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Final Concepts Summary Flashcards | StudBud
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Final Concepts Summary
Final Concepts Summary
37 terms
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StudBud Administration
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210 plays
Review of second semester concepts
Flashcards
37 cards
F
Practice quiz
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Host live
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Questions
37
Answers
1
What is important in the nursing care of dementia patients to control their S&S?
A daily routine
Providing reminders of what was their past
Reorientation every four hours
Being around the same people regularly
2
A pt receiving a new IV antibiotic begins having an anaphylactic reaction; what's the priority?
Shut off the IV and call Rapid Response
Begin CPR!
Call a Code!
Administer Epinephrine
3
What is physical dependence?
both A & B
physical need for medication
psychological need and desire for the medication
emotional need for medication
4
What is an
ileostomy?
Both A & B
None of the above
A urinary ostomy using a part of the bowel.
A stool ostomy created using the ileum.
5
The nurse is caring for a patient with TB, what type of isolation is required?
Airborne
Contact
Total
Droplet
6
A pt receiving ABX c/o SOB; the RN finds the pt w/ facial edema. What is the priority action?
Apply oxygen by facemask at 100% and a pulse oximeter.
Administer epinephrine immediately.
Ensure a patent airway while calling Rapid Response Team.
Give Benadryl & reassure pt these symptoms will go away.
7
What is the prep for a patient having a Barium Enema?
NPO except for GoLytely and Clear liquids the day before, then NPO after MN
Enemas until clear the day before
Liquids for 24 hrs then NPO after MN
No special prep is needed
8
what is the nurses responsibilities for pts with S/S of depression?
Sit and talk with the patient
Complete a suicide risk assessment
Call the MD for an antidepressant
Contact family members to ensure they are aware
9
What
pre-op care & teaching
is required for all patients?
All of the above
No meds that interfere with clotting such as aspirin, warfarin etc.
NPO p MN with informed consent signed
Post- op care & expectations
10
What is the difference between an anterior & posterior hip replacement?
post-op care for the posterior hip has more precautions
post-op care for the anterior hip is more extensive
nothing really except how they put it in
Both have special post-op care, just different
11
What are the complications of severe CHRONIC Pancreatitis?
Alcoholism
Biliary disease
Weight Gain
Diabetes Mellitus
12
What are some important aspects of post-op wound care?
None of the above
Never change the first dressing without a doctors order
Both A & B
If the dressing is stuck to the incision moisten it
13
What are the
S&S of a Fat Embolism?
Hypoxia with decreased 02 sat
Tachycardia
Petechial Rash (hemorrhages)
All of the above
14
Which of the following are CAI's?
MRSA
TB
Bacterial Meninigitis and All of the above
Hepatitis A
15
What teaching is important for a patient receiving SSRI's?
Both A & B
may cause sexual dysfunction
None of the above
do not take with Grapefruit juice or calcium channel blockers
16
What are the S&S of depression?
hopelessness & sadness
confusion
All of the above
sleep & appetite disturbances
17
What is
addiction?
physical need for medication
emotional need for medication
both A & B
psychological need and desire for the medication
18
How does
Metformin
work?
Decreases the production of glucose in theliver
Increases intestinal absorption of glucose
All of the above
Decreases insulin sensitivity
19
What
is the care of the patient
after a
thyroidectomy
?
Monitor Vital Signs
Monitor for hypocalcemia
Monitor for voice changes
All of the above
20
What is the post-op care & patient teaching for a patient who underwent a non-surgical
reduction of an inguinal hernia
?
All of the above
No heavy lifting, strenuous exercise or sex
Wear a support garment
Avoid constipation & coughing
21
What are the causes of acute confusion in the elderly?
Primarily UTIs
Medications, Infection, Dehydration
Dementia
Changes in their routine
22
A pt w/ peptic ulcer c/ o sudden sharp abd pain. Abd is tense & rigid. What is priority action?
Administer pain med. ordered.
Complete a thorough assessment.
Assess vital signs.
Notify the PCP immediately.
23
What is ESWL?
External Sound Wave Lithography
Uses sound waves to break up stones
Uses magnets to break up stones
Extra Sensory Wave Lengths used to break up stones
24
What is the post-op care of a patient after an
appendectomy
?
No sex
No heavy lifting
No physical exertion
All of the above
25
How do you assess pain?
Ask the patient to describe their pain
Ask as many questions as you can think of
Ask the patient to RATE their pain
Use an acronym such as Socrates or PQRSTS
26
What is MOM?
A tasty drink
None of the above
Everyone has one - mommy
A laxative
27
What is the
most serious complication of amputations?
Phantom Limb Pain
Flexion contracture
Hematoma
Skin breakdown
28
What is the
priority
nursing care of patients having a seizure?
Provide oxygen
Protect the patients head from injury
Ensure an open airway & safety
TIME the length and the progression of the seizure
29
What would you teach the patient to prevent future symptoms of GERD?
Keep HOB elevated at night
Avoid smoking & alcohol
All of the above
Do not lie down for at least 2 hours after eating
30
How can nurses
best
communicate with a patient with a hearing impairment?
Face the person & speak in a low tone
Speak in a clear voice
All of the above
Clearly pronounce words & do NOT SHOUT!
31
What patient teaching would you provide to a patient with
recurrent UTI’s
?
All of the above
drink 8 – 8 oz glasses of fluid daily/ water is best
Wipe front to back & urinate after sex
Avoid Caffeine & Alcohol
32
How does the nurse confirm placement for feeding in an NG tube placed by MD before 1st feeding?
Use pH litmus paper to ensure acid pH
Aspirate the stomach contents
Use pH litmus paper to ensure alkaline pH
Check the chest x-ray
33
What are the complications of
diarrhea
the nurse needs to monitor for?
Dehydration
Both B & C
Electrolyte Imbalances
Decreased BUN
34
What is the nursing care of patients newly diagnosed with
glaucoma
?
None of the above
Teach them to check with their MD before taking any OTC meds
Both A and B
Teach them to avoid activities that increase pressure in the eyes
35
What is dementia?
forgetfulness resulting in the inability to focus
the same as senility
acute confusion resulting in anxiety, fear & hallucinations
irreversible deterioration of brain affects memory, thinking, behavior
36
What are the rules for caring for patients in restraints in order to prevent injuries?
Visually check the restraint every 4 hours
Release & reposition every 2 hours
Remove the restraint every hour
Ensure the patient receives fluids every hour
37
What is the post-op care after cholecystectomy?
teach patient to introduce fats into the diet slowly
maintain pt in fowlers position
All of the above
teach patient that they may resume usual activities in one week
