2.
2.0-3.0
3.
Blood pressure is 10 MM
HG or higher on expiration
then on inspiration
4.
A week
6.
Following insertion of a
permanent pacemaker, a
patient states they cannot get
rid of these hiccups. Why is
this potentially a problem?
7.
Chapter 27
...
8.
30 to 170 units/L, 4 to 6
hours, 3 days
9.
10.
11.
5.
12.
13.
Cardiomyopathy
Heart failure
Angina
Myocardial
infarction
14.
Dysrhythmias
HF
Angina
MI
15.
Dobutamine
Adenosine
16.
Avoid tobacco,
alcohol and
caffeine
17.
Monitor
circulation in the
limb with the
arterial line.
Such as capillary
refill,
temperature,
color. Arterial
lines are not
used for IV fluid
administration
18.
Infusion of IV
fluids
19.
20.
What is the
expected
reference range
for CVP (Central
venous pressure)
1 to 8 MM HG
21.
What is the
expected
reference range
for pulmonary
artery systolic
(PAS)
15 to 26
22.
What is the
expected range
for pulmonary
artery diastolic
(PAD)
5 to 15
23.
What is expected
range for
pulmonary artery
wedge pressure
(PAWP)?
4 to 12
24.
What is the
expected range
for cardiac
output
4 to 7 L/minute
25.
What is expected
range for mixed
venous oxygen
saturation
60% to 80%
26.
When should a
nurse anticipate
lower
hemodynamic
values?
27.
What position
should the
patient be in with
hemodynamic
monitoring
Supine or Trendelenburg
28.
29.
What are
complications of
hemodynamic
monitoring
30.
31.
32.
How long do
patients receive
anticoagulation
therapy that have
stent placement
6 to 8 weeks
33.
What is cardiac
tamponade
34.
What are
manifestations of
cardiac
tamponade
hypotension
JVD
Muffled heart sounds
Paradoxical pulse
35.
43.
36.
What is
retroperitoneal
bleeding
44.
37.
45.
38.
39.
What is post
procedure care for
a PICC
Hemodynamic
pressure lines should
be calibrated to read
atmospheric pressure
as blank.
46.
What kind of
medication would you
use for vasodilation
secondary to sepsis
Dopamine (vasopressors)
47.
Chapter 28
...
48.
What are
medications/electrical
management for
bradycardia
49.
What are
medications/electrical
management for a fib,
SVT or VT with pulse
1. Amiodarone, adenosine,
verapamil (CCB)
2. Synchronized cardioversion
50.
What are
medications/electrical
management for VT
without a pulse or
ventricular fibrillation
51.
What is cardioversion
52.
What is defibrillation
Delivery of an unsynchronized,
direct countershock to the heart.
Stops all electrical activity of the
heart, allowing the SA node to take
over and reestablish a perfusing
rhythm
53.
Digoxin
54.
What is indicative of
an MI
55.
Chapter 30
...
40.
41.
42.
What is treatment
for infiltration and
extravasation
56.
What is an
arthrectomy
64.
Cardiac tamponade
57.
What is a stent
65.
58.
What is a
percutaneous
transluminal
coronary
angioplasty
chills
Fever
Rash
Wheezing
Tachycardia
Bradycardia
66.
Diphenhydramine or
epinephrine
67.
40% to 50%
68.
1. Anxiolytics: lorazepam
and diazepam
2. Prophylactic antibiotics
3. Anticholinergic such as
scopolamine
69.
70.
1. Diuretics 2 to 3 days
before surgery
2. Aspirin and other
anticoagulants one week
before surgery
71.
Potassium supplements
Antidysrhythmic's
Antihypertensives
Insulin
72.
59.
What are
indications for a
PCI (angioplasty)
What are
preprocedure
nursing actions
for a PCI (besides
allergies,
informed
consent, blah
blah)
61.
62.
What is post
procedure
nursing actions
after a PCI
60.
63.
6 to 8 weeks after
73.
74.
Monitor chest
tube patency and
drainage. Measure
drainage at least
once an hour.
Volume
exceeding blank
could be a sign of
possible
hemorrhage and
should be
reported to the
surgeon
150 mL/hour
What kind of
manifestations of
pain might an
older female
patient show
instead of chest
pain
Dyspnea, indigestion
77.
What is a heart
healthy diet
78.
75.
76.
79.
What can
hypothermia
cause
80.
What are
indications of
cardiac
tamponade after
a CABG
Treatment of
cardiac
tamponade after
a CABG involves
1. Volume expansion
2. Emergency sternotomy
(Pericardiocentesis is avoided because
blood may have clotted)
81.
82.
What is maximum
potassium
administration
rate IV
10 to 20 mEq/hour
83.
Eight hours
84.
85.
86.
87.
88.
What kind of
procedure is used
for graft
occlusion
89.
What procedure
is used for
compartment
syndrome
Fasciotomy
90.
Chapter 35
...
91.
92.
1. Bruit over
femoral and aortic
artery's
2. Decreased
capillary refill of
toes
3. Decreased or
non-palpable
pulses
4. Loss hair on
lower calf, ankle
and foot
5. Dry, scaly,
mottled skin
6. Thick toenails
7. Cold/cyanotic
extremity
8. Pallor of
extremity with
elevation
9. Dependent
Rubor
10. Muscle atrophy
11. Ulcers and
possible gangrene
1. Observe for
bleeding and
hemorrhage
2. Palpate pedal
pulses to identify
possible occlusions
93.
A decrease in
pulse pressure of
the lower
extremity indicates
a possible blockage
in the leg
94.
95.
What is nursing
care for a patient
with PAD
96.
What are
medications for
PAD
97.
1. Percutaneous transluminal
angioplasty
2. Laser assisted angioplasty
98.
99.
What is arterial
revascularization
surgery used for
100.
101.
One
complication of
graft is
compartment
syndrome what
are
manifestations
of it
Tingling
Numbness
Worsening pain
Edema
Pain on passive movement
Unequal pulses
(prepare patient for Fasciotomy)
102.
103.
Patients with
venous disease
most often
complain of limb
pain that feels
like
104.
105.
106.
109.
110.
111.
112.
What are
medications for
DVT and
thrombophlebitis
Anticoagulants
113.
3 to 4 days
114.
DVT and
thrombophlebitis
both can use
thrombolytic
therapy. What are
the details of this
therapy?
115.
For varicose
veins,
sclerotherapy
may be
performed. What
are the details of
this therapy?
116.
107.
What are
laboratory tests
for PVD
108.
What are
diagnostic
procedures for
DVT and
thrombophlebitis
117.
118.
Venous stasis
ulcers often form
over the medial
malleolus.
Venous ulcers
are chronic, hard
to heal and often
recur. They can
lead to
amputation
and/or death.
What are nursing
interventions for
venous ulcers
119.
120.
121.
A pulmonary
embolism occurs
when a
thrombus is
dislodged,
becomes an
embolus and
lodges into a
pulmonary
vessels. What are
manifestations
of a pulmonary
embolism's
Tachypnea
Crackles
plural friction rub
Tachycardia
S3 or S4 heart sounds
Diaphoresis
Low-grade fever
Petechia over chest and axillae
Decreased arterial O2 sat
122.
123.
When should
Venus
compression
stockings be
removed
124.
Chapter 36
...
125.
What is
secondary
hypertension
caused by
126.
How does
hypertrophia of
the left ventricle
develop
127.
What is the
maximum BMI a
person should
have in regards
to health
promotion and
disease
prevention for
hypertension
30
128.
129.
Constipation
130.
What kind of
juice should not
be taken with
CCB medications
Grapefruit juice
131.
Angioedema, hyperkalemia
132.
Aldosterone receptor
antagonists such as blank, block
aldosterone action. They
promote the retention of
potassium and excretion of
sodium and water
Eplerenone
142.
133.
Hypertriglyceridemia,
hyponatremia,
hyperkalemia
Before, during
and after
administration
of IV
antihypertensive
what should you
do
143.
Chapter 17
...
144.
No grapefruit juice or
St. John's wort. Do not
take salt substitutes
with potassium or foods
rich in potassium
134.
135.
Reduce peripheral
vascular resistance and
decrease blood
pressure by inhibiting
the reuptake of
norepinephrine
145.
136.
Sedation, orthostatic
hypotension,
impotence
If a patient uses
inhalers how
long should they
withhold use
before a
pulmonary
function test
146.
What is PaO2
147.
What is SaO2
148.
What is normal
bicarbonate
according to ATI
21 to 28
149.
What are
preprocedure
nursing actions
for an arterial
puncture
150.
What are
intraprocedural
nursing actions
while
performing an
arterial puncture
151.
What are
postprocedural
nursing actions
while
performing an
arterial puncture
152.
137.
Prazosin
138.
139.
140.
141.
1. Severe headache
2. Extremely high blood
pressure - greater than
240/120
3. Blurred vision,
dizziness and
disorientation
4. Epistaxis
Nitroprusside
Nicardipine
153.
154.
Why is a
bronchoscopy
performed
155.
156.
What is
preprocedure
nursing
interventions for
a bronchoscopy
157.
What are
intraprocedural
nursing
interventions for
a bronchoscopy
158.
Laryngospasm, pneumothorax,
aspiration
160.
161.
162.
163.
What is a thoracentesis
164.
165.
What are
intraprocedural
nursing interventions
for a thoracentesis
166.
Mediastinal shift,
pneumothorax, bleeding,
infection
168.
169.
What is a symptom of
pneumothorax
170.
1. Deviated trachea
2. Pain on the affected side
that worsens upon exhalation
3. Affected side does not move
in and out upon
inhalation/exhalation
4. Increased HR
5. Rapid shallow respirations
6. Nagging cough or feeling of
air hunger
167.
176.
What are
medications for
rhinitis
177.
178.
What is sinusitis
179.
What is sinusitis
associated with
180.
What are
symptoms of
sinusitis
Nasal congestion
Headache
Facial pressure/pain (worse when head
is tilted forwards)
Cough
Bloody/Purulent nasal drainage
Tenderness to palpitation
Low-grade fever
181.
What are
diagnostic tests
for sinusitis
171.
Chapter 20
...
172.
24 to 48 hours
182.
173.
What is rhinitis
183.
174.
What are
medications for
sinusitis
175.
1. Encourage rest, 8 to 10
hours a day and increase fluid
intake to at least 2000 mL/day
2. Encourage use of home
humidifier or breathing
steamy air
3. Proper disposal of tissues
and use of cough etiquette
184.
What is patient
education for
sinusitis and
what should the
patient report
What are
complications of
sinusitis
186.
187.
188.
What is nursing
care for
hospitalized
patients infected
with influenza
189.
What are
antivirals that
may be
prescribed for
treatment and
prevention of
the flu
1. Amantadine
2. Rimantadine
3. Ribavirin
What antivirals
may be
prescribed to
shorten the flu
1. Relenza
2. Tamiflu
191.
When should
patients begin
antiviral
medications
192.
Vaccination for
the flu is
encourage for
everyone over six
months of age.
However highrisk patients
include
1. History of pneumonia
2. Chronic medical conditions
3. Over the age of 65
4. Pregnant women
5. Health care Providers
What is a
complication of
the flu
Pneumonia
185.
190.
193.
194.
Confusion
195.
196.
197.
198.
199.
It is important to obtain a
culture specimen before
antibiotic therapy. What are
two common antibiotics given
Penicillins and
cephalosporins
200.
1. Observe patients
taking cephalosporins
for frequent stools
2. Monitor her kidney
function, especially older
adults who are taking
penicillins and
cephalosporins
3. Take medication with
food. Some penicillins
should be taken one
hour before meals or
two hours after
201.
Albuterol
202.
Anti-cholinergic
medications such as
blank, block the
parasympathetic
nervous system,
allowing for
increased
bronchodilation and
decreased
pulmonary
secretions
Ipratropium
203.
Methylxanthines
such as blank,
require close
monitoring of serum
medication levels
due to narrow
therapeutic range
Theophylline
204.
205.
Tremors, tachycardia
206.
207.
Anti-inflammatories
such as
glucocorticosteroids
such as fluticasone
and prednisones are
prescribed to reduce
inflammation.
Monitor for
208.
209.
210.
What are
complications from
pneumonia
211.
1. Patient reports
SOB and exhibits
findings of
hypoxemia
2. Patient has
diminished/absent
breath sounds
over the affected
area
3. Chest x-ray
shows area of
density
212.
1. Hypoxemia
persists despite
oxygen therapy
2. Patients dyspnea
worsens as bilateral
pulmonary edema
develops that is
non-cardiac related
3. Chest x-ray
shows an area of
density with a
"ground glass
"appearance
4. Blood gas
findings
demonstrate
hypercarbia even
though pulse
oximetry shows
decreased
saturation
213.
214.
Productive cough
with green sputum
215.
216.
Chapter 21
...
217.
1. Changes in
temperature and
humidity
2. Perfume
3. Air pollutants
4. Seasonal allergies
5. Stress
6. Medications (aspirin,
NSAIDs, beta blockers,
cholinergics)
7. enzymes in laundry
detergent
8. Sinusitis with post
nasal drip
9. Viral respiratory tract
infection
224.
Monitor the
patient's serum
levels for toxicity.
Side effects will
include
tachycardia,
nausea and
diarrhea
225.
Tremors and
tachycardia
226.
Dry mouth
227.
Headache, blurred
vision or
palpitations
228.
Is used to prevent
an asthma attack
and not at the
onset of an attack
229.
1. Decreased
immune function
2. Hyperglycemia
3. Black, tarry
stools
4. Fluid
retention/weight
gain (common)
5. Hypokalemia
with corticosteroids
such as
prednisone
Hot water
220.
1. GERD
2. The older patient is
more susceptible to
infection and therefore
they're at bigger risk for
complications
221.
1. Dyspnea
2. Anxiety or stress
3. Coughing
4. Wheezing
5. Mucus production
6. Use of accessory
muscles
7. Prolonged exhalation
8. Poor O2 sat
9. Barrel chest or
increased chest diameter
230.
With food
231.
Life-threatening
episode of airway
obstruction that is
unresponsive to
common treatment
232.
1. Extreme
wheezing
2. Labored
breathing
3. Use of accessory
muscles
4. Distended neck
veins
5. Creates a risk for
cardiac/respiratory
arrest
218.
219.
222.
223.
1. Hi Fowler's
2. Oxygen
3. Monitor cardiac rate
and rhythm for changes
during an acute attack
4. Initiate and maintain IV
access
5. Encourage prompt
medical attention for
infections and
appropriate vaccinations
233.
1. Prepare for
emergency
intubation
2. As prescribed,
administer oxygen,
bronchodilators,
epinephrine and
initiate systemic
steroid therapy
234.
Chapter 22
...
235.
Loss of lung
elasticity and
hyperinflation of
lung tissue
236.
Alpha-1 antitrypsin
deficiency
237.
1. Barrel chest
2. Hyperresonance
on percussion
3. Thin extremities
and enlarged neck
muscles
4. Clubbing of
fingers and toes
5. Dependent
edema secondary
to right-sided heart
failure (increase in
pulmonary
pressure)
238.
239.
Increase because
work of breathing
has increased
240.
2 to 4 L/min, 40%
241.
1 to 2 L/min
242.
A vibration that
results in loosening
the clients
secretions
20 minutes, 2 to 3
times weekly
243.
244.
2 to 3 L/day
245.
Most of the
medications for
COPD are the
same as asthma.
With the
exception of
Mucolytic's.
What are two
kinds of
mucolytic's?
246.
Chapter 23
...
247.
248.
A patient will
have a positive
intradermal TB
test within blank
weeks of
exposure to the
2 to 10
249.
How often
should patients
who live in highrisk areas be
screened for
tuberculosis
On a yearly basis
250.
What are
symptoms of TB
252.
Within 48 to 72 hours
253.
What is a
positive
Mantoux test?
1. 10 mm or greater
2. 5 mm is considered positive for
immunocompromised patients
254.
255.
By preventing synthesis of
mycolic acid in the cell wall
268.
Every 2 to 4 weeks to
monitor therapy
269.
What is miliary TB
256.
On an empty stomach
257.
Hepatotoxicity and
neurotoxicity, such as tingling of
the hands and feet (vitamin B6
is used to prevent
neurotoxicity)
270.
What are
symptoms/complications of
miliary TB
Headaches
Neck stiffness
Drowsiness
Pericarditis
271.
Chapter 56
...
272.
Kidney disease
273.
274.
275.
1. Review coagulation
studies
2. NPO for 4 to 6 hours
before
276.
1. Monitor vitals
2. Assess dressings and
urinary output (hematuria)
3. Review HGB and HCT
values
4. Administer PRN pain
medication
258.
259.
260.
Hepatotoxicity
261.
How should
pyrazinamide be
consumed?
262.
263.
265.
What is streptomycin
sulfate
266.
267.
Ototoxicity
Renal function decline
277.
A cystography or
cystourethrography are used to
discover abnormalities of bladder
wall and/or a occlusions of ureter
or urethra. What are preprocedure nursing interventions
for these procedures?
278.
Lithotomy position
279.
280.
Irrigate urinary
catheter with NS
To identify obstruction
or structural disorders
of the ureters and
renal pelvis of the
kidneys by instilling
contrast dye during a
cystoscopy
281.
282.
To assess renal
bloodflow and
estimate GFR after IV
injection of radioactive
material to produce a
scanned image of the
kidneys
283.
BP
284.
To detect obstruction,
assess for a
parenchymal mass,
and assess size of the
kidney. IV contrast
dye is used to
enhance images
285.
286.
1. Administer parenteral
fluid or encourage oral
fluids to flush dye
2. Diuretics may be
administered to increase
dye secretion
3. Follow up creatinine and
bun serum levels before
Metformin is resumed
287.
A nurse is reviewing a
patient's laboratory findings
for urinalysis. The findings
indicate the urine is positive
for leukoesterase and
nitrates. Which of is an
appropriate nursing action?
288.
289.
Chapter 57
...
290.
291.
292.
293.
294.
295.
What is disequilibrium
syndrome
296.
nausea
Vomiting
Change in LOC
Seizures
Agitation
297.
298.
299.
300.
Blank, is a risk
factor for dialysis
disequilibrium and
hypotension due to
rapid changes in
fluid and
electrolyte status
Advanced age
What is something
that a nurse should
do for a patient
experiencing
hypotension from
dialysis other than
administer IV fluids
What is peritoneal
dialysis
301.
302.
304.
305.
Blank, is a common
cause of poor
inflow or outflow
Constipation
306.
What position
should a patient be
in during CCPD and
APD treatment
303.
307.
If medications are
held before dialysis
can they be
administered after it
is done
308.
Why should a
patient that is
experiencing
shortness of breath
not receive
peritoneal dialysis
309.
Chapter 58
...
310.
1. Anuria
2. Proteinuria
3. Marked azotemia
4. Severe electrolyte imbalance
5. Fluid volume excess conditions
(heart failure, pulmonary edema)
6. Uremic lung
311.
Anorexia
Fatigue
Paresthesia
SOB
Dry, itchy skin
Metallic taste
Muscle cramping
312.
313.
What is
methylprednisone
sodium succinate
An anti-inflammatory and
immunosuppressant used to
decrease the immune system
response of inflammation and
rejection of donor kidney
314.
What is another
immunosuppressant
medication used to
prevent rejection of
the donor kidney
Cyclosporine
315.
24 hours
316.
What diuretic is
preferred when
oliguria is present
after a kidney
transplant
Mannitol
When taking
cyclosporine
what are two
things you need
to do
320.
What is hyper
acute rejection
321.
What are
symptoms of a
hyper acute
rejection
322.
What is
treatment for
hyper acute
rejection
323.
What is acute
rejection
324.
What are
symptoms of an
acute rejection
Oliguria
Anuria
Low-grade fever
Hypertension
Tenderness over the transplanted
kidney
Lethargy
Azotemia
Fluid retention
317.
318.
319.
325.
What is
treatment for
acute rejection
326.
What is chronic
rejection
327.
What are
symptoms of
chronic
rejection
328.
What is
treatment for
chronic
rejection
329.
What is acute
tubular necrosis
330.
What are
symptoms/signs
of renal artery
stenosis
Hypertension
Bruit over artery anastomosis site
Decreased kidney function
Peripheral edema
331.
What is the
most common
cause of first
transplant year
morbidity and
mortality
Infection
332.
Chapter 60
...
333.
334.
What is prerenal
acute kidney
injury
335.
1. Administer IV fluid
if no fluid restrictions
2. Administer calcium
channel blocker to
prevent the
movement of calcium
into the kidney cells
and to increase GFR
3. Monitor I and O's
4. Monitor for
decreased cardiac
output
336.
1. Physical injury
2. Hypoxic injury renal artery or vein
stenosis or
thrombosis
3. Chemical injury acute nephrotoxins
(antibiotics, NSAIDs,
contrast dye, heavy
metal, blood
transfusion reaction)
4. Immunologic injury
- infection, vasculitis,
acute
glomerulonephritis
337.
Heart failure or
pulmonary edema
338.
ECG dysrhythmias
(tall T waves)
Flank pain
N/V
Lethargy
Tremors
Confusion
1. Stone, tumor,
bladder atony
2. Prostate
hyperplasia, urethral
stricture
3. Spinal cord disease
or injury
340.
Gradually increases
in serum creatinine,
BUN, urine specific
gravity
341.
Restrict potassium,
phosphate and
magnesium during
oliguric phase and
increase protein
339.
342.
343.
At least 3 L of water
daily
344.
345.
Fatigue
Lethargy
Involuntary
movement of the
legs
Depression
Intractable hiccups
346.
Decreased sodium
and calcium;
increased
potassium,
phosphorus and
magnesium
347.
From anemia
secondary to the
loss of
erythropoietin
348.
Electrolyte
imbalance
Dysrhythmias
Fluid overload
Hypertension
Metabolic acidosis
Secondary infection
Uremia
349.
High in
carbohydrates and
moderate in fat
350.
Aminoglycosides
Amphotericin b
NSAIDs
Ace inhibitors
Arbs
Contrast dye
351.
If a patient is on digoxin
when should you
administer it
352.
Why is aluminum
hydroxide given to
patients with chronic
kidney disease
353.
Loop diuretics
354.
355.
Blood
356.
Chapter 61
...
357.
358.
1. Lower back/abdominal
discomfort
2. Urinary frequency/urgency
3. Nausea
4. Dysuria, cramping
5. Urinary retention
6. Perineal itching
7. Hematuria
8. Pyuria (greater than four wbc
in urine sample)
359.
1. Fever
2. Vomiting
3. Voiding in small amounts
4. Nocturia
5. Urethral discharge
6. Cloudy/smelly urine
360.
1. Mental confusion
2. Incontinence
3. Loss of appetite
4. Nocturia and dyslexia
5. Signs of urosepsis
361.
Hypotension
Tachycardia
Tachypnea
Fever
362.
Bacteria,
sediment, WBCs,
RBCs, positive
leukocyte
esterase and
nitrates
363.
1. Promote fluid
intake up to 3 L a
day
2. Encourage
urination every 3
to 4 hours
instead of
waiting until the
bladder is
completely full
3. Recommend
warm sitz Bath 2
to 3 times a day
to promote
comfort
364.
Penicillins and
cephalosporins
365.
Allergy to sulfa
366.
Phenozopyridine
(take with food)
367.
Chronic cystitis
368.
369.
370.
371.
1. Men over 65
who have
prostatitis and
hypertrophy
of the prostate
2. Chronic
urinary stone
disorders
3. Spinal cord
injury
4. Pregnancy
5. Bladder
tumors
6. Urine pH
increases
7. Chronic
illnesses (DM,
HTN)
Colicky type
abdominal
pain and
costovertebral
tenderness
Fever
Tachycardia
Tachypnea
Hypertension
Flank/back
pain
Vomiting
Nocturia
Asymptomatic
bacteremia
Inability to
concentrate
urine or
conserve
sodium
C-reactive
protein, ESR,
Creatinine
and BUN
375.
376.
There is an increased
incidence of
urolithiasis in males
377.
Urinary stasis,
urinary retention,
immobilization and
dehydration
378.
Crystals
379.
X-ray of kidney,
ureters and bladder
380.
1. Pain
2. I and O's
3. Urinary pH
4. Strain all urine
5. Encourage
ambulation to
promote passage of
the stone
381.
12 to 20 breaths per
minute
382.
Opioids, nSAIDs,
oxybutynin chloride
383.
1. Increased
intraocular pressure
(Contraindicated if
there's a history of
glaucoma)
2. Dizziness
3. Dry mouth
4. Tachycardia
5. Urinary retention
384.
Nephrotoxicity and
ototoxicity. Also
inform the patient
that urine may have a
foul odor related to
the antibiotic
372.
Septic shock
Chronic
kidney disease
Hypertension
373.
Ampicillin
385.
374.
Chapter 62
...
386.
387.
Thiazide diuretics,
Orthophosphates,
Sodium cellulose phosphate
388.
389.
390.
What is hydronephrosis
391.
Chapter 83
...
392.
Which ethnicities is
diabetes more prevalent
in
African-American, American
Indians and Hispanics
393.
Obesity
Hypertension
Inactivity
Hyperlipidemia
Cigarette smoking
Genetic history
Elevated CRP
Ethnic group
Women who have delivered
infants weighing more than 9
pounds
BMI greater than 24
394.
395.
396.
1. Manifestations of
diabetes plus casual
blood glucose
concentration greater
than 200
2. Fasting blood glucose
greater than 126
3. Two hour glucose
greater than 200 with an
oral glucose tolerance
test
397.
Eight hours
398.
10 to 12 hours
399.
4 to 6%
400.
Every 2 to 3 days
401.
No
402.
403.
Intermediate acting,
administered for control
between meals and at
night
404.
Long acting,
administered once a day
because it dissipates
slowly over 24 hours
405.
Mild shakiness
Mental confusion
Sweating
Palpitations
Headache
Lack of coordination
Blurred vision
Seizures
Coma
406.
407.
40 mg/DL, 10
408.
By SQ or IM and
repeat in 10
minutes is still
unconscious
409.
50% dextrose
410.
Exercise
411.
412.
48 hours
413.
414.
30 minutes
before meals
415.
Beta blockers
416.
No
417.
After a shower or
bath
418.
Socks made of
cotton or wool
419.
420.
Every 3 to 4
hours
421.
422.
Every year
423.
Chapter 84
...
424.
What is
hyperglycemic hyperosmolar
State
425.
426.
blurred vision
Headache
Weakness
Polyuria
Polydipsia
Orthostatic hypotension
Change in LOC
Seizures/myoclonic jerking
Reversible paralysis
427.
428.
429.
What is the pH
look like in HHS
430.
431.
432.
433.
Every 1 to 4 hours
434.
Consume
carbohydrates
while drinking
alcohol will help
prevent
hypoglycemia
445.
446.
447.
448.
449.
No
450.
40
451.
Why would an
electromyography (EMG)
and nerve conduction
studies be performed
435.
What is PTU
Medication given
to suppress the
thyroid hormone
and will allow for
weight gain
436.
Increased
hematocrit due to
dehydration
437.
Laryngeal stridor
On an empty
stomach to
promote proper
absorption
439.
Chapter 68
...
440.
To visualize the
internal structures
of a joint, most
commonly the
knee or shoulder
joints
452.
441.
If there is an
infection or if the
patient is unable to
bend the joint at
least 40
453.
442.
454.
Anticoagulants or muscle
relaxants
455.
Swelling or tenderness
2 to 3 hours
438.
443.
444.
456.
Opioid
457.
458.
459.
Chapter 69
...
460.
What is an
arthroplasty
461.
What are
contraindications to
an arthroplasty
462.
What should a
patient do to prepare
for arthroplasty the
night before the
surgery
463.
What should a
patient do in the
morning to prepare
for an arthroplasty
464.
Prosthetic
components may or
may not be cemented
in place. Components
that do not use
cement allow the
bone to grow into
465.
Weight bearing is
delayed several
weeks until the
femoral shaft has
grown into the
prosthesis
466.
467.
During meals
468.
Positions of flexion of
the knee are limited
to avoid flexion
contractures. Avoid
knee gatch and
pillows placed
behind the knee
469.
470.
471.
2 to 4 hours
(movement,
sensation, color,
pulse, capillary refill
and compare with
the contralateral
extremity)
472.
Plantar flexion,
dorsiflexion, and
circumduction to
prevent clot
formation
473.
474.
Ice
475.
476.
477.
What is patient
positioning after a
hip arthroplasty
After a knee
arthroplasty when
can a patient kneel
and deep knee
bend
480.
Chapter 70
...
481.
Upper extremity
amputation's are
usually the result
of a traumatic
injury however
lower extremity
amputation's are
usually the result
of
482.
Edema
Reduced cap Refill time
Necrosis
Lack of hair distribution
483.
484.
What is a closed
amputation
478.
479.
485.
What is open
amputation
486.
Infection
487.
488.
Anti-spasmodic's and
antidepressants
489.
490.
491.
Dependent position
492.
493.
494.
Chapter 72
...
495.
496.
497.
498.
499.
30
What is a comminuted
fracture
What is the most common
fracture found in children
500.
501.
502.
503.
504.
505.
What is an open
reduction/internal fixation
Casts
506.
507.
508.
...
509.
Every 8 to 12 hours
510.
Heat, massage
511.
What is a normal
standard pin care
protocol (if the patient
has pins in place)
512.
513.
1. Immediate fracture
stabilization
2. Minimal blood loss occurring
in comparison with internal
fixation
3. Allows for early mobilization
and ambulation
4. Permitting wound care with
open fractures
514.
What is a disadvantage
to external fixation
515.
Refers to visualization of a
fracture through an incision in
the skin and internal fixation
with plates, screws, pins, rods
and prosthetics as needed
516.
517.
518.
519.
48
Dyspnea
Chest pain
Decreased O2 sat
Decreased LOC
Respiratory distress
Tachycardia
Tachypnea
Fever
Cutaneous petechiae (late sign)
520.
521.
522.
523.
524.
DVT
525.
Clean
526.
Bloodflow is disrupted
to the fracture site and
the resulting ischemia
leads to tissue/bone
necrosis
527.
528.
A nurse is completing an
assessment of a patient who had
an external fixation device
applied two hours ago for a
fracture of the left tibia and
fibula. What are four things that
the nurse might find that would
indicate compartment
syndrome?
529.
530.
Chapter 77
...
531.
ADH (vasopressin)
532.
Diabetes insipidus,
which is characterized
by the excretion of a
large quantity of diluted
urine
533.
Syndrome of
inappropriate
antidiuretic hormone.
In SIADH, the kidneys
retain water, urine
becomes concentrated,
urinary output
decreases and
extracellular fluid
volume is increased
534.
535.
536.
537.
538.
539.
540.
541.
542.
543.
544.
Measures the
kidneys ability to
concentrate urine in
light of an increased
plasma osmolality
and a low plasma
vasopressin level.
1. No
smoking/caffeine or
alcohol prior to test
2. Withhold fluids for
8 to 12 hours
3. Obtain IV access
Recumbent position
for 30 minutes
however The patient
may sit or stand
during voiding.
Dehydration
Hyper functioning of
the adrenal cortex
and an excessive
production of cortisol
Hypo functioning of
the adrenal cortex
and a consequent
lack of adequate
amounts of serum
cortisol
Dexamethasone
suppression test
There is no decrease
in the production of
ACTH and cortisol
Hypersecretion of
catecholamines
(pheochromocytoma)
545.
VMA testing is a 24
hour urine collection
for VMA, a breakdown
product of
catecholamines
546.
2 to 7 mg
547.
Elevated levels
548.
Caffeine, vanilla,
bananas, chocolate,
aspirin and
Antihypertensive
medications
549.
550.
551.
Eight hours
552.
553.
10 to 12 hours
554.
555.
Normal: 5% or less
Pre-diabetes: 5.7% to
6.4%
Diabetes: 6.5% or
higher
556.
70 to 205
557.
4 to 12 mcg/dL
558.
Chapter 78
...
559.
1. Head
injury/tumor/infection
(meningitis,
encephalitis)
2. Lithium
560.
Polyuria
Polydipsia
Nocturia
Fatigue
And other symptoms of
dehydration
561.
Everything is decreased,
think dilute
562.
Think concentrated
everything is increased
563.
What would a
radioimmunoassay show you
Decreased ADH
564.
565.
Daily weight
566.
Tegretol
567.
Dizziness, drowsiness,
thrombocytopenia
568.
569.
With food
570.
1. Weigh daily
2. Eat a diet high in fiber
3. Wear a medical alert
wristband
4. Monitor fluid intake
571.
572.
Malignant tumors
Increased intrathoracic
pressure (PPV)
Meningitis
Cardiovascular accident
Medications
Trauma
Pain
Stress
Diuretics due to
increased sodium losses
573.
Headache
Anorexia
Muscle cramps
Weakness
Weight gain
574.
Nausea, vomiting,
diarrhea and oliguria
575.
Confusion
Lethargy
Cheyne-stokes
respirations
Seizures
Coma
Death
576.
Tachycardia
Possible hypertension
Crackles in the lungs
Distended neck veins
Taut skin
577.
Think concentrated
578.
Think dilute
579.
580.
What is Demeclocycline
Tetracycline
derivative. Used for
SIADH
581.
582.
583.
Nausea, diarrhea,
tremors ataxia
584.
With food
585.
Every 2 to 4 hours
586.
Chapter 79
...
587.
588.
589.
596.
597.
It is taken up by the
thyroid and destroys
some of the hormone
producing cells
598.
599.
600.
Iodine
601.
602.
590.
1. Menstrual irregularities
(Amenorrhea/decreased
menstrual flow)
2. Libido is initially increased
and then followed by a
decrease
3. Exophthalmos (Graves
disease only)
4. Vision changes
5. Bruit over the thyroid gland
591.
An elevated uptake
593.
603.
Calcium supplements
594.
Methimazole, propylthiouracil
604.
Prednisone
Hypothyroidism
Leukopenia
Thrombocytopenia
Hepatotoxicity
605.
595.
592.
606.
Infection
Trauma
Emotional stress
Diabetic ketoacidosis
Digitalis toxicity
Thyroidectomy
607.
Hyperthermia
Hypertension
Delirium
Vomiting
Abdominal pain
Hyperglycemia
Tachydysrhythmias
Dyspnea
608.
Because if it is given
before it can
exacerbate
manifestations in
susceptible clients
609.
Chvosteks and
trousseau sign
610.
Decrease in TSH
because the
pituitary gland
decreases the
production of TSH
when thyroid
hormone levels are
elevated
611.
Chapter 80
...
612.
1. Women between
the ages of 30 to 60
2. Lithium and
amiodarone
3. In adequate
intake of iodine
613.
Fatigue/lethargy
Intolerance to cold
Constipation
Weight gain
Pale skin
Thin, brittle nails
Depression
Thinning hair
Joint and/or muscle
pain
614.
Bradycardia
Hypotension
Dysrhythmias
Slow thought
process/speech
Hypoventilation
Thickening of the
skin
Dry flaky skin
Swelling in face,
hands and feet
Decrease acuity of
taste and smell
Horse, raspy
speech
Abnormal
menstrual periods
615.
Low-calorie, high
bulk diet and
encourage activity
to prevent
constipation and
promote weight loss
616.
Synthroid
617.
Coumadin
Insulin (need for it)
Digoxin
618.
PPI's and H2
antagonist
619.
1 to 2 hours before
breakfast
620.
Myxedema
621.
Hematocrit 34%
which indicates
anemia, which is an
expected result for
patient who has
hypothyroidism
622.
Fiber laxatives
because it
interferes with
absorption
623.
Chapter 81
...
624.
Organ transplant
Chemotherapy
Autoimmune diseases (rheumatoid
arthritis)
Asthma
Long-term use of glucocorticoids
625.
Weakness/fatigue
Back/joint pain
Decreased immune system
Bruising/petechiae
Hypertension
Tachycardia
Gastric ulcers
Weight gain
Hypervolemia
Hirsutism
ATCH: increased
Cortisol: increased
Serum K/Ca: decrease
Serum glucose: I
Serum sodium: I
Lymphocytes: D
627.
Chapter 82
...
628.
What is Addison's
disease
629.
Autoimmune dysfunction
TB
Cancer
Adrenalectomy
Sepsis
Trauma
Steroid withdrawal
Weight loss
Craving for salt
Hyperpigmentation
Severe hypotension
Dehydration
Hyponatremia
Hyperkalemia
Hypoglycemia
Hypercalcemia
626.
630.
631.
What would
laboratory values
be in a patient that
has Addison's
disease
632.
Hydrocortisone,
prednisone and
cortisone are all
glucocorticoids used
for Addison's disease.
How should this
medication be taken?
With food
633.
What is a potential
adverse side effects of
the mineralocorticoid
fludrocortisone
634.
What is addisonian
crisis
635.
636.
In the presence of
primary adrenal
insufficiency, plasma
cortisol levels blank in
response to the
administration of
ACTH
Do not rise
637.
Chapter 3
...
638.
15
639.
640.
Bun/creatinine: I
Serum glucose: D
Serum cortisol: D
641.
What is the
positioning for
a lumbar
puncture
642.
Chapter 5
...
643.
What kind of
meningitis is
common
among
patients who
have AIDS
Fungal
What is the
haemophilus
influenza type
B vaccine
What is
pneumococcal
polysaccharide
vaccine
What is the
meningococcal
vaccine
649.
650.
What is the
most definitive
diagnostic
procedure for
meningitis
CSF analysis
644.
645.
646.
647.
648.
651.
652.
What kind of
precautions is a
patient with
meningitis placed on
653.
654.
Chapter 6
...
655.
What is a myoclonic
seizure
656.
What is an atonic
seizure
657.
658.
What is a medication
that should not be
given with phenytoin
Warfarin
659.
660.
It is programmed to administer
intermittent stimulation of the brain
via stimulation of the vagal nerve, at
a rate specific to the patients needs
661.
Magnet
662.
A prolonged seizure
activity occurring
over a 30 minute
time frame
663.
Chapter 7
...
664.
Tremor, muscle
rigidity,
Bradykinesia and
postural instability
(dopamine is
decreased)
665.
1. Provide smaller,
more frequent
meals
2. Add commercial
thickener to thicken
food
3. Patients should
be weighed at least
weekly
666.
Levodopa
667.
Carbidopa
668.
Destruction of a
small portion of the
brain within the
Globus pallidus
through the use of
brain imaging and
electrical stimulation
669.
Infection, brain
hemorrhage,
neurological
impairment or
stroke like
symptoms
670.
Aspiration
pneumonia and
altered cognition
such as dementia
671.
Chapter 10
...