B, what activity can this pt NOT do for the rest of his life?
Donate blood
-
Pt has advanced direct, on hospice, no major interventions, pain med every 3-4hours, what would hospice Nx do?
Administer medication every 3hrs
-
Nx should anticipate what med to pt with Hypothyroidism?
Levothyroxine(Synthroid)
-
Cirrohsis, what alterations in lab values would you expect to find?
Prothrombin
-
Esophageal varices, which measure should Nx focus on?
Recognizing hemorrhage
-
Nx would expect to administer what med to a pt with Hypothyroidism?
Levothyroxine(Synthroid)
-
Immediatly after liver biopsy what does Nx have to worry about?
Hemorrhage
-
What strongly indicates cirrohsis?
Hepatomegaly
-
Acute pancreatitis, which S/S should be primary concern for Nx?
Vommiting
-
FIB
The loss of elasticity of the arteries that accompanies the aging process is called:______?
Arteriosclerosis
-
Pulmonary Capillary Wedge Pressure is the?
Retrograde pressure of the fluid on the left side of the heart at the end of left ventricular diastole
-
FIB
Verchow triad is..?
- Venous stasis-slowed circulation
- Altered blood coagulation
- Injury or trauma to the vein
-
Female with MI who is taking coumadin, what would you tell her to avoid?
Spinach
-
SATA
Mitral valve prolapse, S/S include?
- Chest pain
- Fatigue
- Palpitations
|
|
