MK Blue book from Quizlet

For every question the answer is right below it I

1 tbs
highlighted the 1st 3 so you can see
OriginalAlphabetical 3 tsp
􀀀􀀀􀀀
A 0 on the apgar means the baby 1 tbs
is stillborn 15 cc
􀀀􀀀􀀀
The #1 contracture problem in AKA is 1 tsp
____________ of the 4 to 5 cc
_____________ 􀀀􀀀􀀀
flexion, hip
The 2 most common surgeries used to treat
spinal
The #1 danger in both Myasthenic and cord injury are ____ and ______.
Cholinergic crisis is Laminectomy and spinal fusion
_____ ______. 􀀀􀀀􀀀
Respiratory arrest
The 2nd stage of labor and delivery
􀀀􀀀􀀀 accomplishes....
The #1 danger when using the dorsogluteal Delivery of the infant
site for IM 􀀀􀀀􀀀
injection is___________.
The 2nd stage of labor and delivery begins
Damage to the sciatic nerve
with ______ and ends with _______ of the
􀀀􀀀􀀀 ________.
1g Full dilation, delivery, infant
1000 mg 􀀀􀀀􀀀
􀀀􀀀􀀀 The 2nd stage of labor and delivery lasts
1 gm ______ hours for a primagravida and ______
15 gr hours for a multigravida.
􀀀􀀀􀀀 1 1/2 hours, 1/2 hour
The #1 goal in emergency treatment of spinal 􀀀􀀀􀀀
cord The 3rd stage of labor and delivery
injury is... accomplishes...
Immobilization of the spine Expulsion of the placenta
􀀀􀀀􀀀 􀀀􀀀􀀀
1 gr The 3rd stage of labor and delivery lasts...
60 mg Less than one hour
􀀀􀀀􀀀 􀀀􀀀􀀀
1 inch The 3rd trimester goes from week _____ to
2.5 cm week______.
􀀀􀀀􀀀 28, 40
1 kg 􀀀􀀀􀀀
1000 cc 3 to 6 years
􀀀􀀀􀀀 Pre-schooler
1 kg 􀀀􀀀􀀀
2.2 lbs 6 to 12 years
􀀀􀀀􀀀 School age
1L 􀀀􀀀􀀀
1000 cc A 10 on the apgar means the baby is
􀀀􀀀􀀀 in terrific health
1 ml 􀀀􀀀􀀀
1 cc 12 to 20 years
􀀀􀀀􀀀 Adolescent
1 oz 􀀀􀀀􀀀
30 cc 18 months to 3 years
􀀀􀀀􀀀 Toddler
The #1 problem with central lines ___________ 􀀀􀀀􀀀
Infection 18 to 25 years
􀀀􀀀􀀀 Young Adult
The #1 sign of MG is ______ ______ _____. 􀀀􀀀􀀀
Severe muscle weakness 90% of single-parent families are headed by
􀀀􀀀􀀀 a ___________.
Female
􀀀􀀀􀀀 After advancing a Penrose drain you
The abnormal hemoglobin produced by (should/should not) cut off the excess drain?
people with sickle cell anemia is called Hgb Should
______. 􀀀􀀀􀀀
Hgb S-it "sickles" After appendectomy, document in the nurses
􀀀􀀀􀀀 notes the return of __________
Abnromally high blood pressure is bowel sounds (peristalsis)
called____________. 􀀀􀀀􀀀
Hypertension After clep lip repair, what device will the
􀀀􀀀􀀀 baby wear?
Abruptio Placenta usually occurs in A Logan bow
(prima/multi) gravida over the age of 􀀀􀀀􀀀
____________. After corrective SURGERY how is the client
Multigravida, 35 (HTN, trauma, cocaine) turned?
􀀀􀀀􀀀 Log rolled (in a body cast)
Accurate blood pressure is obtained by using 􀀀􀀀􀀀
a cuff that has width of __________ of the arm. After discharge contact with the rape victim is
Two-thirds maintained via the _______.
􀀀􀀀􀀀 Telephone
Accutane is an analog of which vitamin? 􀀀􀀀􀀀
Vitamin A After meals, the nurse must always check
􀀀􀀀􀀀 _______ of the CVA client for _________.
Acid Ash diet Mouth (cheek), food
Decrease pH (makes urine acid) 􀀀􀀀􀀀
Chz, eggs, Meat, fish, oysters, poultry, Bread, After menopause, endometriosis
Cereal, Whole (decreases/increases).
Grains, Pastries, Cranberries, Prunes, Plums, Decreases
Tomatoes, Peas, 􀀀􀀀􀀀
Corn, Legumes. After rape, a woman needs follow-up
􀀀􀀀􀀀 exam/test for
Acrocyanosis _______ __________ ________.
Temporary cyanotic condition, usually in Sexually transmitted disease (STD's), i.e: AIDS,
newborns resulting gonorrhea,
in a bluish color around the lips, hands and syphilis...
fingernails, feet 􀀀􀀀􀀀
and toenails. May last for a few hours and After receiving ear drops the client should
disappear with remain in
warming. ________position for ________minutes.
􀀀􀀀􀀀 Side lying, 5
The activity order in early management of 􀀀􀀀􀀀
CVA is AFTER repair of cleft lip is infant allowed to
__________. cry? To breast feed?
Absolute Bed Rest No, the infant should be held to PREVENT
􀀀􀀀􀀀 CRYING; the infant
Adolescents are (low/high) risk for suicide. is not allowed to breast-feed because
High sucking is not good
􀀀􀀀􀀀 after lip repair.
The adolescent who is hospitalized fears 􀀀􀀀􀀀
separation from After surgery to remove an ovarian cyst the
_________ and loss of ___________. woman can return to normal activities
Peers, independence between _______ to _______ weeks,
􀀀􀀀􀀀 4-6 weeks
Adriamycin 􀀀􀀀􀀀
Cardiotoxicity After treatment how long do you have to
􀀀􀀀􀀀 inspect for lice?
Aerobe (Define) Inspect for 2 weeks to be sure that they are all
Micro-organisms requiring free oxygen to live gone
􀀀􀀀􀀀 􀀀􀀀􀀀
After administration of a vaginal durg the After using nose drops, the client should
client should remain _____ for______ minutes. remain ______ for _______ minutes.
Supine, 10 Supine, 5
􀀀􀀀􀀀 􀀀􀀀􀀀
After you remove soiled dressings and before Another name for surgical asepsis is...
you put on the sterile dressing you must.... Sterile technique
Wash your hands and put on sterile gloves 􀀀􀀀􀀀
􀀀􀀀􀀀 Antacids
Aging decreases the risk of hypertension. Give on empty stomach I hour ac and hs
(T/F) 􀀀􀀀􀀀
False, it increases the risk ante-
􀀀􀀀􀀀 Before in time or place (ie. "antepartal -
AIDS is trasmissible through what four routs? before giving birth)
blood, sexual contact, breast feeding, across 􀀀􀀀􀀀
placenta in utero Antibiotic (Define)
􀀀􀀀􀀀 A drug that destroys or inhibits growth of
The AIDS virus invades helper ____________. micro-organisms
T-lymphocytes (or CD4 cells) 􀀀􀀀􀀀
􀀀􀀀􀀀 Antibiotics are used to treat breast
Airborne microorganisms travel on ________ or engorgment? (T/F)
______particles. False
Dust or water 􀀀􀀀􀀀
􀀀􀀀􀀀 Anticholestinesterases will have
Aldactone (sympathetic/cholinergic) side effects.
Give with meals (K--sparing diuretic) Cholinergic (they will mimic the
􀀀􀀀􀀀 parasympathetic nervous
Allopurinol system)
Give with meals and give with lots of water-- 􀀀􀀀􀀀
anti uric acid--- Anticholinergic
used to treat gout and the purine build up Dilates pupils
seen in Causes photophobia
chemotherapy for cancer Used preoperatively for cataract removal
􀀀􀀀􀀀 Don't use in glaucoma
Amniotic fluid is (acidic/alkaline) Atropine is an example
Alkaline 􀀀􀀀􀀀
􀀀􀀀􀀀 Antiseptic (Define)
Amniotic fluid turns nitrazine paper deep A substance used to destroy or inhibit the
_________ (color). growth of
Blue pathogens but not necessarily their spores (in
general safe to
􀀀􀀀􀀀 use on persons)
Anaerobe (Define)
Micro-organisms that do not require free 􀀀􀀀􀀀
oxygen to live Anxiety-producing thoughts are called_____.
Obsessions
􀀀􀀀􀀀
An aneurysim is an abnormal _______________ 􀀀􀀀􀀀
of the wall of a(n) artery. Apendicitis is an _________ of the appendix
widening (it is also weakening) due to __________.
inflammation, obstruction
􀀀􀀀􀀀
An aneurysm can result from an _____________ 􀀀􀀀􀀀
and from ____________. Apendicitis occurs most in what age group?
infection, syphilis 15 to 35
􀀀􀀀􀀀 􀀀􀀀􀀀
An aneurysm will most affect which of the Aphasia is most common if the stroke
following, the blood pressure or the pusle? occurred in the (dominant/non-dominant)
the pulse (many times the aneurysm will hemisphere of the brain.
rupture and much Dominant
blood will be lost before the blood pressure 􀀀􀀀􀀀
starts to change. Application of (warm H2O compress/ice
􀀀􀀀􀀀 packs) is the preferred treatment for breast
Anorexics are usually __________ under the engorgement.
age of _____. Ice packs to decrease swelling
females, 25 􀀀􀀀􀀀
􀀀􀀀􀀀 Apresoline
Another name for medical asepsis is... Given with meals (antihypertensive)
Clean technique 􀀀􀀀􀀀
􀀀􀀀􀀀
Are all articles used by AIDS patients double- -ase
bagged? Used in naming enzymes
no - only those contaminated with secretions 􀀀􀀀􀀀
􀀀􀀀􀀀 Asepsis (Define)
Are anticholinesterases sympathetic or Absence of organisms causing disease
parasympathetic? 􀀀􀀀􀀀
Parasympathetic As soon as Placenta Previa is diagnosed, most
􀀀􀀀􀀀 pregnancies
Are diuretics used for women with pre- will be terminated via C-section if the fetus is
eclampsia? mature. (T/F)
Yes True
􀀀􀀀􀀀 􀀀􀀀􀀀
Are eggs allowed on a gluten-free diet? Assuming no mastitis, on which side should
Yes the
􀀀􀀀􀀀 breastfeeding begin?
Are enemas common before a Begin nursing on the side that the baby
hysterectomy? finished on the last
Yes feeding
􀀀􀀀􀀀 􀀀􀀀􀀀
Are enemas required before cystoscopy? As the prostate enlarges it compresses the
No, but may be ordered. ___________ and
causes urinary ________.
􀀀􀀀􀀀 Urethra, rentention
Are fats a normal constituent of feces?
Yes but it should be WNL 􀀀􀀀􀀀
As with any inflammatory disease clients with
􀀀􀀀􀀀 rheumatoid
Are foods made with wheat, oat, or rye flour arthritis have a low-_________.
allowed? grade fever
No
􀀀􀀀􀀀
􀀀􀀀􀀀 -atresia
Are Heberden's nodes painful? Condition of occlusion
Not in the beginning, can be later as swelling
occurs 􀀀􀀀􀀀
Atrial fibrillation increases the risk of CVA (T/F)
􀀀􀀀􀀀 True, emboli particularly
Are meats allowed on a gluten-free diet?
Yes, but watch for breaded meats and hot 􀀀􀀀􀀀
dogs/lunch At what age are accidental poisonings most
meats- may have grain in them and are not common?
allowed 2 years old
􀀀􀀀􀀀 􀀀􀀀􀀀
Are migraine headaches usually unilateral or At what age does BPH occur?
bilateral? men over 50 years of age
Unilateral 􀀀􀀀􀀀
􀀀􀀀􀀀 At what age is death most likely in sickle cell
Are migraines more or less common in men? anemia?
Less Young adulthood
􀀀􀀀􀀀 􀀀􀀀􀀀
Are nurses permitted to give perineal care to At what time of year does rheumatoid arthritis
clients of the flare up?
opposite sex? Spring
Yes, nurses are permitted to give perineal 􀀀􀀀􀀀
care to clients of Autonomy vs Shame and Doubt
the opposite sex. Toddler
􀀀􀀀􀀀 􀀀􀀀􀀀
Are puddings allowed on a gluten-free diet? Average blood loss during menstruation is
No, for the same reason ice cream isn't. _____cc.
􀀀􀀀􀀀 50 to 60 cc
Are rest periods and range of motion 􀀀􀀀􀀀
exercises appropriate Average duration of menstrual flow is _____.
in the care of osteoarthritis? The normal
Yes, rest is probably the most effective thing range is _____ to ______ days.
they can do. 5 days, 3 to 6
􀀀􀀀􀀀 􀀀􀀀􀀀
Baclofen causes (constipation/diarrhea) lung?
Constipation Air, fat, tumor cells
􀀀􀀀􀀀 􀀀􀀀􀀀
Bactericide (Define) Besides pain, people with migraines complain
Substance capable of destroying micro- of what other
organisms but not symptoms?
necessarily their spores Nausea, vomiting and visual disturbances
􀀀􀀀􀀀 􀀀􀀀􀀀
Bacteriostatic (Define) Besides the Tensilon Test, what other
Substance that prevents or inhibits the growth diagnostic tests
of microorganisms confirm a diagnosis of MG?
􀀀􀀀􀀀 Electromylogram (EMG)
The basis for a therapeutic nurse/patient 􀀀􀀀􀀀
relationship The best client position during airway
begins with the ______, self______ and ______ suctioning is _______.
_______. Semi-fowlers
Nurse's, awareness, self understanding 􀀀􀀀􀀀
􀀀􀀀􀀀 The best goal to evaluate the progress of the
Bed side rails should be up for the following client with
individuals... anorexia nervosa?
Elderly clients, unconscious, babies, young an adequate weight gain
children, restless, 􀀀􀀀􀀀
confused The best way to decrease nosocomial
􀀀􀀀􀀀 infection is sterile
Before administering vaginal medications the technique. (T/F)
client is more False, hand washing is the best way.
comfortable if you ask them to _________ . 􀀀􀀀􀀀
Void The best way to ensure effectiveness of a
􀀀􀀀􀀀 rectal suppository
Before allowing the dialysate to flow into the is to...
peritoneal Push the suppository against the wall of the
cavity it must be _____ to _____ temperature. rectum
Warmed, body 􀀀􀀀􀀀
􀀀􀀀􀀀 The best way to prevent thrombophlebitis is
Before applying elastic hose the nurse TED hose.
should... (T/F)
Elevate the clients legs for 3 to 5 minutes to False, ambulation/exercise are the best ways.
decrease venous 􀀀􀀀􀀀
stasis Birth to 18 months
􀀀􀀀􀀀 Infancy
Before evident from the woman's body can 􀀀􀀀􀀀
be gathered for Bleomycin
rape, _____ _____ must be completed. Pulmonary fibrosis
Consent forms
􀀀􀀀􀀀
􀀀􀀀􀀀 The burn patient will be on _______urine
Before PD it is important the client be... output and daily
Weighed, to assess water loss or gain __________.
􀀀􀀀􀀀 Hourly, weight
Before the client with suspected appendicitis 􀀀􀀀􀀀
sees the By what day post-op should the client begin
physician what should be avoided? to take care of
pain meds, enemas, laxatives, food! NPO their own stoma?
􀀀􀀀􀀀 By the 3rd to 4th day, they should be looking
Before you give digitalis, what action must at it and asking
you take? questions by day 2.
Measure the apical pulse 􀀀􀀀􀀀
􀀀􀀀􀀀 By what route do you take nitro?
Being alkaline means have a (high/low) pH sublingual
High 􀀀􀀀􀀀
􀀀􀀀􀀀 Can 3 cc of fluid be administered per IM into
Besides a thrombus what else can cause an the deltoid of
embolus in the an adult?
No, maximum of 1 cc No, just treated
􀀀􀀀􀀀 􀀀􀀀􀀀
Can a client on PD: Sit in a chair? Eat? Can ice packs to the scalp prevent
Urinate? Defacate? chemotherapy alopecia?
Yes to all In some cases, yes
􀀀􀀀􀀀 􀀀􀀀􀀀
Can a client smoke in the room when the O2 Can impaired skin integrity ever be an
is turned off? appropriate nursing
No, the O2 delivery device must be removed diagnosis when poisoning has occurred?
from the wall or Yes, when lye or caustic agents have been
the tank out of the room before a client can ingested
smoke 􀀀􀀀􀀀
􀀀􀀀􀀀 Can letting IVs run too fast cause pulmonary
Can a client who had recent bowel surgery edema?
get PD? Yes in the client with poor cardiovascular
No function
􀀀􀀀􀀀 􀀀􀀀􀀀
Can AIDS patients leave the floor? Can morphine be given to a woman with CD
Yes, unless WBC's are very low during labor?
􀀀􀀀􀀀 Yes, even though it negatively affects the
Can an EGD be done on clients with GI fetus, remember
bleeding? morphine decreases preload and pain which
Yes rests the heart.
􀀀􀀀􀀀 􀀀􀀀􀀀
Can a woman on oral contraceptives Can nurses be held liable for an accident
breastfed? resulting from a
Should not use OCP during the first 6 weeks client not being told how to use the call light?
after birth yes
because the hormones may decrease milk 􀀀􀀀􀀀
supply. Estrogen is Can post-operative pain medications be
not recommended. Non-hormonal methods given in the
are recovery room?
recommended. Remember, breastfeeding is Yes
an unreliable 􀀀􀀀􀀀
contraceptive. Can pregnancy convert a non-diabetic
􀀀􀀀􀀀 woman into a
Can a woman with CD of pregnancy be diabetic?
given analgesics Yes
during labor? 􀀀􀀀􀀀
Yes, in fact they should be given analgesics, Can scalp tourniquets prevent chemotherapy
may get too alopecia?
anxious which is bad for the patient In some cases, yes
􀀀􀀀􀀀 􀀀􀀀􀀀
Can blood be given immediately after Can skin traction be removed for skin care?
removal from Yes
refrigeration?
No, it has to be warmed first for only about 20 􀀀􀀀􀀀
to 30 Can the client be removed from skeletal
minutes. traction?
No
􀀀􀀀􀀀
Can cleft lip /palate babies sleep on their 􀀀􀀀􀀀
backs? Can the client turn side-to-side after a spinal
Yes tap?
Yes
􀀀􀀀􀀀
Can drugs be piggybacked into central -- 􀀀􀀀􀀀
TPN? Can the patient with spinal cord injury at C7
No, use another lumen. level have
respiratory arrest?
􀀀􀀀􀀀 Yes, because even thought his injury was
Can EGD be done on an uncooperative below C4, spinal
client? shock can lead to loss function above the
No level, however the
􀀀􀀀􀀀 will not be permanently ventilator
Can hypertension be cured? dependent-he will breath
on when once spinal shock goes away. The cause of cancer is known. (T/F)
􀀀􀀀􀀀 False
Can the stroke victim be turned side-to-side? 􀀀􀀀􀀀
Yes The cause of RDS is a lack of _______.
􀀀􀀀􀀀 Surfactant
Can the thigh EVER be used to obtain a 􀀀􀀀􀀀
blood pressure? A CD4 count of under __________ is
Yes, but this is rare. associated with the
􀀀􀀀􀀀 onset of AIDS-related symptoms.
Can the woman with a cesium implant have 500
the HOB 􀀀􀀀􀀀
elevated? A CD4 count of under _______ is associated
Yes, only 45 degrees maximum with the onset
􀀀􀀀􀀀 of opportunistic infections.
Can too tight bras lead to mastitis? 200
Yes, preventing emptying of ducts 􀀀􀀀􀀀
􀀀􀀀􀀀 CD ranks ________ among the leading cause
Can we cure pernicious anemia? of maternal
No, just treat the symptoms. death.
Fourth
􀀀􀀀􀀀
Can you microwave frozen breast milk in 􀀀􀀀􀀀
order to -cele
warm/thaw it? Combining form meaning a tumor or swelling
Never or a cavity
􀀀􀀀􀀀 􀀀􀀀􀀀
Can you use alcohol on the earmold of a Celiac's disease is a __________ disease
hearing aid? Malabsorption
No, it dries and cracks it 􀀀􀀀􀀀
􀀀􀀀􀀀 Centers on having basic needs met
Can you use cotton swabs to clean the eyes, Infancy
nares or ears 􀀀􀀀􀀀
of an infant? -centesis
No, this is dangerous A perforation or puncture
􀀀􀀀􀀀 􀀀􀀀􀀀
Can you use the same cotton ball/washcloth THe cervix is fully dilated when it is ______ cm.
edge for both 10
eyes? 􀀀􀀀􀀀
No, it would cross contaminate The cessation of sounds is known as the
􀀀􀀀􀀀 _________
Capoten Second diastolic sound
Give on empty stomach, one hour before 􀀀􀀀􀀀
meals Chancres disappear without treatment. (T/F)
(antihypertensive) True
􀀀􀀀􀀀 􀀀􀀀􀀀
Carafate and sulcrafate The chancres of syphilis are (painful/painless).
Give on empty stomach 1 hour before meals Painless
and at bedtime
-- remember these coat the GI tract and 􀀀􀀀􀀀
interfere with the The change in the character of the sounds is
absorption of other medications (give them known as the
by themselves) ________
First diastolic sound
􀀀􀀀􀀀
Carbonic Anhydrase Inhibitors 􀀀􀀀􀀀
Treat glaucoma CHF can be right-sided, left sided or both-
Decreases aqueous humor production sided. (T/F)
Diuresis True- left sided usually comes FIRST
Diamox is an example 􀀀􀀀􀀀
􀀀􀀀􀀀 CHF can result from MI. (T/F)
carbs provide ____________ Kcalories per 1 True
gram 􀀀􀀀􀀀
4 Children are at _____ risk for suicide.
􀀀􀀀􀀀 Low􀀀􀀀􀀀
Children at highest risk for seizure activity after Practices that help reduce the number &
ingestion spread of microorganisms
are those who have swallowed _____________ (synonym for medical asepsis)
and 􀀀􀀀􀀀
______________. The client is (awake/under local
drugs, insecticides anesthesia/under general
􀀀􀀀􀀀 anesthesia) during ECT?
Children should receive no more than _______ Under general anesthesia -- must be
cc per site by artificially ventilated
IM injection. 􀀀􀀀􀀀
2 cc The client on a PCA pump is less likely to have
􀀀􀀀􀀀 postoperative
Children with cleft lip and cleft palate have complications than the client without a PCA
long-term pump. (T/F)
problems _____, _____ and _____. True, because the comfortable patient
hearing moves around more
speech and is less likely to get thrombophlebitis,
teeth pulmonary
􀀀􀀀􀀀 embolus, fatigue, ileus and pneumonia
Children with cleft lip/palate should be fed in 􀀀􀀀􀀀
what The client should remain supine for 5 minutes
position? after having
An almost upright position received a rectal suppository. (T/F)
􀀀􀀀􀀀 False-- they should be lying on their side for 5
Children with epiglottitis often need a minutes, not
tracheotomy. What supine
behavior would indicate the need for a 􀀀􀀀􀀀
tracheotomy? Clients on heparin should use an electric razor
Restlessness or safety
Increased HR razor?
Retractions Electric razor
􀀀􀀀􀀀 􀀀􀀀􀀀
The child with meningitis is most likely to be Clients on PCA pumps use more medication
(lethargic/irritable) at first. than those
Irritable receiving IM injections. (T/F)
􀀀􀀀􀀀 False, they use less
The child with the diagnosis of CF probably 􀀀􀀀􀀀
had a history of Clients on what class of drugs should use an
_________ ________ at birth. elastic razor?
Meconium ileus-- bowel obstruction due to Anticoagulants (heparin/coumadin/lovenox)
the thickness of 􀀀􀀀􀀀
the stool. Clients on what type of therapy must use a
􀀀􀀀􀀀 safety blade
Chronic abuse of alcohol increases risk of razor (non electric)?
CVA. (T/F) Oxygen therapy, since an electric razor could
False cause sparks
􀀀􀀀􀀀 􀀀􀀀􀀀
Chronic _____________therapy imitates Clients receiving chemotherapy must be
Cushings. NPO. (T/F)
Steroid False
􀀀􀀀􀀀 􀀀􀀀􀀀
Cigarette smoking increases the risk of heart The client's skin will be _____, ______, and
disease. (T/F) ________.
True Cool, pale, clammy (due to arterial
􀀀􀀀􀀀 constriction to shunt
-cis blood from skin to vital organs)
Cut, kill 􀀀􀀀􀀀
􀀀􀀀􀀀 Clients with AIDS (gain/lose) weight?
Cisplatin lose
Peripheral neuropathy, constipation, 􀀀􀀀􀀀
ototoxicity Clients with a Milwaukee brace should avoid
􀀀􀀀􀀀 vigorous
Clean technique (Define) exercise. (T/F)
True 􀀀􀀀􀀀
􀀀􀀀􀀀 Colostomies performed for a gunshot are
Clients with celiac's disease do not absorb usually
what mineral? (temporary/permanent)
Iron Temporary
􀀀􀀀􀀀 􀀀􀀀􀀀
Clients with celiac's disease don't absorb fats; Colostomies performed for cancer tend to be
therefore (temporary/permanent).
they don't absorb _____ ______ ______. Permanent
Fat soluble vitamins 􀀀􀀀􀀀
􀀀􀀀􀀀 The comfort range of temperature is...
Clients with COPD are not good candidates 68 to 74 degrees
for PCA pumps. 􀀀􀀀􀀀
(T/F) Comfort range or relative humidity is...
True, due to the effects of narcotics on 30-60%
central respiratory
control 􀀀􀀀􀀀
Common signs of large ovarian cysts are...
􀀀􀀀􀀀 Low back pain
Clients with cystine nephrolithiasis should Pelvic pain
have a (n) Abnormal bleeding
_________ ash diet.
Alkaline 􀀀􀀀􀀀
Compare signs of non-ruptured ovarian cysts
􀀀􀀀􀀀 with the
The client with celiacs cannot sings of a ruptured ovarian cyst. (Give 3 for
tolerate___________. each)
Gluten Non-ruptured: low back pain, dull pelvic pain,
􀀀􀀀􀀀 abnormal
The client with emphysema is uterine bleeding especially with menstruation
(ruddy/pale/cyanotic). Ruptured: acute pain, abdominal distention,
Cyanotic and abdominal
􀀀􀀀􀀀 rigidity
The client with hemianopsia should be taught 􀀀􀀀􀀀
to Complete recovery from the paralysis of Bell's
____________. Palsy should
Scan occur in _______ to ______ months.
􀀀􀀀􀀀 4 to 6
The client with meningitis can 􀀀􀀀􀀀
develop________. The connecting tube of a hearing aid can be
Seizures cleansed
􀀀􀀀􀀀 with__________.
The client with uric acid nephrolithiasis should A pipe cleaner
have a diet 􀀀􀀀􀀀
low in ___________. Contaminate (Define)
Methionine To make something unclean or unsterile
􀀀􀀀􀀀 􀀀􀀀􀀀
Cloudy drainage in the dialysate commonly The convulsion (seizure) that the electrical
means... current
Peritonitis (Not good, call MD) produced is violent. (T/F)
􀀀􀀀􀀀 False, it used to be, but it isn't any more with
Coagulate (Define) the use of
Process that thickens or congeals a muscle relaxants
substance 􀀀􀀀􀀀
􀀀􀀀􀀀 Coumadin therapy is monitored by what daily
Codeine test?
Take with lots of water rergardless of meals -- PT (prothrombin time)
to prevent 􀀀􀀀􀀀
constipation Culture means....
􀀀􀀀􀀀 Growing colony of organisms, usually for the
Colchicine purpose of
Give with meals -- anti gout, remember if identifying them
diarrhea develops, 􀀀􀀀􀀀
stop the drug
Cushings clients will have 􀀀􀀀􀀀
(increased/decreased) resistance A decrease in urobilin in stool results in stool
to infection. that is______
Decreased ________.
􀀀􀀀􀀀 Clay-colored
Cushings Man aka Cush Man 􀀀􀀀􀀀
moon face with infection Deep vein thrombosis is most common in
buffalo hump on back what type of
big trunk surgery?
thin extremities Low abdominal or pelvic
loses potassium
keeps glucose and salt 􀀀􀀀􀀀
has striations on abdomen and breasts Define azotemia?
nitrogenous wastes in the blood (increased
􀀀􀀀􀀀 creatinine, BUN)
Cushings syndrome is __________ secretion of
_______, 􀀀􀀀􀀀
_______ and _______ _______ by the _______ Define cataract
_______. Opacity of the crystalline lens
Oversecretion; glucocorticoids, 􀀀􀀀􀀀
mineralocorticoids, Define contusion.
androgenic hormones; adrenal gland Bruise (internal)
􀀀􀀀􀀀 􀀀􀀀􀀀
The Cushings syndrome patient will have a Define Cystoscopy?
_________ on Direct visualization of the urethra and bladder
their upper back. through a
Buffalo hump cystoscope.
􀀀􀀀􀀀 􀀀􀀀􀀀
The Cushings syndrome patient will have Define debridement.
________ Removal of necrotic tissue from a wound.
natremia, _________kalemia and 􀀀􀀀􀀀
_______glycemia. Define dehiscense
Hyper; hypo; hyper Separation of the incisional edges
􀀀􀀀􀀀 􀀀􀀀􀀀
A CVA is a __________ of the brain cells due to Define EGD
decreased Insertion of a fiber optic scope to visualize the
_____ _____ and ______. esophagus,
Destruction; blood flow and oxygen stomach and duodenum
􀀀􀀀􀀀 􀀀􀀀􀀀
The CVA patient should be turned onto his Define evisceration
paralyzed side Protrusion of abdominal contents through a
no longer than 2 hours. (T/F) dehiscence.
False, the patient should not be on their
paralyzed side for 􀀀􀀀􀀀
more than 20 minutes. Define laceration.
Cut
􀀀􀀀􀀀
Cysts on the ovaries are usually malignant. 􀀀􀀀􀀀
(T/F) Define Leukopenia
False, usually benign decrease in wbc, indicated viral infection
􀀀􀀀􀀀 􀀀􀀀􀀀
Cytoxan cyclophosphamide Define Meniere's Disease
Hemorrhagic cystitis An increase in endolymph in the inner ear,
causing severe
􀀀􀀀􀀀 vertigo.
Dangers associated with drafts are...
Circulation of micro-organisms on air currents 􀀀􀀀􀀀
Define nuclear family
􀀀􀀀􀀀 A family of parents and their offspring
Dantrium causes (constipation/diarrhea)
Diarrhea (hint: D's go together, Dantrium and 􀀀􀀀􀀀
Diarrhea) Define renal failure.
Inability of the kidney to excrete wastes &
􀀀􀀀􀀀 maintain fluid &
Death from Respiratory Distress Syndrome electrolyte balance
most
commonly occurs within _____ hours of birth. 􀀀􀀀􀀀
96 Descending Colostomy
formed stool machine with them.
typical stool odor 􀀀􀀀􀀀
stool doesn't irrigate unless diarrhea Disinfectant (Define)
predictable 2 to 3 times per day emptying A substance used to destroy pathogens but
lowest risk for fluid/electrolyte imbalances not necessarily
continent their spores (in general not intended for use
do irrigate on persons)
􀀀􀀀􀀀 􀀀􀀀􀀀
Describe the hygiene measures the you Do all the children with otitis media need
teach the tubes in their
patient receiving external radiotherapy? ears?
Use plain water only, no soaps, pat dry, can No
use cornstarch
for itch 􀀀􀀀􀀀
Do clients in hypovolemic shock have to
􀀀􀀀􀀀 have a Foley
Describe the nipples on bottles used to feed inserted?
babies with Yes, to measure urine output (when output is
cleft lip? >30 cc per
Large-holed, soft nipples hour the shock has resolved)
􀀀􀀀􀀀 􀀀􀀀􀀀
Describe the pain of angina pectoris Does a client have to be NPO before an
crushing substernal chest pain that may EEG?
radiate No, they should never be NPO, it could cause
􀀀􀀀􀀀 hypoglycemia
Describe the typical child with pyloric stenosis. and alter the EEG results.
Firstborn, full term, white, boys 􀀀􀀀􀀀
􀀀􀀀􀀀 Does AIDS require a single room?
-desis Yes - if WBC counts are low
Binding, fusing 􀀀􀀀􀀀
􀀀􀀀􀀀 Does anything exit the skin in an AV fistula?
The development of emphysema is most No
associated with a 􀀀􀀀􀀀
history of ___________. Does anything exit the skin in an AV shunt?
Smoking Yes, the plastic tube that connects the artery
􀀀􀀀􀀀 and vein
Diabetes with pregnancy is (more/less) outside the arm
common as the 􀀀􀀀􀀀
woman ages. Does breast engorgement interfere with
More nursing?
􀀀􀀀􀀀 Yes, the infant has a difficult time latching on
The diagnosis is made when there is a weight (getting nipple
loss of in its mouth)
_______% or more of body weight. 􀀀􀀀􀀀
15 (weigh < 85% of normal body weight), Does client need to have side rails up after
hospitalize if 30% EGD?
weight loss Yes, until sedative effects of valium have
􀀀􀀀􀀀 worn off
Dietary indiscretions and uncleanliness are 􀀀􀀀􀀀
causes of acne? Does Meniere's occur more in men or
False women?
􀀀􀀀􀀀 Women
The diet of a patient with MS should be ____-- 􀀀􀀀􀀀
ash. Does stress make acne worse?
Acid yes
􀀀􀀀􀀀 􀀀􀀀􀀀
The digits in Raynaud's are hot or cold? Does the client have to be NPO before a
Cold spinal tap?
􀀀􀀀􀀀 No
A disadvantage of PCA pumps is that the 􀀀􀀀􀀀
client does not Does the client have to be sedated before a
ambulate as early due to the machine. (T/F) spinal tap?
False, PCA clients ambulate earlier and they No
pull their
􀀀􀀀􀀀 dysreflexia?
Does the heart rate increase or decrease in No, only call the doctor if draining the
pulmonary bladder & removing
embolus? impaction does not work
Increase 􀀀􀀀􀀀
􀀀􀀀􀀀 A drug for long term anticoagulation in any
Do hearing aids help in otosclerosis? disorder would
Yes be?
Coumadin
􀀀􀀀􀀀
Do patients experiencing a CVA have a 􀀀􀀀􀀀
headache? A drug given by a parenteral route acts
Yes outside the GI tract.
(T/F)
􀀀􀀀􀀀 True
Do people have a loss of hearing with
otosclerosis? 􀀀􀀀􀀀
Yes A dry cast is dull or resonant to percussion?
Resonant
􀀀􀀀􀀀
Do people recover from AGN? 􀀀􀀀􀀀
Yes, the vast majority of all clients recover A dry cast is dull or shiny?
completely from it Shiny
􀀀􀀀􀀀 􀀀􀀀􀀀
Do people without cell damage have A dry cast is gray or white?
troponin in their White
blood? 􀀀􀀀􀀀
No it is only present when myocardial cells DTIC- dome
are damaged. Flu-like symptoms
􀀀􀀀􀀀 Chemo-therapeutic Agent Toxicities
Do plant foods contain any cholesterol? 􀀀􀀀􀀀
No, not many Due to increased destruction of RBC's seen in
􀀀􀀀􀀀 polycythemia
Do small ovarian cysts cause symptoms? vera what blood level will be increased?
No, only large ones Uric acid levels will be high (remember - uric
acid levels are
􀀀􀀀􀀀 always high when cells are being destroyed
Do you assess for suicide potential whenever as in hemolysis,
a chemotherapy or radiation therapy)
patient makes any statement about wanting
to die or kill 􀀀􀀀􀀀
self? Due to MI occurs within _____ of symptom
Yes, in fact whenever a patient makes a onset in 50% of
statement about all patients.
wishing or wanting to die or kill self you must One hour
ALWAYS AND 􀀀􀀀􀀀
FIRST assess for suicide potential*-stop During an acute bleeding episode, you
everything and should
assess for suicide patient (except CPR, or apply________ for 15 minutes and
course) apply________.
􀀀􀀀􀀀 Pressure, ice
Do you give anticholestinerases with or 􀀀􀀀􀀀
without food? During bleeding into the joints you should
With food, about 1/2 hour ac; giving ac helps (mobilize/immobilize) the extremity.
strengthen Immobilize to prevent dislodging the clots
muscles of swallowing that do form.
􀀀􀀀􀀀 􀀀􀀀􀀀
Do you need an informed consent for a spinal During exam the vaginal speculum is
tap? lubricated before it is
Yes placed in the vagina? (T/F)
􀀀􀀀􀀀 False, lubrication could alter the evidence
Do you need a signed informed consent for 􀀀􀀀􀀀
an EEG? During menstruation, the average daily loss of
No iron is _____
􀀀􀀀􀀀 mg.
Do you need to call the doctor for autonomic 0.5 to 1.0 mg
􀀀􀀀􀀀 _______ times normal.
During pregnancy what complications is most 2.5
dangerous 􀀀􀀀􀀀
for the fetus of a diabetic? Egg white is (high/low) in cholesterol?
ketosis Low
􀀀􀀀􀀀 􀀀􀀀􀀀
During shock phase of a burn is potassium Egg yolk is (high/low) in cholesterol?
increased or High
decreased? Why? 􀀀􀀀􀀀
Increased, because of all the cells damaged- Ego Integrity vs. Despair
the K+ is (Erikson) People in late adulthood either
released from damaged cells. achieve a sense of
􀀀􀀀􀀀 integrity of the self by accepting the lives they
During the first trimester the woman have lived or
experiences yield to despair that their lives cannot be
decreased or increased vaginal secretions? relived
Increased 􀀀􀀀􀀀
􀀀􀀀􀀀 Elastic stockings should be removed for the
During the luteal phase of the ovarian cycle, bath. (T/F)
which of the True
following hormones increase: estrogen, 􀀀􀀀􀀀
progesterone or An elderly client is a (high/low) risk for
LH? accidental
Progesterone and LH poisoning? What about a school age child?
􀀀􀀀􀀀 high - due to poor eyesight, high
During what phase should the nurse examine 􀀀􀀀􀀀
his/her own -emia
feelings? Blood
Pre-interaction phase
􀀀􀀀􀀀
􀀀􀀀􀀀 An emulsion is a mixture of ______ and ______.
The dyspnea of pulmonary embolus is Oil and H2O
accompanied by ____
_____. 􀀀􀀀􀀀
Pleuritic pain Encourage creativity and collecting things
School Age
􀀀􀀀􀀀
An early sign of hepatitis A is ________. 􀀀􀀀􀀀
Anorexia or fatigue Encourage fantasy
Pre-schooler
􀀀􀀀􀀀
Early stage hepatitis often looks like the 􀀀􀀀􀀀
_______. Endometriosis most commonly occurs in
Flu women between
ages of ______ and ________.
􀀀􀀀􀀀 25 to 40
ec-
Out of 􀀀􀀀􀀀
Enuresis
􀀀􀀀􀀀 inability to control the flow of urine and
-ectomy involuntary urination
Surgical removal of
􀀀􀀀􀀀
􀀀􀀀􀀀 Epiglottitis most commonly occurs in children
Ectopic pregnancy is implantation of a from age
fertilized ovum ________ to ______.
________ the _________. 1 to 8 years
Outside, uterus
􀀀􀀀􀀀
􀀀􀀀􀀀 Erythromycin
Ectopic pregnancy is (usually/almost never) Give on empty stomach (antibiotics)
carried to term.
Almost never 􀀀􀀀􀀀
Everyone with angina needs bypass surgery?
􀀀􀀀􀀀 t/f
e-; ex- False
Out from, away from, outside
􀀀􀀀􀀀
􀀀􀀀􀀀 Eye drops should be placed directly into the
Effective heparin therapy rises the PTT to _______
approximately _______.
Conjunctival sac Rapidly
􀀀􀀀􀀀 􀀀􀀀􀀀
Eye medications can be given directly over Fluid moves from the___________ to the
the cornea. (T/F) _______ in the
False, into the conjunctival sac, never the SHOCK phase.
cornea; hold the Bloodstream, interstitial space
dropper 1/2 inch above the sac 􀀀􀀀􀀀
􀀀􀀀􀀀 Foods lose some or all of their fiber when they
The eye should be irrigated so that the are
solution flows from ___________. ___________,____________
outer to inner canthus. (T/F) or__________.
False, it must flow from inner canthus to outer Processed, cooked, peeled, refined
(alphabetical: I 􀀀􀀀􀀀
to O) For acute exacerbations of MS _______ per IV
􀀀􀀀􀀀 is often used.
Family history of diabetes increases the risk fo ACTH (Corticotropin)
heart 􀀀􀀀􀀀
disease. (T/F) For a woman who doesn"t have retracted
True nipples, is towel
􀀀􀀀􀀀 drying or air drying better?
Family history of liver disease increases the risk Air drying of the nipples is best
of heart 􀀀􀀀􀀀
disease. (T/F) For breast engorgement, the non-
False breastfeeding mother
􀀀􀀀􀀀 should be told to express breast milk. (T/F)
Fats carry vitamins No, that would increase milk production and
A,D,E,K (Remember FADE K!) would make the
􀀀􀀀􀀀 problem worse (warm compresses or warm
Fats provide ___________ Kcalories per 1 gram. shower to let milk
9 "leak" is okay- Ice is best)
􀀀􀀀􀀀 􀀀􀀀􀀀
The feedings for an infant with pyloric stenosis For cervical osteoarthritis the client should
should be wear...
thick or thin? A cervical collar
Thickened 􀀀􀀀􀀀
􀀀􀀀􀀀 For how long should suction be applied
A first degree burn has vesicles (T/F)? during any
False one entry of the catheter?
10 seconds
􀀀􀀀􀀀
A first degree burn is pale or red? 􀀀􀀀􀀀
Red For the client with calcium nephrolithiasis the
diet should
􀀀􀀀􀀀 be _________ash.
The first sign of CVA is usually a___________. Acid
Change in LOC
􀀀􀀀􀀀
􀀀􀀀􀀀 For the patient with neurogenic bladder you
The first sign that a fallopian ectopic should
pregnancy had straight catheterize every ____ hours.
ruptured is... Every 6 hours
Sharp abdominal pain
􀀀􀀀􀀀
􀀀􀀀􀀀 For what purpose do you use the rule of
The first thing a nurse should do when a client nines?
objects to To estimate the percentage of body surface
side rails is... burned; is NOT
Explain why they are being used. used for children.
􀀀􀀀􀀀 􀀀􀀀􀀀
The first trimester goes from week _____ to For what reason are Montgomery straps
week_____. used?
1, 13 Permit you to remove & replace dressings
􀀀􀀀􀀀 without using tape
Flight of ideas is when the patient changes (protects the skin)
topics of 􀀀􀀀􀀀
conversation______.
For which type aphasia is careful listening and Anorexia, fatigue, weakness, night sweats,
needs fever, diarrhea
anticipation most useful? 􀀀􀀀􀀀
Expressive Give another name for an MI.
􀀀􀀀􀀀 Heart attack
For which type of aphasia are slow, short, 􀀀􀀀􀀀
simple directions Give choices
most useful? Toddler
Receptive
􀀀􀀀􀀀
􀀀􀀀􀀀 Give five causes of catarcts?
The four most common organisms that cause Injury
meningitis Congenital
are... Exposure to heat
Pneumococcus Heredity
Meningococcus Age
Streptococcus
H. influenza 􀀀􀀀􀀀
Give some signs of infection in a Foley
􀀀􀀀􀀀 catheter
A fresh new stoma is _________, __________ Cloudy urine, foul smelling urine, hematuria
and __________.
Red, large, noisy 􀀀􀀀􀀀
Give the 2 major roles of the family in society
􀀀􀀀􀀀 To protect and socialize
From where should the nurse provide care to
the client with 􀀀􀀀􀀀
cesium implant? Give three appropriate indications for
The head of the bed bladder
catheterization?
􀀀􀀀􀀀 Urinary retention, to check for residual, to
From where should the nurse talk to the monitor hourly
client? output
The entrance to the room
􀀀􀀀􀀀
􀀀􀀀􀀀 Give three eye interventions for the client with
Fruits are allowed or not allowed? Bell's Palsy.
Allowed Dark glasses, artificial tears, cover eye at
􀀀􀀀􀀀 night
Fruits are (high/low) in fiber. 􀀀􀀀􀀀
High Give three possible causes of hyperemesis
􀀀􀀀􀀀 gravidarum.
Generativity vs. Stagnation Pancreatitis
Erikson's stage of social development in which Multiple pregnancies
middle-aged Hydatidiform mole
people begin to devote themselves more to 􀀀􀀀􀀀
fulfilling one's Give three reasons for a blood transfusion
potential and doing public service Restore blood volume secondary to
􀀀􀀀􀀀 hemorrhage, maintain
-genic hemoglobin in anemia, replace specific
Produce, originate, become blood components
􀀀􀀀􀀀 􀀀􀀀􀀀
Gestational diabetes is associated with what Give three reasons for giving a back rub.
OB history? Comfort
Previous large baby (over 9 lbs), unexplained Stimulate circulation and muscles
stillbirth, Relaxation
miscarriage, congenital anomalies 􀀀􀀀􀀀
􀀀􀀀􀀀 Gluten is a __________.
Gestational diabetics tend to get ________ Protein
infections. 􀀀􀀀􀀀
Monilial (yeast) The goal is for the infant to breast feed for
􀀀􀀀􀀀 __________
Give 3 stages of acute renal failure. minutes per side.
Oliguric, diuretic, recovery 20
􀀀􀀀􀀀 􀀀􀀀􀀀
Give 6 symptoms of HIV disease. The goal of action while the suicidal patient is
still of
the phone is to get _______ person _______ the Heparin is used in the acute phase of
______. pulmonary embolus.
Another person on the scene (then What drug is used for 6 months after
immediately decreases pulmonary embolus?
risk) Remember: people who are alone are Coumadin
always high risk 􀀀􀀀􀀀
􀀀􀀀􀀀 Heparin therapy is monitored by daily
Grains of all kinds are prohibited. (T/F) measurement of the
False _______.
􀀀􀀀􀀀 PTT (partial thromboplastin time)
-gram; -graphy 􀀀􀀀􀀀
Write; record Hepatitis A
􀀀􀀀􀀀 Enteric precautions
The greatest danger in placing water in the Fecal/oral route of transmission
mouth of the Incubates 3 to 5 weeks
unconscious patient during oral hygiene is... Vaccine available (Can give immune
Aspiration globulin after exposure)
HAsAg (this is what the blood test show)
􀀀􀀀􀀀 Hepatitis A surface
Griseofulvin Antigen
Give with meals-- especially high fat meals
(anti-fungal) 􀀀􀀀􀀀
Hepatitis A,B,C and D are all (bacterial/viral)
􀀀􀀀􀀀 diseases.
The group with the highest incidence of Viral
Buerger's disease
is __________. 􀀀􀀀􀀀
Smokers Hepatitis B
Watch those needles
􀀀􀀀􀀀 HBsAg (this is what blood tests show) Hepatitis
The hair loss due to chemotherapy is usually B surface
temporary? antigen
(T/F) HBIG - vaccine
True Vaccination available, can give immune
􀀀􀀀􀀀 globulin after
Has hyperemesis gravidarum ever been exposure
associated with Transmitted by blood and body fluids
mixed feelings about pregnancy? Incubates 5 to 35 weks
Yes, increased incidence of it in women who 􀀀􀀀􀀀
are ambivalent Hepatitis C
about pregnancy Watch those needles
􀀀􀀀􀀀 Incubates 2 to 23 weeks
Have intrauterine devices to prevent Transmitted by blood only
pregnancy ever been No vaccine, immune globulin doesn't work
linked to ectopic pregnancy? 􀀀􀀀􀀀
Yes and so have pelvic infections. Hepatitis is an _____, ______ disease of the
􀀀􀀀􀀀 _______.
Hearing aids are more useful in sensory or Acute, inflammatory, liver
conductive 􀀀􀀀􀀀
hearing loss? High flow rates of O2 delivered in Respiratory
Conductive Distress
􀀀􀀀􀀀 Syndrome can cause __________ __________.
Hearing aids make sounds more distinct and Retrolental fibroplasia (an eye problem)
clear. (T/F) 􀀀􀀀􀀀
False, they only amplify--make it louder, they High growth hormone in a child (give another
do not clarify name)
􀀀􀀀􀀀 Gigantism
Hemophilia A is a deficiency of Factor # 􀀀􀀀􀀀
__________. High growth hormone in an adult.
VIII Acromegaly
􀀀􀀀􀀀 􀀀􀀀􀀀
Hemophilia is a ___________ disorder. A high score of 2 is given for respiratory effort
Bleeding if the
􀀀􀀀􀀀 newborn_____________.
Cries vigorously
􀀀􀀀􀀀 How do you prevent flexion contracture of
High ventilatory pressures result in what the knee after
chronic lung BKA?
problem? Remide the patient to straighten their knee
Bronch-pulmonary dyplasia constantly while
standing
􀀀􀀀􀀀
HIV is present in all body fluids? 􀀀􀀀􀀀
Yes, but not transmitted by all, only blood, How do you tell if a client has angina or an
semen and breast MI?
milk the pain of the two is similar, the way to tell
the difference is
􀀀􀀀􀀀 if nitro and rest relieve the pain. For angina,
Hormones of pregnancy work against insulin. nitro and rest
(T/F) relieve the pain, for MI, nitro and rest do not
True relieve the pain
􀀀􀀀􀀀 􀀀􀀀􀀀
Host (Define) How do you tell which side of the person's
An animal or a person upon which or in which brain is
microorganisms dominant?
live It is the side that controls their dominant
􀀀􀀀􀀀 hand, ie, a left
How are cleft lip and cleft palate primarily handed person has a dominant right
treated? hemisphere and
Surgical repair conversely a right hand person has a
􀀀􀀀􀀀 dominant left
How can AGN be prevented? hemisphere
By having all sore throats cultured for strep 􀀀􀀀􀀀
and treating any How far above the ear canal should you hold
strep infections the dropper
􀀀􀀀􀀀 while administering ear drops?
How can the woman with cesium implant 1/2 inch
move in bed? 􀀀􀀀􀀀
Only from side to side How far should the HOB be up after CVA?
􀀀􀀀􀀀 30 degrees
How does pyelonephritis differ from cystitis in 􀀀􀀀􀀀
meaning? How fast does the dialysate usually flow into
Cystitis means bladder infection; the
pyelonephritis means an peritoneum?
infection of kidney pelvis In 10 minutes
􀀀􀀀􀀀 􀀀􀀀􀀀
How does the client evaluate the activity of How fast do you run the CBI?
their pancreas? At whatever rate it takes to keep the urine
Observe stools for steatorrhea flowing and free of
􀀀􀀀􀀀 clots
How does the mother break the suction of the 􀀀􀀀􀀀
breast How high should the dialysate bag be when
feeding infant? its infused?
She inserts her little finger into the side of the Shoulder height
infant's mouth 􀀀􀀀􀀀
􀀀􀀀􀀀 How is an infant delivered when Abruptio
How do you assess fluid excess in the child Placenta is
with AGN? present?
Daily weight Usually C-section
􀀀􀀀􀀀 􀀀􀀀􀀀
How do you calculate the pulse pressure? How is pyelonephritis prevented?
You subtract the diastolic from systolic By preventing or treating all cystitis (UTI's)
􀀀􀀀􀀀 􀀀􀀀􀀀
How do you care for an infant with a Logan How is the bleeding of Abruptio Placenta
Bow? different from that
Remove the gauze before feeding and in placenta previa?
cleanse after feeding usually pain; bleeding is more voluminous in
with peroxide and saline. previa
􀀀􀀀􀀀 􀀀􀀀􀀀
How is the catheter taped in a female client? 􀀀􀀀􀀀
To the upper thigh How long does one episode/course of PD
􀀀􀀀􀀀 last?
How is the catheter taped in a male client? Could be 10 hours
To the lateral thigh or abdomen 􀀀􀀀􀀀
􀀀􀀀􀀀 How long does spinal shock last?
How is the flow of eye irrigational fluid 5 days to 3 months
directed? 􀀀􀀀􀀀
From inner canthus to outer canthus How long does the average dialysis last?
􀀀􀀀􀀀 4 to 6 hours
How long after strep infection does AGN 􀀀􀀀􀀀
develop? How long does the diuretic phase last?
2 to 3 weeks after initial infection 3-4 days, maximum time 2-3 weels
􀀀􀀀􀀀 􀀀􀀀􀀀
How long before surgery must you How long does the fluid mobilization or
discontinue oral diuretic phase of a
contraceptives? burn last?
One week before surgery 2 to 5 days
􀀀􀀀􀀀 􀀀􀀀􀀀
How long can an AV fistula be used? How long does the oliguric phase last?
Indefinitely 7-10 days
􀀀􀀀􀀀 􀀀􀀀􀀀
How long can a unit of blood be on the unit How long does the woman have to be off
before it must oral
be started? contraceptives before hysterectomy?
Less than 1/2 hour Oral contraceptives should be discontinued 3
􀀀􀀀􀀀 to 4 weeks
How long can AV shunt be used? preoperatively.
Just for a few weeks 􀀀􀀀􀀀
􀀀􀀀􀀀 How long is the dialysate allowed to remain in
How long can breast milk be frozen? the
6 months peritoneum before it is drained out?
􀀀􀀀􀀀 15-30 minutes
How long can breast milk be refrigerated? 􀀀􀀀􀀀
24 hours How long is the first stage of labor and
􀀀􀀀􀀀 delivery for a
How long does a lady have to wait before primagravida? For a multigravida?
driving after a 12 hours, 6 hours
hysterectomy? 􀀀􀀀􀀀
3 to 4 weeks How long is the needle kept inserted during Z-
􀀀􀀀􀀀 track
How long does an ovarian cycle last? injection?
Average of 28 days 10 seconds
􀀀􀀀􀀀 􀀀􀀀􀀀
How long does it take a cast to dry? How long must a woman wait before having
24 hours intercourse
after hysterectomy?
􀀀􀀀􀀀 4 to 6 weeks
How long does it take for shingles to heal?
30 days 􀀀􀀀􀀀
How long must the client receive this medical
􀀀􀀀􀀀 treatment?
How long does it take for the umbilical stump For the rest of life
to fall off?
7 to 14 days 􀀀􀀀􀀀
How long must the woman with CD of
􀀀􀀀􀀀 pregnancy be on bed
How long does it usually take for the dialysate rest after delivery?
to drain out At least one week
of the peritoneum?
10 minutes: (10 minutes flow in, 30 minutes in 􀀀􀀀􀀀
abdominal How long should a woman wait before lifting
cavity, 10 minutes flow out = total of 50 heavy objects
minutes) after a hysterectomy?
2 months
􀀀􀀀􀀀 􀀀􀀀􀀀
How long should it take for one unit of blood How many nitro tabs can you take before
to infuse? you call the
From one hour to three hours doctor?
􀀀􀀀􀀀 3
How long should the stump be elevated to 􀀀􀀀􀀀
prevent post op How many nurses are requried to check the
swelling? blood?
12-24 hours 2 nurses
􀀀􀀀􀀀 􀀀􀀀􀀀
How long should you stay with the patient How many pounds per week is the diabetic
after beginning a allowed to gain
transfusion? the 2nd and 3rd trimesters?
At least 15 to 30 minutes 1 pound a week
􀀀􀀀􀀀 􀀀􀀀􀀀
How long will a client's memory be impaired How many times per day will the client irrigate
after ECT? his
2 to 3 weeks colostomy?
􀀀􀀀􀀀 Once
How long will it take for the person to see 􀀀􀀀􀀀
results when How much sleep should the client get the
acne is being treated? night before an
4 to 6 weeks EEG?
􀀀􀀀􀀀 At least 4 to 5 hours--unless it is a sleep
How long will the patient with meningitis be deprivation EEG
on these 􀀀􀀀􀀀
precautions? How much suction should be used for a
Until they have been on an antibiotic for 48 child?
hours 80 to 100 mm Hg
􀀀􀀀􀀀 􀀀􀀀􀀀
How many days after ovulation does How much suction should be used for an
menstruation begin? adult?
14 days 120 to 150 mm Hg
􀀀􀀀􀀀 􀀀􀀀􀀀
How many days of the menstrual cycle do How much suction should be used for an
you take the infant?
combination pill? Less than 80 mm Hg
You take it on days 5-24, but not on days 24- 􀀀􀀀􀀀
28 and 1-4 (8 How often are vital sign measurements taken
days off) in AGN?
􀀀􀀀􀀀 Q4 hours with blood pressure
How many days of the menstrual cycle do 􀀀􀀀􀀀
you take the How often are vital signs measured in
progestin only pill? hypovolemic shock?
All 28 days Every 15 minutes
􀀀􀀀􀀀 􀀀􀀀􀀀
How many hours a day should the client wear How often do clients with renal failure
a undergo dialysis?
Milkwaukee brace? 3 times per week
23
􀀀􀀀􀀀
􀀀􀀀􀀀 How often do you measure vital signs during
How many measurements must be made PD?
before you can say Every 15 minutes during the first cycle and
a person has hypertension? every hour
At least three thereafter
􀀀􀀀􀀀 􀀀􀀀􀀀
How many minutes should lapse between the How often must you assess the lung sounds
nitro pills you during the first
take? stage of labor? During active labor? During
5 minutes - take one nitro tab every 5 minutes transition labor?
3 times, if no Every 30 to 10 minutes
relief, call MD
􀀀􀀀􀀀
How often should anti-embolism hose (TED) 􀀀􀀀􀀀
be removed? How often should the nurse auscultate the
Daily lung sounds
􀀀􀀀􀀀 post-operatively?
How often should a stump be washed? Every 4 hours
daily 􀀀􀀀􀀀
􀀀􀀀􀀀 How often should the nurse check the flow
How often should a woman visit the doctor rate of the O2?
prenatally if At least once per shift
diabetes is present? 􀀀􀀀􀀀
Twice a month, then once per week in the How often should the nurse clear the tubing
3rd trimester during
􀀀􀀀􀀀 suctioning?
How often should central line dressings be After each pass/entry/removal
changed? 􀀀􀀀􀀀
QOD- every other day How often should the patient use the
􀀀􀀀􀀀 incentive spirometer?
How often should mouth care be performed Every 1-2 hours
for those 􀀀􀀀􀀀
clients on oxygen? How often should the post-operative patient
Every 2 hours turn?
􀀀􀀀􀀀 Every 2 hours
How often should the bedridden post- 􀀀􀀀􀀀
operative patient do How often should you measure the vital signs,
leg exercises? vaginal
Every 2 hours bleeding, fetal heart rate during Abruptio
􀀀􀀀􀀀 Placenta>?
How often should the client cough and deep Q5-15 minutes for bleeding and maternal VS,
breath postoperatively? continuous
Every 2 hours fetal monitoring, deliver at earliest sign of fetal
􀀀􀀀􀀀 distress
How often should the client's airway be 􀀀􀀀􀀀
suctioned? How should a client's toenails be trimmed?
When it needs to be, for example moist lung Straight across
sounds, 􀀀􀀀􀀀
tachycardia, restlessness (hypoxia), How should a nurse carry soiled linen?
ineffective cough In a neat bundle held away from the body.
􀀀􀀀􀀀 􀀀􀀀􀀀
How often should the client with acne wash How should drugs that stain teeth be
his face each administered?
day? By a straw
twice a day
􀀀􀀀􀀀
􀀀􀀀􀀀 How should eye ointments be given?
How often should the CVA patient be turned Placed on the lower inner eye lid, then have
or client close eyes
repositioned?
Every 2 hours 􀀀􀀀􀀀
How should the eye drops be given?
􀀀􀀀􀀀 Place drops into the lower conjunctival sac
How often should the drainage bag be
emptied? 􀀀􀀀􀀀
Every 8 hours How should the temperature of the water be
tested if no
􀀀􀀀􀀀 thermometer is available?
How often should the nares of a client with Dropping water on inside surface of your
O2 by nasal forearm.
cannulae be assessed for skin breakdown?
Every 6-8 hours 􀀀􀀀􀀀
How should you change the position of the
􀀀􀀀􀀀 spinal cord
How often should the neurovascular status of injury patient after he has an order to be up?
the Why?
extremities of a client in a Risser cast be Slowly, because of severe orthostatic
measured? Fresh hypotension (they use a
post-operatively? tilt table)
Every 2 hours
􀀀􀀀􀀀 Hypertension is often fatal if untreated. (T/F)
How soon after cell damage does troponin True
increase? 􀀀􀀀􀀀
As soon as 3 hours (can remain elevated for 7 Hyperthyroid (High metabolism)
days) Graves Disease
􀀀􀀀􀀀 􀀀􀀀􀀀
How soon after removal of an ovarian cyst Hypothyroid in a child
can a woman Cretinism
resume sexual intercourse? 􀀀􀀀􀀀
4-6 weeks Hypothyroidism in an adult.
􀀀􀀀􀀀 Myxedema
How warm should the irrigation solution be? 􀀀􀀀􀀀
Warmer than body temperature, ie, 99-100F Identify the activity restriction necessary after
􀀀􀀀􀀀 lumbar
How will the child with epiglottitis breathe? puncture?
Leaned forward with flaring nostrils Lie flat for 6 to 12 hours
􀀀􀀀􀀀 􀀀􀀀􀀀
How will you know the patient has entered Identity vs Role confrontation
the fluid Adolescent
mobilization or diuretic phase? 􀀀􀀀􀀀
The urine output will increase If a central line is found accidentally open the
􀀀􀀀􀀀 patient
How would you palpate the uterus to see if should be positioned on his ______ ______.
the eclamptic Left side
woman was having contractions? 􀀀􀀀􀀀
Place the hand flat on the abdomen over the If a child is suspected of having epiglottitis,
fundus with should you put
fingers apart and press lightly a tongue depressor in their mouth to look?
􀀀􀀀􀀀 No, never put any instrument in the child's
How would you tell if the woman with PROM mouth unless you
had an are prepared to do an immediate intubation.
infection? 􀀀􀀀􀀀
Maternal fever If a child swallows a potentially poisonous
Fetal tachycardia substance, what
Foul smelling vaginal discharge should be done first?
􀀀􀀀􀀀 call medical help
How would you, the nurse, assess for 􀀀􀀀􀀀
developing If a client with emphysema has a severe
cast syndrome? dyspneic episode
Ask the client if they are experiencing any what position is best?
abdominal Sitting upright with arms folded on the
symptoms-keep track of bowel movements & overbed table
passing flatus
(if not having BMs or passing flatus, cast 􀀀􀀀􀀀
syndrome is If a family member asks to have the side rails
suspected) down while
they are in the room you should...
􀀀􀀀􀀀 Remember that you are responsible for the
Hyperemesis Gravidarum is ______ and client's safety--
________ vomiting not his family, it might be unwise to permit this
that persists into the _____ trimester.
Severe and prolonged; 2nd trimester (normal 􀀀􀀀􀀀
vomiting should If after a right BKA, the client c/o pain in his
be gone before 2nd trimester) right tow, he is
experiencing _____________.
􀀀􀀀􀀀 phantom limb sensation (which is normal)
Hypertension is an ________ or sustained
elevation in the 􀀀􀀀􀀀
(systolic/diastolic) __________. If airway obstruction occurs at the accident
Intermittent, diastolic blood pressure site and
you suspect spinal cord injury, what
􀀀􀀀􀀀 maneuver is used to
Hypertension is more common in blacks or open the airway?
whites? Modified jaw thrust
Blacks
􀀀􀀀􀀀
􀀀􀀀􀀀
If an AIDS patient's blood contaminates a 􀀀􀀀􀀀
counter top, with If a woman is admitted with active bleeding
what di you clean? with Placenta
1:10 solution of bleach and water Previa you should monitor fetal heart tones
􀀀􀀀􀀀 _________.
If an aneurysm is ruptured how would you Continuously via fetal monitor
know it? 􀀀􀀀􀀀
decreased LOC (restlessness), tachycardia, If a women forgets to take pill one day, what
hypotension - all should she
signs of shock do?
􀀀􀀀􀀀 Take it as soon as she remembers it, and take
If an aneurysm ruptures what is the #1 next pill at
priority? regular time.
Get them to the operating room ASAP 􀀀􀀀􀀀
􀀀􀀀􀀀 If a women on oral contraceptives misses a
If an ovum is fertilized during the luteal phase period, should
what she still take pills?
hormone will be secreted? Yes, however, if 2 missed periods occur,stop
HCG (human chorionic gonadotropin) and have a
􀀀􀀀􀀀 pregnancy test.
If a patient has MG, what will be the results of 􀀀􀀀􀀀
the Tensilon If ear medications are not given at room
Test? temperature the
The patient will show a dramatic sudden client may experience...
increase in muscle Dizziness, nausea
strength 􀀀􀀀􀀀
􀀀􀀀􀀀 If epiglottitis is suspected, what should the
If a patient has opisthotonos, in what position parents be told?
would you To take the child to the ER as soon as possible.
place them? 􀀀􀀀􀀀
Side-lying "If I had to do it over again, I'd life my life just
􀀀􀀀􀀀 about the
If a post-operative patient complains of gas same," is an example of ____ ____________
and cramping Ego Integrity
you should first _______ then ________. 􀀀􀀀􀀀
Assess then ambulate If insulin is used, the dose is the same in all 3
􀀀􀀀􀀀 trimesters.
If a surgeon delays doing a C-section for (T/F)
Placenta Previa it False, it varies
is due to: (reason for delay). 􀀀􀀀􀀀
Immaturity of the fetus (they will want the If J. Doe's blood pressure is 100/60, what is his
child to mature) pulse
􀀀􀀀􀀀 pressure?
If a transfusion reaction is suspected, what 40 (100-minus 60 equals 40)
two samples are 􀀀􀀀􀀀
collected and sent to the lab? If ketosis is a big problem for the baby during
Urine & blood pregnancy
􀀀􀀀􀀀 what the big problem after delivery?
If a transfusion reaction occurs what should Hypoglycemia
the nurse do 􀀀􀀀􀀀
first? If labor does not begin within ________ hours
Stop the blood flow & start running the saline after PROM,
􀀀􀀀􀀀 labor will likely be induced.
If a unit of blood is infused through a central 24
line it must 􀀀􀀀􀀀
be__________. If mastitis is caused by an organism, what
Warmed causes breast
􀀀􀀀􀀀 engorgement?
If a woman doesn't stop oral contraceptives Temporary increase in vascular and lymph
one week supply to the
before surgery she is at risk for breast in preparation for milk production
developing______. 􀀀􀀀􀀀
Thrombophlebitis
If mastitis occurs 1+ weeks after delivery, If the client complains of abdominal gas after
when does breast a
engorgement occur? hysterectomy, the best intervention is.....
2 to 5 days after delivery Ambulation
􀀀􀀀􀀀 􀀀􀀀􀀀
If my blood pressure is 190/110, what is my If the client complains of abdominal pain
pulse during PD you
pressure? would first...
80 mmHg Encourage them to move about
􀀀􀀀􀀀 􀀀􀀀􀀀
If not contraindicated, what action by the If the client complains of decreased hearing
nursing after
before suctioning would most likely reduce stapedectomy what would you say?
hypoxia during It is normal due to edema. The hearing will
suctioning? start to improve
Administer a few breaths at 100% oxygen within six weeks.
before beginning 􀀀􀀀􀀀
􀀀􀀀􀀀 If the client complains of dyspnea during PD
If pre-eclampsia is mild will the woman be you would first
hospitalized? __________, then __________.
No, just rest at home Slow the flow, elevate HOB
􀀀􀀀􀀀 􀀀􀀀􀀀
If PROM occurs after viability but before 36 If the client has right homonymous
weeks, what is hemaniopsia, the food
the typical management? on the ____ side of the tray may be ignored.
Hospitalize, watch for infection, try to gain Right
time for the infant 􀀀􀀀􀀀
to mature If the client with aneurysm is physically
􀀀􀀀􀀀 unstable, should
If PROM occurs before viability, what is the you encourage turning, coughing and deep
typical breathing?
management? no, bedrest until the client is stable!
Termination of pregnancy 􀀀􀀀􀀀
􀀀􀀀􀀀 If the client with CD of pregnancy
If the adult client's apical pulse is below 60, experiences sudden heart
what should failure what is the MOST common thing you
you do? will see?
Do not give digitalis Sudden onset of SOB (dyspnea).
For a child don't give for a pulse under 70 􀀀􀀀􀀀
For an infant don't give for a pulse under 90 If the dialysate does not drain out well, you
􀀀􀀀􀀀 would first...
If the AIDS patient has leukopenia they will be Have them turn side to side
on 􀀀􀀀􀀀
_____________ ________________. If the fallopian tube ruptures due to ectopic
protective (reverse) isolation pregnancy,
􀀀􀀀􀀀 nursing care is the same as that
If the blood pressure (systolic) falls below 80 for___________.
mmHg, what Shock and peritonitis
would you do first in hypovolemic shock? 􀀀􀀀_____à__ùPþX_ð􀀀
Increase the oxygen flow rate If the kidney stone is calcium phosphate the
􀀀􀀀􀀀 diet must be
If the child's _______ are ______ and the trunk - low in _____ too.
face Phosphorous
abdomen are ________, the child scores 1 on 􀀀􀀀􀀀
color If the MD orders 2,800 cc of fluid in the first 24
Extremities are blue (cyanotic), Pink hours after
􀀀􀀀􀀀 a burn, one-_____ of it must be infused in the
If the client absorbs too much of the dialysate first 8 hours.
the client will Half (or 1,400 cc)
experience... 􀀀􀀀􀀀
Increased blood pressure (circulatory If the mother has an open abscess on her
overload) breast, must not
􀀀􀀀􀀀 breast-feed. (T/F)
True check the distal extremity (far from center) for
􀀀􀀀􀀀 color,
If the neonate ____________, they will score a 1 temperature, pain and PULSE, also MUST
on document
neuromuscular irritability. 􀀀􀀀􀀀
Grimaces If you deflate a cuff TOO SLOWLY, the
􀀀􀀀􀀀 reading will be too
If the nurse accidentally runs the IVs at the high or low? Why?
shock phase High, venous congestion makes the arterial
rate during the diuretic phase the patient will pressure higher
experience? (increases resistance)
Pulmonary edema 􀀀􀀀􀀀
􀀀􀀀􀀀 If your client suddenly goes into pulmonary
If the nurse uses self-disclosure it should be edema what
______ and the would you do first?
conversation should be... Elevate the HOB, then increase O2, then call
Short, quickly refocused back on the patient the MD
􀀀􀀀􀀀 􀀀􀀀􀀀
If the patient had an AKA they should lie If you see an increase in blood content of
____________ urine coming out
several times per day. of the catheter, you would first ___________.
prone (to prevent flexion contracture) Pull carefully on the catheter to apply local
pressure on the
􀀀􀀀􀀀 prostate with the Foley balloon.
If the patient has meningitis, the CSF shows
_______ 􀀀􀀀􀀀
pressure, _____ WBC, ______ protein, ______ If you see clots in the tubing you would first
glucose. ____________.
Increased, increased, increased, decreased Increase the flow-rate.
􀀀􀀀􀀀 􀀀􀀀􀀀
If the patient has right hemiplegia, he cannot If you use too narrow of a cuff the reading will
move his ____ be too high
____ and ____ ____ and the stroke was on the or low?
_________ side High
of the brain. 􀀀􀀀􀀀
Right arm and right leg, left If you were told to start the IV on the woman
􀀀􀀀􀀀 admitted for
If there are any signs of infection after PROM, Placenta Previa, what gauge needle would
what must you use?
occur immediately? 18 gauge, or any other large enough to
Delivery of fetus administer blood
􀀀􀀀􀀀 􀀀􀀀􀀀
If there is inflammation under a cast, it will be Illeostomy
evident in a liquid stool
_______ spot. odor mild
Hot stool very damaging to the skin
continuous drainage
􀀀􀀀􀀀 high risk for fluid/electrolyte imbalances
If too much fluid is removed during PD, the incontinent
client will never irrigate
experience...
Decreased blood pressure (hypotension) 􀀀􀀀􀀀
Im-; in-
􀀀􀀀􀀀 "Not" or "into"
If you are the nurse starting the IV on the
client with 􀀀􀀀􀀀
Abruptia Placenta, what guage needle Immediately after ECT, how will the client
should you use? normally act?
18 (in preparation to give blood if necessary) Drowsy
Dull
􀀀􀀀􀀀 Apathetic
If you care for a client who is post-op for a
repair of a 􀀀􀀀􀀀
femoral popliteal resection what assessment Immediately after opening a bottle of sterile
must you water, can you
make every hour for the first 24 hours? pour it directly into a sterile basin?
No, you must pour a few cc's out of the bottle __________.
into a waste Cancer, colon
container before you pour into the sterile 􀀀􀀀􀀀
basin. (This is Increasing fluids to over 3000 cc per day is
called "lipping" the bottle) more effective
􀀀􀀀􀀀 in treating renal calculi ( kidney stones) than
Immediately after rape, a woman who is any dietary
calm & modification. (T/F)
composed is adjusting well. (T/F) True. It's more important to flush the urinary
False, calmness & a composed attitude are tract than worry
SIGNS of Rape about what you're eating.
Trauma syndrome, (calm person is just as 􀀀􀀀􀀀
disorganized as In Cushings syndrome, the client develops
the crying and upset lady) __________ face.
􀀀􀀀􀀀 Moon
In Abruptio Placenta, the placenta 􀀀􀀀􀀀
_______________ from the In Cushings syndrome, the trunk is ________
uterine wall ____________. and the
Separates, prematurely extremities are _________.
􀀀􀀀􀀀 Obese, thin
In addition to the facial paralysis, the sense of 􀀀􀀀􀀀
______ is also In Cushings the blood sugar is
affected. (increased/decreased).
taste Increased
􀀀􀀀􀀀 􀀀􀀀􀀀
In addition to the nares, where else should the In Cushings the sodium level is
nurse assess (increased/decreased)
for skin irritation when nasal cannulae are in Increased
use?
Behind and on top of the ears 􀀀􀀀􀀀
An individual is obese if they weigh ________%
􀀀􀀀􀀀 above the
In addition to the things you assess for in every ideal weight.
woman 20
during labor, what additional assessment
must you make 􀀀􀀀􀀀
for a woman with CD? An individual is overweight if they are
You must assess lungs sounds frequently ________% above the
ideal weight.
􀀀􀀀􀀀 10
In a double-barrel colostomy, from which
stoma (barrel) 􀀀􀀀􀀀
will the stool come out? Individuals who are ill are ________ sensitive to
Proximal noise than
individuals who are well.
􀀀􀀀􀀀 more
In America, the family is the basic unit of
society. (T/F) 􀀀􀀀􀀀
True Industry vs Inferiority
School Age
􀀀􀀀􀀀
In BPH the force of the urinary stream is 􀀀􀀀􀀀
(increased/decreased). In eclamptic client what ominous sign almost
decreased always
precedes a seizure?
􀀀􀀀􀀀 Severe epigastric pain
IN BPH the man has (increased/decreased)
frequency of 􀀀􀀀􀀀
urination In emphysema, the alveoli are over-_____ and
increased under-______.
Over-enlarged, under-ventilated so that air is
􀀀􀀀􀀀 trapped in
Increased intracranial pressure will _________ alveoli
the pulse
pressure. 􀀀􀀀􀀀
Increase or Widen In emphysema, the appetite________ the
weight ______ and
􀀀􀀀􀀀 the anterior-post diameter of the
Increasing dietary fiber lowers the risk of chest________.
___________ of the Decreases, decreases, increases
􀀀􀀀􀀀 Up (increased or longer)
The infant fears _________ most when Neither (hemophilia does not affect platelets)
hospitalized. 􀀀􀀀􀀀
Separation from love object In hepatitis the ________ are light colored.
􀀀􀀀􀀀 Stools: remember the urine is dark and stools
An infant is given a score of 0 for respiratory are light.
effort if (Bilirubin ends up in the skin and urine instead
__________. of the stool
They do not breathe where it should have gone.)
􀀀􀀀􀀀 􀀀􀀀􀀀
An infant is given a score of 1 if their The inheritance pattern of sickle-cell anemia
respirations are is _____
_______ or ________. _____.
Slow or irregular Autosomal recessive
􀀀􀀀􀀀 􀀀􀀀􀀀
These infants are prone to develop ______ The inheritance patterns for hemophilia is:
and failure to Sex linked recessive
______. 􀀀􀀀􀀀
Dehydration, thrive In how many surgeries is cleft palate
􀀀􀀀􀀀 repaired?
The infant with cleft lip/palate needs more Two surgeries
frequent one at 12 to 18 months
___________. the last at 4 to 5 years
Bubbling, burping 􀀀􀀀􀀀
􀀀􀀀􀀀 In hypovolemic shock the level of
The infant with pyloric stenosis appears ______ consciousness (LOC) is
even after (increased/decreased).
vomiting. Decreased
Hungry 􀀀􀀀􀀀
􀀀􀀀􀀀 In hypovolemic shock the output of urine will
In general, cancer drugs have side effects in be less than
which three _______cc per hour.
body systems? 25 to 30 cc
GI 􀀀􀀀􀀀
Hematologic (blood) In hypovolemic shock there is a ________ in
Integumentary the circulating
􀀀􀀀􀀀 __________ volume -- this _______ tissue
In general, males have a higher risk of heart perfusion with
disease than ________.
females. (T/F) Decrease; blood; decreases; oxygen
True 􀀀􀀀􀀀
􀀀􀀀􀀀 Initiative vs Guilt
In general, the nurse should wear gloves Pre-schooler
when applying 􀀀􀀀􀀀
skin preparations such as lotions. (T/F) In later stages of hepatitis, the ______ turns
True dark.
􀀀􀀀􀀀 Urine
In gestational diabetes the client experiences 􀀀􀀀􀀀
a In Myasthenia Gravis (MG) there is a
(decrease/increase) in thirst disturbance in
Increase (polydipsia) transmission of impulses at the _____ _____.
􀀀􀀀􀀀 Neuromuscular junction
In gestational diabetes the client experiences 􀀀􀀀􀀀
a 94 cm BT 0.012In order to get a score of 2 on
(decrease/increase) in urine output. muscle tone the infant
Increase (polyuria) must_________________.
􀀀􀀀􀀀 Move spontaneously (actively)
In hemophilia, the PTT is (up/down), the 􀀀􀀀􀀀
coagulation or In order to leave drugs at the bedside you
clotting time is (up/down) and the platelet must have a
count is physician's order. (T/F)
(up/down). True
Up (increased or longer)
􀀀􀀀􀀀 In the long term reorganization phase the
In order to score a 0 on HR the infant must woman is likely
have a rate of to
_________. experience ____ during sleep.
Zero Nightmares
􀀀􀀀􀀀 􀀀􀀀􀀀
In Placenta Previa the placenta is implanted In the menstrual cycle, day 1 is the day on
_______ than it which...
should be and lays over the ________ ________. Menstrual discharge begins
Lower, cervical os 􀀀􀀀􀀀
􀀀􀀀􀀀 In the oliguric phase, blood volume is ______,
Insight means the ability of the patient to sodium is
________his _____, and potassium is ________.
problem. High, high, high
Understand 􀀀􀀀􀀀
􀀀􀀀􀀀 In the recovery room (PACU) the patient
In spinal cord injury never ______ the neck. should be
Move, hyperextend positioned....
On either side
􀀀􀀀􀀀
inter- 􀀀􀀀􀀀
Between In the recovery room the head should be ....
To the side with the cheek & neck extended
􀀀􀀀􀀀 slightly down
In the chain of infection, hand washing
breaks the mode of 􀀀􀀀􀀀
____________. In the recovery room the neck should be ...
Transmission Slightly extended
􀀀􀀀􀀀 􀀀􀀀􀀀
In the diuretic phase, blood volume is ______, In the rule of nines, the front trunk gets_____,
sodium is the posterior
_____, and potassium is ________. trunk gets_____, each leg gets ______ and the
Low, low, low genitalia
gets________.
􀀀􀀀􀀀 18%, 18%, 18%, 1%
In the diuretic phase, K+ levels fall or rise?
Fall- remember diuresis always causes 􀀀􀀀􀀀
hypokalemia In the rule of nines, the head and neck
receive _______: each
􀀀􀀀􀀀 arm receives_______.
In the diuretic phase: urine output 9%, 9%
can=________ to
________ liters/24 hours. 􀀀􀀀􀀀
4-5 liters per 24 hours Intimacy vs Isolation
Young adult
􀀀􀀀􀀀
In the emergent phase do you cover burns? 􀀀􀀀􀀀
(in the field) Intimacy vs. Isolation
Yes, with anything clean and dry. Erikson's stage in which individuals form
deeply personal
􀀀􀀀􀀀 relationships, marry, begin families
In the long term reorganization phase the
woman has 4 􀀀􀀀􀀀
common fears. Name them.... Into how many stages is labor and delivery
1. Indoors or outdoors (depending on where divided?
the rape 4
occured) 􀀀􀀀􀀀
2. Being alone or in crowds Into what space is the needle inserted during
3. People being behind them a spinal
4. Sexual fears tap?
􀀀􀀀􀀀 Subarachnoid space
In the long term reorganization phase the 􀀀􀀀􀀀
woman is likely intra-
to Occurring within
change ______. 􀀀􀀀􀀀
Residence or/an telephone number The intradermal route is primarily used for
􀀀􀀀􀀀 ________
_________.
Skin testing In which position should a woman with CD in
􀀀􀀀􀀀 labor be?
In vaso-occlusive crisis the vessels become Semi recumbent, HOB up
occluded with ______ ______. 􀀀􀀀􀀀
Abnormal RBC's In which trimester does the woman most feel
􀀀􀀀􀀀 backache?
In what age range is spinal cord injury most Third
common? 􀀀􀀀􀀀
15 to 25 In which two systems/organs are the most
􀀀􀀀􀀀 problems in CF?
In what position should a child with pyloric Lungs
stenosis be Pancreas
after a feeding? 􀀀􀀀􀀀
Right side with HOB up In whom is Placenta Previa most likely to
􀀀􀀀􀀀 occur?
In what position should the bed be if the Primigravida's or multigravida's?
patient is in pelvic Multigravidas
traction? 􀀀􀀀􀀀
Semi-fowlers with knee gatched Ipecac
􀀀􀀀􀀀 Give with 200-300 cc water-- not related to
In what position should the child with Pyloric mealtime -- this
Stenosis be is an emetic (to make you vomit after
during feeding? ingestion of poisons --
High fowlers don't give if the poisons were caustic, or
petroleum based)
􀀀􀀀􀀀
In what position should the client be during a 􀀀􀀀􀀀
spinal tap? Iron with nausea
Lateral decubitus (on their side) position and Give with meals
knees to chest 􀀀􀀀􀀀
􀀀􀀀􀀀 Iron (without nausea)
In what position should the client be Give on empty stomach with orange juice to
immediately after ECT? increase
On their side-- to prevent aspiration absorption
􀀀􀀀􀀀 􀀀􀀀􀀀
In what position should the client be when Is a C-section mandatory for delivery of a
they irrigate woman with CD
their colostomy? of pregnancy?
Sitting No
􀀀􀀀􀀀 􀀀􀀀􀀀
In what position would you place a client in Is an EGD a fasting procedure?
suspected Yes, after midnight
hypovolemic shock? 􀀀􀀀􀀀
On back with arms and legs elevated Is an informed consent necessary for ECT?
􀀀􀀀􀀀 Yes
In what step of the nursing process does the 􀀀􀀀􀀀
nurse ask the Is a signed informed consent required for
family about their beliefs on illness? cystoscopy?
Assessment phase Yes
􀀀􀀀􀀀 􀀀􀀀􀀀
In what trimester does Abruptio Placenta Is bed rest necessary when a woman has
most commonly cesium implant in
occur? place?
Third Yes, absolute bed rest
􀀀􀀀􀀀 􀀀􀀀􀀀
In what type of chair should Parkinson's Is blood a normal constituent of feces?
patients sit? No
Firm, hard-backed 􀀀􀀀􀀀
􀀀􀀀􀀀 Is CF hereditary?
In what type of container should breast milk Yes
be stored? 􀀀􀀀􀀀
Sealed plastic bags Is cheese high in cholesterol?
􀀀􀀀􀀀 Only moderate, not really that high
􀀀􀀀􀀀 No
Is cholesterol a triglyceride? 􀀀􀀀􀀀
No Is it permissible to give lidocaine viscous ac
􀀀􀀀􀀀 (before meals)
Is commercial ice cream allowed on a if the patient has chemotherapeutic
gluten-free diet? stomatosis? (T/F)
No, even though it is a milk product, True
commercial ice cream 􀀀􀀀􀀀
has GRAIN in it. Is it possible to have only one: cleft lip or cleft
􀀀􀀀􀀀 palate?
Is dietary protein limited in AGN? Yes, you can have one or or the other or both
Not usually, however if there is severe 􀀀􀀀􀀀
azotemia then it may Is milk allowed on a gluten-free diet?
be restricted Yes
􀀀􀀀􀀀 􀀀􀀀􀀀
Is glycogen eaten in foods? iso-
NO! It is a stored form of glucose A combining form meaning 'equal'
MANUFACTURED by the 􀀀􀀀􀀀
liver. Is O2 given in pulmonary edema?
􀀀􀀀􀀀 Yes
Is having the client verbally identify himself 􀀀􀀀􀀀
considered Is otitis a disease of the adult or child?
adequate safety? Usually the child
No, only identification bands are acceptable.
􀀀􀀀􀀀
􀀀􀀀􀀀 Is severe carbohydrate restriction required in
Is heart rate fast or slow in pulmonary gestational
edema? diabetics?
Fast, tachycardia No, it could lead to ketosis
􀀀􀀀􀀀 􀀀􀀀􀀀
Is hemodialysis short term or long term? Is stapedectomy done under general or local
Both- but most short term dialysis is achieved anesthesia?
by Local
hemodialysis
􀀀􀀀􀀀
􀀀􀀀􀀀 Is surgery done immediately upon diagnosis
Is hemoglobin increased or decreased in this of cataract?
disease? No, they usually wait until it interferes with
Increased ADLs .
􀀀􀀀􀀀 􀀀􀀀􀀀
Is I&O important to record during PD? Is the client NPO before cystoscopy?
Yes No, not unless a child with a general
􀀀􀀀􀀀 anesthetic-- in fact with
Is it always bad for the nurse to self-disclose? adults you should encourage fluids.
No, you can self-disclose as long as you do it 􀀀􀀀􀀀
cautiously and Is the client sedated before EGD?
you are 100% sure it is therapeutic. Yes, with valium (diazepam) or another
􀀀􀀀􀀀 sedative
Is it appropriate to massage the legs of the 􀀀􀀀􀀀
client to preven Is the client sedated for a cystoscopy?
pulmonary embolus? It is done under LOCAL anesthesia. General
No, never anesthesia may
􀀀􀀀􀀀 be used for a child.
Is it okay to give B12 orally to a client with 􀀀􀀀􀀀
pernicious Is the infant restrained BEFORE repair?
anemia? No, just AFTER repair
No, it will never be absorbed due to a lack of
intrinsic factor 􀀀􀀀􀀀
Is the patient with obsessive-compulsive
􀀀􀀀􀀀 disorder neurotic
Is it okay to use powder with TED hose? or psychotic?
Yes Neurotic-- they know reality
􀀀􀀀􀀀 􀀀􀀀􀀀
Is it ok to routinely irrigate indwelling Is there a higher or lower incidence of fetal
catheters? death with
Abruptio Placenta compared to Placenta 􀀀􀀀􀀀
Previa? Lack of surfactant causes the neonate to lose
Highter lung capacity
􀀀􀀀􀀀 with each _______.
Is there anything that can be done for the Breath
client with a 􀀀􀀀􀀀
ruptured aneurysm before they get to the Lactose is a sugar found in ?
operating room? milk
Yes, if available you can get them into
antishock trousers but 􀀀􀀀􀀀
not if this causes a delay in getting them to Late syphilis attacks which 3 body organs?
the operating Liver, heart, brain
room 􀀀􀀀􀀀
􀀀􀀀􀀀 Leaving a would open to air decease
Is the woman likely to have a foley catheter in infection by
after a eliminating what 3 environmental conditions?
hysterectomy? Dark, warm, moist
Yes 􀀀􀀀􀀀
􀀀􀀀􀀀 Levodopa should be given with or without
Is urinary incontinence an indication for food?
catheterization? With
No 􀀀􀀀􀀀
􀀀􀀀􀀀 Liquid doses of medications should be
Is vomiting projectile or non-projectile in prepared at
patients with _______level.
pyloric stenosis? Is the vomiting bile-stained or Eye
not bilestained? 􀀀􀀀􀀀
Projectile, not bile-stained Liquid drugs should be poured out of the side
􀀀􀀀􀀀 (opposite
-itis of/the same as) the label.
Inflammation Opposite
􀀀􀀀􀀀 􀀀􀀀􀀀
It is common practice to regard the edges of List the most common gynecologic symptom
any sterile of anorexia
field as contaminated. (T/F) nervosa?
True, the outer 1 inch is considered amenorrhea
contaminated. You must 􀀀􀀀􀀀
not touch it with your sterile gloves. List ways to ensure privacy...
􀀀􀀀􀀀 Use drapes and screens during care in semi-
It is not necessary to use electronic fetal private rooms
monitoring when 􀀀􀀀􀀀
there is active bleeding in Placenta Previa. The long term treatment of migraine focuses
(T/F) upon...
False, infant must always be monitored Assessing things that bring on stress and then
􀀀􀀀􀀀 planning to
It is safe practice to administer drugs avoid them.
prepared by another 􀀀􀀀􀀀
nurse. (T/F) The loss of the ability to perform purposeful,
False skilled acts, ie
􀀀􀀀􀀀 brushing teeth, is called __________.
It is safe practice to recap needles after Apraxia
injection. (T/F) 􀀀􀀀􀀀
False, Never re-cap Low growth hormone (give another name)
􀀀􀀀􀀀 Pituitary dwarfism
Kaposi's sarcoma is a cancer of the 􀀀􀀀􀀀
___________. An L/S ratio greater than _______indicates
skin lung maturity.
􀀀􀀀􀀀 2.0
Kernig's sign is positive when there is pain in 􀀀􀀀􀀀
the _____ -lysis
when attempting to straighten the leg with Breaking down
____ flexed. 􀀀􀀀􀀀
Knee; hip
A major disadvantage of PCA pump is that Low
the client can 􀀀􀀀􀀀
take too much medication. (T/F) The meats that are highest in cholesterol are
False, it is not possible for the client to _________
overdose due to the meats.
lock-out feature Organ meats
􀀀􀀀􀀀 liver, heart, brains, kidneys
A major mental/emotional nursing diagnosis 􀀀􀀀􀀀
seen in The meats that are second highest in
anorexia nervosa is ___________. cholesterol are the
Altered body image ___________
􀀀􀀀􀀀 Shell seafood- shrimp, crab, lobster
The major problem in CF is _______________. 􀀀􀀀􀀀
Increased viscosity of the secretions of Medical asepsis (Define)
exocrine glands lead Practices that help reduce the number &
to obstruction. spread of microorganisms
􀀀􀀀􀀀 (synonym for clean techniques)
The major source of energy for the body is 􀀀􀀀􀀀
carbs Medical aseptic technique are aimed at
􀀀􀀀􀀀 reducing the
Malabsorption of which vitamin leads to number of organisms (T/F)
bleeding disorder? True, doesn't eliminate all of it just decreases
Vitamin K, remember do not mix up the number
potassium with Vitamin 􀀀􀀀􀀀
K Meningitis can be caused by _______, _____,
􀀀􀀀􀀀 and _____.
Males are more likely to get an MI than Viruses, bacteria, chemicals
females. (T/F) 􀀀􀀀􀀀
True Meningitis is an inflammation of the _______ of
􀀀􀀀􀀀 the _______
The man with BPH has a _________-stream of and spinal ___________.
urine Linings, brain , cord
forked 􀀀􀀀􀀀
􀀀􀀀􀀀 Men with Cushings develop______________.
The man with BPH has hesitancey. What does Gynecomastia
this mean? 􀀀􀀀􀀀
Difficulty starting to void Methotrexate
􀀀􀀀􀀀 Toxic to just about every organ except to
Masks deliver higher or lower concentrations heart, toxicity
of O2 than made worse with aspirin
nasal cannulae? 􀀀􀀀􀀀
Higher MG affects men more than women. (T/F)
􀀀􀀀􀀀 False, affects women more than men
Mastitis and breast engorgement are more 􀀀􀀀􀀀
likely to occur in Micro-organisms grow best in a _______,
(primipara/multipara). _______,
Primipara _______place.
􀀀􀀀􀀀 Warm, dark, moist
Mastitis is accompanied by a fever over 􀀀􀀀􀀀
_________. Milk and milk products are (high/low) in fiber.
102 degrees Low
􀀀􀀀􀀀 􀀀􀀀􀀀
Mastitis usually occurs at least _______days Milk is (high/low) in cholesterol.
after delivery. Low
10
􀀀􀀀􀀀
􀀀􀀀􀀀 Miotic
The maximum score and infant can receive Constricts pupil; Timoptic
on any one of Pilocarpine are examples
the criteria is
2 􀀀􀀀􀀀
The MORE colon is removed the more
􀀀􀀀􀀀 _________ the stool.
Meats are (high/low) in fiber. Liquid
􀀀􀀀􀀀 􀀀􀀀􀀀
The most common complication of deep vein MS affects men more than women. (T/F)
thrombosis False
_______ ________. 􀀀􀀀􀀀
Pulmonary embolism MS can lead to impotence in males. (T/F)
􀀀􀀀􀀀 True
The most common intervention for the CF 􀀀􀀀􀀀
client with a MS can lead to urinary incontinence. (T/F)
diagnosis of decreased airway clearance is True
_________________.
Postural drainage 􀀀􀀀􀀀
MS is a progressive _____ disease of the CNS.
􀀀􀀀􀀀 Demyelinating
The most common medical-surgical
treatment for ectopic 􀀀􀀀􀀀
pregnancy is___________. MS usually occurs in (hot/cool) climates .
Surgical removal of fetus and some Cool
surrounding tissue 􀀀􀀀􀀀
􀀀􀀀􀀀 (Multi/prima) gravida clients are most likely to
The most common site for ectopic pregnancy get PIH.
is in the Primagravida
_________ __________. 􀀀􀀀􀀀
Fallopian tube - 90% Mydriatic
􀀀􀀀􀀀 Tachycardia
The most common symptom of abdominal Photophobia
aneurysm is: Dilates pupil
a pulsating mass above the umbilicus Do not use in glaucoma
Neo-synephrine is an example
􀀀􀀀􀀀
The most common symptom of osteoarthritis is 􀀀􀀀􀀀
________ Myelin promotes _____, _____ _____ of nerve
__________. impulses.
Joint pain Fast, smooth conduction
􀀀􀀀􀀀 􀀀􀀀􀀀
The most common type of crisis that occurs is Name 3 drugs given for acne?
a Vitamin A, Antibiotics, Retinoids
______-______ crisis. 􀀀􀀀􀀀
Vaso-occlusive Name 3 drugs used to treat spasms.
􀀀􀀀􀀀 Valium, Baclofen, Dantrium
The most concentrated source of energy for 􀀀􀀀􀀀
the body is Name 3 types of skeletal traction
___________. Cranial tongs
fats Thomas splints with Peason attachments
􀀀􀀀􀀀 90 degrees to 90 degrees
The most radical prostate surgery is the 􀀀􀀀􀀀
____________ Name 3 types of skin traction
prostatectomy. Bucks
Perineal Bryants
􀀀􀀀􀀀 Pelvic
Most rapes occur involving two people of 􀀀􀀀􀀀
different Name 4 exercises used to treat mild scoliosis.
races. (T/F) Heel lifts; sit-ups; hyperextension of the spine;
False, usually the same race breathing
􀀀􀀀􀀀 exercises
The mother's insulin requirements will (fall/rise) 􀀀􀀀􀀀
markedly Name 5 things included in seizure precations.
after delivery. Suction machine in room O2 in room
Fall Padded rails up X 4
􀀀􀀀􀀀 Must stay on unit
The mother with mastitis should stop breast Ambulation with supervision only
feeding. (T/F) No More than 1 pillow
False, the mother must keep breast feeding. 􀀀􀀀􀀀
(Offer Name a drug given to treat migraine?
unaffected breast first) Sansert (methsergide), Cafergot
(Prophylaxis: Imipramine)
􀀀􀀀􀀀 Name the five/six essential nutrients
Name a new drug with anti-platelet activity. carbs, fats, proteins, vitamins, minerals, water
Plavix 􀀀􀀀􀀀
􀀀􀀀􀀀 Name the four basic food groups
Name foods that make acid urine Milk & Cheese, Meat & Legumes, Veggies &
Cranberry juice, apple juice (avoid citrus Fruits, Bread &
juices- they make Cereal
alkaline urine) 􀀀􀀀􀀀
􀀀􀀀􀀀 Name the four most common parenteral
Name four drugs used to treat Parkinson's. routes of
Levodopa, Sinement, Symmetrol, Cogentin, administrations.
Artane, Parlodel SQ, IM, IV, ID (intradermal)
􀀀􀀀􀀀 􀀀􀀀􀀀
Name one carbonic anhydrase inhibitor Name the four most common toxic effects of
Diamox digitalis.
Anorexia
􀀀􀀀􀀀 N&V-- very common
Name one mydriatic Yellow vision
Neo synephrine or Atropine Arrythmia
􀀀􀀀􀀀 􀀀􀀀􀀀
Name the 3 hematologic side effects of Name the most common side effect of
chemotherapy. carbonic anhydrase
Thrombocytopenia inhibitors?
Leukopenia Diuresis
Anemia
􀀀􀀀􀀀
􀀀􀀀􀀀 Name the surgery performed for an ectopic
Name the 3 most common reasons for a pregnancy.
colostomy. Exploratory laparotomy
Cancer
Diverticulitis 􀀀􀀀􀀀
Ulcerative Colitis Name the symptoms that pyelonephritis and
cystitis have in
􀀀􀀀􀀀 common?
Name the 3 phases of burn Frequency, urgency, burning, cloudy, foul
Shock, diuretic, recovery smelling urine
􀀀􀀀􀀀 􀀀􀀀􀀀
Name the 3 physical symptoms of Rape Name the three groups of drugs used to treat
Trauma Syndrome. CHF?
GI irritability, itching or burning on urination, Diuretics
skeletal muscle Vasodilators
tension* don't forget PAIN Digitalis
􀀀􀀀􀀀 􀀀􀀀􀀀
Name the 5 criteria that are recorded on an Name the three most common complications
apgar scale of ECT?
Cardiac status, respiratory effort, muscle tone, Aspiration of emesis (most common) into the
neuromuscular irritability, and color lung
􀀀􀀀􀀀 Dislocations of joints
Name the 5 risk groups for AIDS Fractures due to convulsion-- rare today
Homosexual/bisexual men, IV drug users, 􀀀􀀀􀀀
hemophiliacs, Name the three most common uses of PCA
heterosexual partners of infected people, techniques.
newborn children Post-operative pain, cancer pain, sickle-cell
of infected women crisis pain
􀀀􀀀􀀀 􀀀􀀀􀀀
Name the anitcoagulant given for immediate Name the three symptoms of PIH.
anticoagulation by IV or SQ route. Hypertension, weight gain (edema),
Heparin proteinuria
􀀀􀀀􀀀 􀀀􀀀􀀀
Name the five signs/symptoms that Name the three types of CVA
pyelonephritis has that Embolus
cystitis does not have? Thrombus
Fever, flank pain, chills, increased WBC, Hemorrhage
malaise
􀀀􀀀􀀀
􀀀􀀀􀀀
Name the three types of parasites abnormally The neurotransmitter imbalance that causes
found in Parkinson's is
stool. a ______ in ______ ______.
Roundworm Decrease, dopamine activity
Tapeworm 􀀀􀀀􀀀
Pinworm Never apply __________ to the area of the
􀀀􀀀􀀀 appendix.
Name the two earliest signs that a woman is heat (it causes rupture)
likely in labor. 􀀀􀀀􀀀
Low back pain and show (blood-tinge A newborn receives a score of 0 on muscle
mucous plug is tone when there
passed) is__________
􀀀􀀀􀀀 No movement (limp)
Name the two most common dietary 􀀀􀀀􀀀
prescriptions used to Non-steroidal anti-inflammatory drugs
treat hypertension? Give with food (for arthrosis)
Calorie reduction for weight loss
Sodium restriction 􀀀􀀀􀀀
No nurse should attend the client with a
􀀀􀀀􀀀 cesium implant
Name the two phases of ovarian cycle. more than ____ per day.
Follicular phase (first 14 days) 1/2 hour
Luteal phase (second 14 days)
􀀀􀀀􀀀
􀀀􀀀􀀀 Normal length of pregnancy is ______ to
Name the two phases of Rape Trauma ______ days.
Syndrome. 240 to 300
Disorganization phase, re-organziation phase
􀀀􀀀􀀀
􀀀􀀀􀀀 NRTI (nucleoside reverse transcriptease
Name the two sites used for intradermal inhibitors)
injection. an antiviral drug used against HIV (is
Inner forearm incorporated into the
Upper back DNA of the virus and stops the building
􀀀􀀀􀀀 process; results in
Name the two types of crises that a MG incomplete DNA that cannot create a new
patient can have. virus; often used in
Cholinergic (too much Mestinon) combination with other drugs)
Myasthenic (not enough Mestinon) 􀀀􀀀􀀀
􀀀􀀀􀀀 The nurse should introduce information about
Name two anticholinergics used in the eye. the end of
Cyclogel, atropine the nurse/patient relationship during the
􀀀􀀀􀀀 _____phase.
Name two foods high in methionine. Orientation
Milk, eggs 􀀀􀀀􀀀
􀀀􀀀􀀀 The nurse should limit the client's efforts to
Name two miotics ________ ______
Pilocarpine, Timpotic (or any drug ending in - during labor when CD is present.
lol) Bear down
􀀀􀀀􀀀 􀀀􀀀􀀀
Name two things for which stool specimens The nurse should use (medical/surgical)
are tested. asepsis
Occult blood, fat, ova and parasites during airway suction?
Surgical asepsis (sterile technique)
􀀀􀀀􀀀
Name ways to toughen a stump so it will not 􀀀􀀀􀀀
breakdown The nutrient needed most for growth and
due to the wear of the prosthetic leg? repair of tissues
push the stump against the wall, hitting it with is _____________.
a pillow protein (second best is Vit C)
􀀀􀀀􀀀 􀀀􀀀􀀀
Neoplasm refers to benign and malignant Nuts, seeds, and legumes are (high/low) in
tumors. (T/F) fiber.
True Low
􀀀􀀀􀀀 􀀀􀀀􀀀
O2 is an explosive (T/F)
False, it does not explode-- it supports -oma
combustion Tumor
􀀀􀀀􀀀 􀀀􀀀􀀀
(Obese/very thin) women are most likely to Once the patient is admitted for attempted
become suicide should
diabetic during pregnancy. you ever discuss the attempt with them?
Obese No, you should not focus on the attempt,
􀀀􀀀􀀀 focus on the
Obesity increases risk of CVA (T/F) present and future.
True 􀀀􀀀􀀀
􀀀􀀀􀀀 Once you have stopped the bleeding into
Obesity increases the risk of hypertension. the joint, how
(T/F) long should the hemarthrosis patient wait
True before bearing
weight or doing range of motion?
􀀀􀀀􀀀 48 hours
Of all the following, which one(s) increase in
hypovolemic 􀀀􀀀􀀀
shock? Blood pressure, output, heart rate, pH, On heart rate or cardiac status, a 2 means
LOC, pulse that the HR is
pressure, respiratory rate above _______ BPM.
Only the heart rate and respiratory rate 100
􀀀􀀀􀀀 􀀀􀀀􀀀
Of CPK and LDH which rises earliest? The onset of post operative infection is on the
CPK ______ or
______ day post-operative day.
􀀀􀀀􀀀 2nd or 3rd, never before that (remember
Of first, second and third degree burns which elevated
has less pain? temperatures earlier than the 2nd post-
Why? operative day is NOT
Third degree burns, nerve damage has infection)
occured
􀀀􀀀􀀀
􀀀􀀀􀀀 On the HR criteria an infant scores a "1" if their
Of: married, divorced, and separated, which HR is
marital status _________ than 0 and ____________ 100
is highest risk for suicide? Lowest risk of greater, less than
suicide?
Highest-separated then divorced 􀀀􀀀􀀀
Lowest-married On what do lice feed?
Blood
􀀀􀀀􀀀
Of milled bread, enriched bread, fortified 􀀀􀀀􀀀
bread and whole On what type of isolation will the patient with
grain bread; which is highest in fiber? meningitis
Whole grain be?
Contact and respiratory precautions
􀀀􀀀􀀀
Of protein, fat, and carbohydrates, which 􀀀􀀀􀀀
ones (percentwise) Oral contraceptives decrease the risk of heart
increase in the diet of gestational diabetics? disease. (T/F)
Protein, fat False, use increases the risk
􀀀􀀀􀀀 􀀀􀀀􀀀
Of sealed internal, unsealed internal, and Oral contraceptives (increase/decrease/do
external not effect) the
radiation treatment, which is MOST blood pressure.
dangerous for the Increase
nurse? 􀀀􀀀􀀀
Sealed internal then unsealed internal, Oral hypoglycemics should never be used
external radiation during
treatment is of no danger to the nurse unless pregnancy. (T/F)
the nurse is in True, they cause birth defects (teratogenic)
the radiation treatment room during the 􀀀􀀀􀀀
treatment Oral medications have a (faster/slower) onset
􀀀􀀀􀀀 of action that
-ology IM drugs.
Study of; knowledge, science Slower
􀀀􀀀􀀀 􀀀􀀀􀀀
Oral medications have a (shorter/longer) with cystic fibrosis to increase the absorption
duration of action of the food
than IM medications. they eat
Longer 􀀀􀀀􀀀
􀀀􀀀􀀀 para-
Or Tylenol, Morphine, Demoral, Aspirin which Similar, beside
is 􀀀􀀀􀀀
NEVER given to a sickle-cell patient? Para-amino salicylate sodium (PAS)
Aspirin-it can cause acidosis which makes the Give with meals/food-- anti tuberculosis
crisis and
sickling worse 􀀀􀀀􀀀
Parkinson's patients move fast or slow?
􀀀􀀀􀀀 Slow
-osis
Indicates condition, process 􀀀􀀀􀀀
Pathogen (Define)
􀀀􀀀􀀀 Micro-organism that causes disease
Osteoarthritis is a ________ disease of the
______. 􀀀􀀀􀀀
Degenerative, joint -pathy
Disease, suffering
􀀀􀀀􀀀
Osteoarthritis is more common in females. 􀀀􀀀􀀀
(T/F) Patients in Russell's traction are particularly
False, it occurs with equal frequency prone to
____________.
􀀀􀀀􀀀 Thrombophlebitis
Osteoarthritis is most commonly caused by
the wear and 􀀀􀀀􀀀
tear of life. (T/F) Patients with hepatitis have an aversion to
True _________.
Cigarettes
􀀀􀀀􀀀
-ostomy 􀀀􀀀􀀀
Surgical opening Patients with MS should be taught to walk
with a ____-____
􀀀􀀀􀀀 gait.
-otomy Wide based
Butting
􀀀􀀀􀀀
􀀀􀀀􀀀 Patient's with MS should have
Oversecretion of ACTH (increased/restricted) fluids.
Cushing's disease Increased to dilute urine and reduce
􀀀􀀀􀀀 incidence of UTI.
Over secretion of adrenal cortex 􀀀􀀀􀀀
Cushing's syndrome Patient's with Parkinson's have ______ speech.
􀀀􀀀􀀀 Monotone
Over secretion of adrenal medulla 􀀀􀀀􀀀
Pheochromocytoma Patients with Parkinson's tend to have
􀀀􀀀􀀀 constipation or
Over secretion of mineralcorticoids only (give diarrhea?
another Constipation
name) 􀀀􀀀􀀀
Conn's disease The patient who has a definite plan is
􀀀􀀀􀀀 (low/high) risk
Pain medications should be administered for suicide.
_______ before Moderate to high, depends upon feasibility
________ care. and ease of plan
30 minutes, wound care 􀀀􀀀􀀀
􀀀􀀀􀀀 The patient who has NO definite plan is
The pain of osteoarthritis is usually better or (low/high) risk
worse with for suicide.
rest? With activity? Low
Better with rest, worse with activity 􀀀􀀀􀀀
􀀀􀀀􀀀 The patient with a recent CVA is most likely to
Pancreas pancreatin isozyme have fluids
Give with meals-these are oral enzymes used restricted or forced?
with children Restricted
􀀀􀀀􀀀
The patient with Cushings Syndrome will have Homozygous
(increased/decreased) blood pressure. 􀀀􀀀􀀀
Increased, remember retaining water and People who smoke more than ______
sodium cigarettes per day
􀀀􀀀􀀀 should not be on oral contraceptives.
The patient with pyelonephritis will have 15, because if you smoke you have
(hypertension/hypotention)? constriction of vessels
Hypertension and this potentates the chances that a
􀀀􀀀􀀀 woman on oral
The patient with spinal cord injury will have contraceptives will get thrombophlebitis
(flaccid/spastic) muscles. 􀀀􀀀􀀀
Spastic People with sickle cell TRAIT only carry the
􀀀􀀀􀀀 disease,
PCA pumps allow a more constant level of they DO NOT have symptoms. (T/F)
serum drug than True-usually it has occurred that in times of
conventional analgesia. (T/F) SEVERE stress,
True the TRAIT does cause some symptoms but not
usually.
􀀀􀀀􀀀
Peer group important 􀀀􀀀􀀀
Adolescent per-
Throughout, completely, a large amount
􀀀􀀀􀀀
Pemphigus 􀀀􀀀􀀀
An acute or chronic disease of adults, Peritoneal Dialysis (PD)
characterized by The removal of wastes, electrolytes and fluids
occurence of successive crops of bullae that from the body
appear suddenly using peritoneum as dialysis membrane
or apparently normal skin and disappear, 􀀀􀀀􀀀
leaving pigmented Peritonitis
spots. It may be attended by itching and inflammation of the peritoneum
burning and 􀀀􀀀􀀀
constitutional disturbance. The disease if A person should have a yearly work up exam
untreated is usually for cancer
fatal. A characteristic finding is a positive detection over the age of __________.
Nikolsky sign: 40
When pressure is applied tangential to the
surface of affected 􀀀􀀀􀀀
skin, the outer layer of epidermis will detach The person with emphysema have ________,
from the lower _______lips and
layer. (Probably autoimmune) (slow/rapid) breathing.
Grunting, pursed, rapid
􀀀􀀀􀀀
-penia 􀀀􀀀􀀀
Lack, deficiency of -pexy
Fixation of something
􀀀􀀀􀀀
Penicillin 􀀀􀀀􀀀
Give on empty stomach Pillows are sterilized between uses. (T/F)
False
􀀀􀀀􀀀
People between 25 and 50 years are 􀀀􀀀􀀀
(low/moderate PI's (Protease inhibitors)
/high) risk for suicide. most potent of antiviral meds, inhibit cell
Low to moderate protein synthesis
that interferes with viral replication, does not
􀀀􀀀􀀀 cure but slows
People over 50 year are (low/high) risk for progression of AIDS and prolongs life, used
suicide. prophylactically,
High used in AIDS to decrease viral load and
􀀀􀀀􀀀 opportunistic
People who are (hetero/homo) have sickle infections
cell 􀀀􀀀􀀀
trait. -plast
Heterozygous Plastic surgery on a specified part
􀀀􀀀􀀀 􀀀􀀀􀀀
People who are (hetero/homo)zygous have Plastic pillow cases are ______.
sickle cell (disadvantages)
disease. Hot and slippery
􀀀􀀀􀀀 is...
Pneumonia is an ______ in the ______ of the 1 to 2 inch
______. 􀀀􀀀􀀀
Infection, alveoli, lungs Pregnancy (decreases/increases) the body's
􀀀􀀀􀀀 insulin
Pneumonia is only caused by bacteria. (T/F) requirements.
False, it can be caused by viruses and Increases
aspiration. 􀀀􀀀􀀀
􀀀􀀀􀀀 Pregnancy is divided into ____ trimesters.
Portal of entry (Define) 3
Part of the body where organisms enter 􀀀􀀀􀀀
􀀀􀀀􀀀 Pregnancy requires a __________ increase in
Post-menopausal females have a lower risk of the cardiac
heart disease output.
than males aged 25-40. (T/F) 30-50%
False. They have a higher risk. 􀀀􀀀􀀀
􀀀􀀀􀀀 Pregnancy tests test for the presence of what
The post op abdominal aneurysm repair client hormone?
is most likely HCG (human chorionic gonadotropin
to have which type of tube? hormone)
NG tube for decompression of bowel 􀀀􀀀􀀀
􀀀􀀀􀀀 Premature rupture of membranes (PROM) is a
The post-operative patient should void by ________
_____hours postoperatively break in the amniotic sac __________ the
or you must call the MD. _________ of
6 to 8 contractions.
Spontaneous, before, onset
􀀀􀀀􀀀
The post op thoracic aneurysm is most likely 􀀀􀀀􀀀
to have which The preschooler fears separation as well as
type of tube? _________ when
Chest tube, because the chest was opened hospitalized.
Mutilation- remember preschoolers have vivid
􀀀􀀀􀀀 imaginations...fantasy
Pre-eclampsia makes the neuromuscular
system more or 􀀀􀀀􀀀
less irritable? Preschoolers may require physical restraint
More during painful
procedures. (T/F)
􀀀􀀀􀀀 True
The preferred angle of injection to to be used
for IM 􀀀􀀀􀀀
administration is___________. The primary diet treatment for uric acid
90 degrees nephrolithiasis is
_________ -________.
􀀀􀀀􀀀 Low pruine
The preferred gauge of needle for IM
injection is... 􀀀􀀀􀀀
21 to 22 gauge The primary reason why an infant is draped
during the bath
􀀀􀀀􀀀 is to provide privacy. (T/F)
The preferred gauge of needle for injection False, the primary purpose of draping is to
for SQ prevent chilling.
injection___________.
25 gauge 􀀀􀀀􀀀
Prolonged intervals between breast-feeding
􀀀􀀀􀀀 (decrease/increase) the incidence of mastitis.
The preferred IM injection site for children Increase
under 3 is the
_________ ___________. 􀀀􀀀􀀀
Vastus lateralis PROM always occurs in a gush of fluid. (T/F)
False
􀀀􀀀􀀀
The preferred length of needle for SQ 􀀀􀀀􀀀
injection is_________. Proteins provide __________ Kcalories per 1
5/8 inch gram.
4
􀀀􀀀􀀀
The preferred length of needle to administer 􀀀􀀀􀀀
an IM injection
Pulmonary edema is accumulation of 􀀀􀀀􀀀
_______in the lung. Respiratory Distress Syndrome is also know as
Fluid ....
􀀀􀀀􀀀 Hyaline Membrane Disease (HMD)
Pulmonary edema is a common complication 􀀀􀀀􀀀
of Respiratory Distress Syndrome occurs in full-
______disorders. term infants.
Cardiovascular (T/F)
􀀀􀀀􀀀 False, it occurs in premature infants
Pulmonary edema usually results from ______ 􀀀􀀀􀀀
failure. Retrolental fibroplasia can result in _________.
Left ventricular Blindness from retinal damage
􀀀􀀀􀀀 􀀀􀀀􀀀
Pulmonary embolus is an obstruction of the -rhapy; -rrhapy
pulmonary Joining in a seam, suturation
______ bed by a dislodged _______ or foreign
substance. 􀀀􀀀􀀀
Capillary, thrombus Rifampin
Give on empty stomach (anti-tuberculosis)
􀀀􀀀􀀀 remember
The pulse rate of anorexics is tachycardic or Rifampin causes red urine
bradycardic?
Bradycardic 􀀀􀀀􀀀
ROM exercises should occur every 2 hours in
􀀀􀀀􀀀 CVA patients.
Rape is a crime of passion. (T/F) (T/F)
False, it is a violent act False-- every 4 hours or 3 times a day is
􀀀􀀀􀀀 enough
The rape victim requires only a pelvic exam & 􀀀􀀀􀀀
a head to toe The room of a patient with meningitis should
exam is not done, so the client is not stressed. be _______
(T/F) and ______.
False, the exam is a very long, invasive head- Dark and quiet
to-toe exam
􀀀􀀀􀀀
􀀀􀀀􀀀 Routine exercise decreases the risk of heart
Raynaud's affects males or females mostly? disease. (T/F)
Women (young) True
􀀀􀀀􀀀 􀀀􀀀􀀀
Raynaud's is an arterial or venous disease? Says "no"
Arterial disease characterized by spasms Toddler
􀀀􀀀􀀀 􀀀􀀀􀀀
Rectal suppositories with an oil base should The school-aged child perceives the cause of
be kept illness to to
refrigerated. (T/F) be external or internal?
True External, she knows that illness is not a result of
􀀀􀀀􀀀 bad
A rectal suppository is inserted ______ inches in behavior.
an adult 􀀀􀀀􀀀
and ________ inches in a child. The school-aged hospitalized child is afraid of
4,2 separation
􀀀􀀀􀀀 from ___________.
Repetitive actions designed to reduce Age group
anxiety are 􀀀􀀀􀀀
called_____. -sclerosis
Compulsions -- such as washing hands over Hardening of a tissue by: inflammation,
and over, deposition of mineral
dusting furniture 3 hours per day, refusing to salt; an infiltration of connective tissue fibers
turn your back
to anyone 􀀀􀀀􀀀
Scoliosis in the lumbar spine is usually convex
􀀀􀀀􀀀 to the
Respiratory Distress Syndrome hardly ever (left/right).
occurs after Left (*Hint: curve Left in Lumbar)
week ____ of gestation.
37 􀀀􀀀􀀀
Scoliosis in the thoracic spine is usually convex 􀀀􀀀􀀀
to the The shock phase lasts for the first ________ to
(left/right). ________
Right hours after a burn.
􀀀􀀀􀀀 24 to 48 hours
Scoliosis is a ______ curvature of the ______. 􀀀􀀀􀀀
Lateral, spine Shock will ___________ blood pressure.
􀀀􀀀􀀀 Decrease
Scoliosis is MOST common in the _______ and 􀀀􀀀􀀀
______ sections of the spinal column. Should a child in sickle-cell crisis wear tight
Thoracic and lumbar clothes?
􀀀􀀀􀀀 No, it can occlude vessels even more.
Scoliosis MOST commonly affects _____ _____ 􀀀􀀀􀀀
(type of clients). Should a client sleep with the hearing aide in
Teenage females place?
􀀀􀀀􀀀 No, a client should not sleep with a hearing
-scope; -scopy aide in place.
Instrument for observation 􀀀􀀀􀀀
􀀀􀀀􀀀 Should a client who is having breathing
A second-degree burn has vesicles? (T/F) problems receive
True PD?
􀀀􀀀􀀀 No
A second-degree burn is dull or shiny? 􀀀􀀀􀀀
Shiny Should a CVA patient have all four side rails
􀀀􀀀􀀀 up at all times?
A second-degree burn is pale or red? Should they be restrained?
Red Side rails yes. Restraints- no, unless they are a
danger to
􀀀􀀀􀀀 themselves or others
A Second degree-burn is wet or dry?
Wet 􀀀􀀀􀀀
Should a female staff member be present
􀀀􀀀􀀀 when the rape
Second to rest, what is very important victim is being examined?
treatment for CD of Always
pregnancy?
Weight control 􀀀􀀀􀀀
Should a woman douche after surgery to
􀀀􀀀􀀀 remove an ovarian
The second trimester goes from week ____ to cyst?
week ______. No, it is not good to douche on a regular
14, 27 basis, it destroys
􀀀􀀀􀀀 natural protective vaginal flora
-sect 􀀀􀀀􀀀
To cut Should a woman with placenta previa be
􀀀􀀀􀀀 hospitalized?
Sensitivity (susceptibility) means... Yes, always if bleeding
The susceptibility of an organism to the 􀀀􀀀􀀀
bacterial action of a Should caffeine be limited before an EEG?
particular agent Yes. It should be eliminated for 24 hours
􀀀􀀀􀀀 before the test.
Severe cases of Respiratory Distress Syndrome 􀀀􀀀􀀀
requires Should children with cleft palate BEFORE
ventilation with _________. surgery be allowed
PEEP (Positive end expiratory pressure) & to cry? To breast-feed?
CPAP. (Continuous Yes, they can cry; may breast feed with
positive airway pressure), to keep alveoli simple cleft lip
open while on the however palate interferes with feeding
ventilator. High frequency jet ventilation is
sometimes used. 􀀀􀀀􀀀
Should clients with CHF have a Foley
􀀀􀀀􀀀 catheter?
The severe muscle weakness of MG gets Yes, on diuretics and fluid balance is
better with important
exercise. (T/F)
False, it is worse with activity 􀀀􀀀􀀀
Should CSF contain blood? Should the drainage bag ever touch the
No floor?
􀀀􀀀􀀀 No
Should fluids be forced or restricted in BPH? 􀀀􀀀􀀀
forced Should the nurse change the post-
􀀀􀀀􀀀 mastoidectomy
Should hearing aids be removed before dressing?
going for surgery? No, reinforce it. Physician changes first post
Yes, but just before surgery op dressing
􀀀􀀀􀀀 􀀀􀀀􀀀
Should lemon and glycerine swabs be used Should the nurse provide perineal care for the
to cleanse the client with a
mouth? cesium implant?
No, they are not cleansing agents. They are No, risk of radiation hazard
used AFTER 􀀀􀀀􀀀
cleansing as a moistening agent Should the nurse self-disclose if the patient
􀀀􀀀􀀀 asks the nurse
Should pregnant nurses care for a patient to?
receiving No, not unless it is specifically therapeutic.
unsealed internal radiotherapy? 􀀀􀀀􀀀
Maybe, as long as they don't contact body Should the suction be continuous or
secretions. intermittent?
􀀀􀀀􀀀 Intermittent to prevent mucosal damage
Should pregnant nurses care for patient 􀀀􀀀􀀀
receiving Should vomiting be induced after ingestion of
sealed internal radiotherapy? gasoline?
Never. (Lawsuit time!) No- not for gas or any other petroleum
􀀀􀀀􀀀 products
Should pregnant staff care for a client with a 􀀀􀀀􀀀
cesium Should you allow an obsessive-compulsive
implant? person perform
No their compulsive behavior?
􀀀􀀀􀀀 Yes, give them time to do their ritual and try
Should sedatives be given before an EEG? to set limit and
Only if ordered as a pre-test medication. redirect
􀀀􀀀􀀀 􀀀􀀀􀀀
Should side rails be up after stapedectomy ? Should you assess for Homan's sign?
Yes, client may feel dizzy No. Homan's sign is no longer recommended
as a test for
􀀀􀀀􀀀 thrombophlebitis because it can cause a clot
Should steroids be given with meals? to embolize
Always
􀀀􀀀􀀀
􀀀􀀀􀀀 Should you confront the obsessive-
Should the client ambulate independently compulsive patient with
after cataract the absurdity of their behavior?
surgery? No, just say things like :You washed your
No the patient should not ambulate hands for so long
independently, depth you must have been very anxious."
perception is altered.
􀀀􀀀􀀀
􀀀􀀀􀀀 Should you cover an unhealed umbilical site
Should the client drink after a spinal tap? with the
Yes, encourage fluids to replace CSF diaper?
􀀀􀀀􀀀 No, fold the diaper down.
Should the client roll the elastic stocking 􀀀􀀀􀀀
down to wash Should you cover a wet cast?
legs? Why or why not? No
No, it can cause a constricting band around
the ankle/foot. 􀀀􀀀􀀀
Should you encourage fluids after
􀀀􀀀􀀀 cystoscopy?
Should the client wash his hair before an yes
EEG?
Yes 􀀀􀀀􀀀
Should you ever make an obsessive-
􀀀􀀀􀀀 compulsive person
stop their compulsive behavior? 􀀀􀀀􀀀
No, they will become very anxious Since pulmonary edema is caused by left
􀀀􀀀􀀀 ventricular failure
Should you massage the calves of the client what drug is given?
with CHF? Digitalis
Never 􀀀􀀀􀀀
􀀀􀀀􀀀 Smoking increases the risk of CVA. (T/F)
Should you raise the HOB to increase True
drainage of the 􀀀􀀀􀀀
dialysate? The solution introduced into the peritoneum
Yes during PD is
􀀀􀀀􀀀 called...
Should you remove adhered clothing? Dialysate
No 􀀀􀀀􀀀
􀀀􀀀􀀀 Some women experience discomfort when
Should you retract the foreskin of a 5 week wearing contact
old male, lenses during pregnancy or menstrual periods.
uncircumcised infant to cleanse the area? (T/F)
No, not until foreskin retracts naturally and True
without 􀀀􀀀􀀀
resistance- then it should be retracted, Spinal cord injuries are more common in
cleansed and males. (T/F)
replaced. True
􀀀􀀀􀀀 􀀀􀀀􀀀
Should you take a rectal temp after Spinal cord injury in the thoracic/lumbar
prostatectomy? Give regions result
stool softeners? in ___plegia.
No rectal temperatures, yes stool softeners Paraplegia
􀀀􀀀􀀀 􀀀􀀀􀀀
Should you use a heat lamp or hair dryer or Spore (Define)
fan to help dry A cell produced by a micro-organism which
a cast? develops into
No heat lamp and hair dryer active micro-organisms under proper
Yes fan conditions.
􀀀􀀀􀀀 􀀀􀀀􀀀
Should you use talcum powder with a post- -stasis
operative Stoppage
cataract client?
No, it may cause sneezing; also should avoid 􀀀􀀀􀀀
pepper. Sterile (Define)
An item on which all micro-organism have
􀀀􀀀􀀀 been destroyed
Sickle cell anemia is most commonly seen in
(blacks/whites). 􀀀􀀀􀀀
Blacks Sterile gloved hands must always be kept
above the waist.
􀀀􀀀􀀀 (T/F)
Sickle-cell anemia symptoms do not appear True
before
the age of ____ months due to the presence 􀀀􀀀􀀀
of _____ ______. Steroids
6; fetal hemoglobin Give with meals-- remember taper the
patient off these
􀀀􀀀􀀀 drugs slowly
Side effects of a high fiber diet
include__________ and 􀀀􀀀􀀀
malabsorption of ____________. The stools of a client with celiac's disease are
Gas (flatus), minerals ______, ______
and _____- _____.
􀀀􀀀􀀀 Large
A sign of gestational diabetes is excessive Greasy
(weight Foul-smelling
gain/weight loss)
Weight gain 􀀀􀀀􀀀
Stool Softeners
􀀀􀀀􀀀 Take with lots of water regardless of mealtim
Silver nitrate cream___________ the ________.
Stains, skin 􀀀􀀀􀀀
Strict aseptic techniques is required when 􀀀􀀀􀀀
administering a The symptoms of pyloric stenosis mostly
vaginal medication. (T/F) commonly appear
False-- only "clean" technique or medical at age ______ to _____.
asepsis is 4 to 6 weeks
necessary
􀀀􀀀􀀀
Strict sterile technique is required when The symptoms of sensory overload and
administering a sensory deprivation
drug per rectum. (T/F) are...
False, clean or medical asepsis Fear, panic, depression, inability to
concentrate, restlessness,
􀀀􀀀􀀀 agitation
Subcutaneous injection must be given at 45
degrees. (T/F) 􀀀􀀀􀀀
True (for boards), false- whatever angle gets it Syphilis first infects the _____ ______.
SQ without Mucous membranes
going IM 􀀀􀀀􀀀
􀀀􀀀􀀀 Syphilis is a fatal disease if untreated. (T/F)
Sucrose is a sugar found in ____________ and True
_____________. 􀀀􀀀􀀀
fruits, veggies Syphilis is sexually transmiteed. (T/F)
􀀀􀀀􀀀 True
The suction should be delivered while 􀀀􀀀􀀀
(inserting/removing) the catheter. Syrups and elixirs are of particular concern to
While removing the catheter diabetic
􀀀􀀀􀀀 clients because....
Sulfamyon cream__________. they contain sugars
Burns 􀀀􀀀􀀀
􀀀􀀀􀀀 Tagamet
Sulfonamides Give with meals, remember Zantac does not
Take with LOTS OF WATER regardless of have to be given
whether you give it with meals
at mealtime or not -- Bactrim, Septra, 􀀀􀀀􀀀
Gantricin, ie, used to Termination phase begins in the
treat UTI _______phase.
􀀀􀀀􀀀 Orientation
A suppository given rectally must be 􀀀􀀀􀀀
lubricated with a water Tetracycline
soluble lubricant. (T/F) Do not give with milk products, do not give to
True, lubricant fingers also pregnant
􀀀􀀀􀀀 women or children before age 8 or damage
Surfactant prevents the _________ of the to tooth enamel
alveoli. occurs
Collapse 􀀀􀀀􀀀
􀀀􀀀􀀀 T/F: AIDS patients get lymphomas?
Surfactant _____ surface tension inside True
________. 􀀀􀀀􀀀
Decreases, alveoli Theophylline derivative
􀀀􀀀􀀀 Give with meals, ie, Aminophylline, Theodur
Surgical asepsis (Define) (anti-asthmatic
Practices that render & keep objects & areas bronchodilator)
free from all 􀀀􀀀􀀀
micro-organisms (synonym for sterile A third degre burn is hard or soft?
techniques) Hard
􀀀􀀀􀀀 􀀀􀀀􀀀
Surgical aseptic techniques render and keep A third-degree burn is wet or dry?
articles free Dry
from all organisms. (T/F) 􀀀􀀀􀀀
True A third-degree burn is white or red?
􀀀􀀀􀀀 White
Sutures in general are removed by the ___ 􀀀􀀀􀀀
day. Thorazine
7th
Take with LOTS OF WATER regardless of meals To prevent eye medications from getting into
to prevent the systemic
constipation. circulation you apply pressure to the _______
All drugs that end in "-zine" are major for ______
tranquilizers that also seconds.
cause Psuedo Parkinson's or extra-pyramidal Nasolacrimal sac, 10 (press between the inner
effects. canthus and
􀀀􀀀􀀀 the bridge of the nose)
The three meats lowest in cholesterol are 􀀀􀀀􀀀
_________, To prevent germs from getting into or out of a
_________ and __________. wound you
Chicken, pork, mutton should use what type of dressing?
􀀀􀀀􀀀 An occlusive dressing
The three most common complications after 􀀀􀀀􀀀
MI are ____ To prevent irritation of the skin near the edges
_____,_____, and _______. of a cast the
Cardiogenic shock, arrhythmia, CHF edges should be ____________.
􀀀􀀀􀀀 Petaled
"Time is too short to start another life, though I 􀀀􀀀􀀀
wish I To prevent post-op swelling, the stump should
could," is an example of ___________. be
despair __________.
􀀀􀀀􀀀 elevated
To control the pain of osteoarthritis one should 􀀀􀀀􀀀
use heat or To prevent urinary incontinence; the CVA
cold? patient should be
Heat catheterized. (T/F)
􀀀􀀀􀀀 False- remember incontinence will never be
The toddler and preschooler will think that allowed as a
illness is caused reason for catheterization
by_____________. 􀀀􀀀􀀀
Something they did wrong. To receive a 0 on reflex (neuromuscluar)
􀀀􀀀􀀀 irritability the
The toddler fears _______ most when neonate must exhibit _______
hospitalized. No response
Separation from family 􀀀􀀀􀀀
􀀀􀀀􀀀 To remove tape always pull (toward/away)
Toddlers may require physical restraint for from the wound.
painful Toward (this way you don't put pressure/pull
procedures. (T/F) on the suture
True line.)
􀀀􀀀􀀀 􀀀􀀀􀀀
To get a 0 on color the infant is To score a maximum score fo 2 on color the
Totally blue, pale child must be
____________.
􀀀􀀀􀀀 Totally pink
To get a score of 1 on the APGAR for muscle
tone the 􀀀􀀀􀀀
newborn must place their extremities in To score the maximum of 2 points on
_______________. nueromuscular reflex
Flexion irritability the infant must ______________.
Cry
􀀀􀀀􀀀
To insure that Bryant's traction is working the 􀀀􀀀􀀀
child's To straighten the ear canal in the ADULT, the
hip/sacrum should be _________ nurse should
Off the bed enough to slip a hand between pull the pinna______ and ________.
the sacrum and Up and back
the bed. 􀀀􀀀􀀀
􀀀􀀀􀀀 To straighten the ear canal in the young
To lessen pain place the client in ___________ CHILD under 3 the
position. pinna should be pulled _______ and ________.
fowlers (a sitting position) (also use post op) Down and back
􀀀􀀀􀀀 􀀀􀀀􀀀
The total apgar score can range from
0 to 10 The unconscious client should assume what
􀀀􀀀􀀀 position
To test amniotic fluid the nurse should check during suctioning?
the ________ Side-lying, facing nurse
of the fluid. 􀀀􀀀􀀀
pH Under-secretion of adrenal cortex
􀀀􀀀􀀀 Addison's disease
To treat hemarthrosis you should _______ the 􀀀􀀀􀀀
extremity Unless contraindicated the patient should be
above the __________. out of bed no
Elevate, heart later than ______ hours post-operatively.
􀀀􀀀􀀀 24
Traction is used to _______ and _______ a 􀀀􀀀􀀀
fracture, relieve Upon walking the patient with Buerger's
________ _______ and prevent ________. experiences
Reduce and immobilize, muscle spasm; _______ _________.
deformities Intermittent Claudication
􀀀􀀀􀀀 􀀀􀀀􀀀
Transverse Colostomy Upon what do you support a cast while it
soft stool dries?
typical stool odor Pillows (no plastic covers)
stool damages the skin 􀀀􀀀􀀀
empties several times per day Urine and blood pregnancy tests are enough
may or may not be at risk for fluid/electrolytes evidence to be
imbalances certain of pregnancy. (T/F)
may irrigate False, these tests only suggest pregnancy
􀀀􀀀􀀀 􀀀􀀀􀀀
The tremors of Parkinson's will get better or The urine output of the eclamptic client will
worse when (decrease/increase).
they purposefully move or perform a task? Decrease
Better, they tremor more when not performing
an action 􀀀􀀀􀀀
The use of _____, _______, and ______ to kill self,
􀀀􀀀􀀀 make high risk suicide.
-tripsy Guns, ropes, knives
Crushing of something by a surgical
instrument 􀀀􀀀􀀀
Use of oral contraceptives increases the risk of
􀀀􀀀􀀀 CVA (T/F).
Trust vs Mistrust True
Infancy
􀀀􀀀􀀀
􀀀􀀀􀀀 The use of pills makes the patient
Two purposes of bed bath are... (low/moderate/high) risk
Cleanses the skin for suicide.
Provides comfort Moderate
􀀀􀀀􀀀 􀀀􀀀􀀀
The typical hospital client (should/should not) Usually labor starts within ________hours of
wear their rupture
dentures. membranes.
Should 24
􀀀􀀀􀀀 􀀀􀀀􀀀
The typical pneumonia of AIDS is caused by The uterus feels _______ after rupture of a
___________ fallopian ectopic
____________. pregnancy?
Pneumocystic carinii Boggy- tender, also
􀀀􀀀􀀀 􀀀􀀀􀀀
The typical post-operative inflammatory Vasoconstriction will ___________ blood
temperature pressure.
elevation is in the range of ________. Increase
99.8 to 101 degrees
􀀀􀀀􀀀
􀀀􀀀􀀀 Vasodilation will ____________ blood pressure.
Uncleanliness is a cause of acne? Decrease
False
􀀀􀀀􀀀
􀀀􀀀􀀀
Veggies are allowed or not allowed in diet of What action will facilitate the trimming of
client with brittle toenails?
Celiac's disease? Soaking in warm water
Allowed 􀀀􀀀􀀀
􀀀􀀀􀀀 What activity order is the client with an
Veggies are (high/low) in fiber. aneurysm supposed
High to have?
􀀀􀀀􀀀 Bedrest. do not get these people up
Victims of rape often blame ___________. 􀀀􀀀􀀀
Themselves What activity order will the client with sickle
􀀀􀀀􀀀 cell
Vincristine CRISIS have?
Peripheral neuropathy (foot drop, numbness Bed rest
and tingling, 􀀀􀀀􀀀
hoarseness, jaw pain) What advice is best for women with
constipation (adynamic ileus due to endometriosis who
neurotoxicity) want to have children?
􀀀􀀀􀀀 Do not postpone pregnancy, may not be
Virulence means.... able to have children
Ability of an organism to produce disease 􀀀􀀀􀀀
􀀀􀀀􀀀 What affect do oral contraceptives have on
Vital signs are measured _______ in the ovarian cysts?
recovery room. They cause it to stop growing and decrease
Every 15 minutes in size.
􀀀􀀀􀀀 􀀀􀀀􀀀
Vitamins and minerals provide energy for the What age group gets osteoarthritis?
body. (T/F) 60-80 years old
False- they are necessary for a body's 􀀀􀀀􀀀
chemical reactions. What age group in Meniere's highest in?
􀀀􀀀􀀀 40 to 60
Water accounts for ________ to ___________% 􀀀􀀀􀀀
of an adult's What age group should be routinely
total weight? screened for
50 to 60% scoliosis?
􀀀􀀀􀀀 Young teens
Water acounts for __________ to _________% of 􀀀􀀀􀀀
an infant's What age group usually gets MS?
total weight? 20 to 40
70 to 75% 􀀀􀀀􀀀
􀀀􀀀􀀀 What agents are best for catheter care?
Water is present in ALL body tissues. (T/F) Soap and water
True (even bone) 􀀀􀀀􀀀
􀀀􀀀􀀀 What anatomical fact accounts for the left
What 3 sensations will the client experience? side of the body
Pain, numbness, tingling being controlled by the right brain?
􀀀􀀀􀀀 The motor-pyramidal-tracts cross over to the
What 3 things precipitate a Raynaud's other side
attack? (decussate in the medulla)
Exposure to cold, emotional stress, tobacco 􀀀􀀀􀀀
use What are 2 common psychological reactions
􀀀􀀀􀀀 to
What acid/base disorder is seen in Respiratory hysterectomy?
Distress Grief, depression
Syndrome? 􀀀􀀀􀀀
Respiratory acidosis (CO2 is retained) What are 3 ways to gain access to the
􀀀􀀀􀀀 circulation in
What acid-base disorder is seen in the shock hemodialysis?
phase of a AV shunt
burn? AV fistula
Metabolic Acidosis AV graft
􀀀􀀀􀀀 􀀀􀀀􀀀
What are 4 signs and symptoms of Epistaxis
mastoiditis? Ecchymosis
Drainage from ear, high fever, headache 􀀀􀀀􀀀
and ear pain, What are the 3 principles the nurse uses to
tenderness over mastoid process protect
􀀀􀀀􀀀 self when caring for a client with a sealed
What are bullae? radioactive
Large blisters implant?
􀀀􀀀􀀀 Time, distance, shielding
What are comedones? 􀀀􀀀􀀀
Blackheads and white heads What are the 3 subjective complaints of
􀀀􀀀􀀀 clients with
What are mast trousers? scoliosis?
Pneumatic device placed around the legs Back pain, dyspnea, fatigue
and lower body that 􀀀􀀀􀀀
is inflated to force blood centrally What are the complications of EGD?
􀀀􀀀􀀀 Perforation of gut
What are some classic and unique signs of Aspiration secondary to emesis Respiratory
pernicious arrest (due to
anemia? valium)
Beefy red tongue 􀀀􀀀􀀀
Numbness and tingling of the hands What are the dietary modifications for the
Sores in the mouth diuretic phase of
Chest pain acute renal failure?
􀀀􀀀􀀀 Increased carbohydrates, increased protein.
What are the #1 and #2 causes of sickle cell Moderate
crisis? potassium & sodium. (May need to increase
Hypoxia, dehydration fluids in diuresis
results in dehydration.)
􀀀􀀀􀀀
What are the 2 common objective signs of 􀀀􀀀􀀀
otitis media? What are the dietary modifications for the
Hyperpyrexia (fever) oliguric phase of
Drainage from ear acute renal failure?
Increased carbohydrates, decreased protein,
􀀀􀀀􀀀 decreased
What are the 2 common subjective signs of sodium, decreased potassium, decreased
otitis media? water.
Hearing loss
Feeling of fullness in the ear 􀀀􀀀􀀀
What are the dietary modifications for the
􀀀􀀀􀀀 recovery phase of
What are the 2 purposes of a spinal tap? acute renal failure?
To measure or relieve pressure and obtain a Increased carbohydrates, increased protein.
CSF sample
􀀀􀀀􀀀
􀀀􀀀􀀀 What are the first signs of AGN?
What are the 3 causative factors in acne Puffiness of face, dark urine
vulgaris?
Heredity, Bacterial, Hormonal 􀀀􀀀􀀀
What are the first two sings of hypovolemic
􀀀􀀀􀀀 shock?
What are the 3 complications of placenta Change in LOC and tachycardia
previa?
Shock 􀀀􀀀􀀀
Maternal death What are the four classic signs of pulmonary
Fetal death edema?
Dyspnea on exertion, paroxysmal nocturnal
􀀀􀀀􀀀 dyspnea,
What are the 3 most common orthopnea, coughing
chemotherapeutic GI side
effects? 􀀀􀀀􀀀
N/V What are the four classic suicide precautions?
Diarrhea Search personal belongings for drugs &
Stomatitis (oral sores) alcohol, remove any
sharp objects, remove any device for
􀀀􀀀􀀀 hanging or strangling;
What are the 3 objective symptoms/signs of must be on constant one-to-one observation
thrombocytopenia? Hint: P.E.E. (NEVER out of
Petechiae
sight) Primary, secondary, latent, late
􀀀􀀀􀀀 􀀀􀀀􀀀
What are the four fat-soluble vitamins? What are the steps of the nurse/patient
A,D,E,K therapeutic
􀀀􀀀􀀀 relationship?
What are the instructions given to clients Pre-interaction phase
recovering from Orientation phase
hyperemesis gravidarum in relation to Working phase
mealtime? Termination phase
Remain seated upright for 45 minutes after 􀀀􀀀􀀀
each meal What are the symptoms of disequilibrium
􀀀􀀀􀀀 syndrome?
What are the large, pale, foul smelling, greasy Change in LOC
stools called? N/V
Steatorrhea Headache
Twitching
􀀀􀀀􀀀
What are the major side effects of 􀀀􀀀􀀀
radiotherapy? What are the three adult stages of
Pruritis, erythema, burning, sloughing of skin, development called
anorexia, early adulthood, middle adulthood and later
nausea & vomiting, diarrhea, bone marrow adulthood
depression 􀀀􀀀􀀀
􀀀􀀀􀀀 What are the three major treatment
What are the post-operative signs of objectives in eclampsia?
hemorrhage into the Decrease blood pressure
eye? Control convulsions
Severe pain Diuresis
Restlessness 􀀀􀀀􀀀
􀀀􀀀􀀀 What are the three most common drugs
What are the processes occurring in given to women
migraines? with CD in pregnancy?
Reflex constriction then dilation of cerebral Diuretics
arteries. Heparin
Digitalis
􀀀􀀀􀀀
What are the restrictions to be followed when 􀀀􀀀􀀀
tubes are in a What are the three most common signs of
child's ear? ovarian cyst
No swimming, no showering, no diving rupture?
Pain, abdominal distention, abdominal rigidity
􀀀􀀀􀀀
What are the signs and symptoms of a febrile 􀀀􀀀􀀀
transfusion What are the three principles to protect
reaction? yourself from
Low back pain, shaking HA, increasing radiation hazard?
temperature, Distance
confusion, hemoptysis Shielding
Time
􀀀􀀀􀀀
What are the signs and symptoms of a 􀀀􀀀􀀀
hemolytic What are the three signs of increased
transfusion reaction? intraocular pressure?
Shivering, HA, low back pain, increased pulse Pain (moderate to severe)
& respirations, Restlessness
decreasing BP, oliguria, hematuria Increased pulse rate
􀀀􀀀􀀀 􀀀􀀀􀀀
What are the signs of O2 toxicity? What are the top 2 diagnoses for a client with
Confusion, headache a catheter?
Which is #1?
􀀀􀀀􀀀 #1- Potential for infection; Potential
What are the signs of symptoms of an allergic impairment of urethral
reaction to a tissue integrity
transfusion?
Hives- uticaria, wheezing, pruritus, joint pain, 􀀀􀀀􀀀
(arthralgia) What are the top 2 nursing diagnoses for a
client with CF?
􀀀􀀀􀀀
What are the stages of syphilis?
Decreased airway clearance Alteration in Specific gravity Up
nutrition or 􀀀􀀀􀀀
absorption What are the vital sign changes seen in
􀀀􀀀􀀀 autonomic
What are the top 2 side effects of nitro? dysreflexia?
headache and hypotension Sweating, headache, nausea & vomiting,
􀀀􀀀􀀀 gooseflesh, and
What are the top 3 priorities in care of the severe HYPERtension
client with 􀀀􀀀􀀀
sickle-cell crisis? What are three signs of polycythemia vera?
Oxygenation, hydration, and PAIN control Headache
􀀀􀀀􀀀 Weakness
What are the top three nursing interventions Itching
in pemphigus? 􀀀􀀀􀀀
Oral care, protection from infection, What are three types of transfusion reactions
encouraging high fluid that can
intake occur?
􀀀􀀀􀀀 Hemolytic, febrile, allergic
What are the two common treatments of 􀀀􀀀􀀀
cataract? What are two major complications of a
Laser, surgical removal. Surgery called hysterectomy
intraocular or besides hemorrhage?
extraocular lens extraction Thrombus and pulmonary embolus Urinary
􀀀􀀀􀀀 retention
What are the two early signs of hypoxia? 􀀀􀀀􀀀
Restlessness, tachycardia What artery is widened in a thoracic
􀀀􀀀􀀀 aneurysm?
What are the two main treatment methods in the aorta
gestational 􀀀􀀀􀀀
diabetes? What assessment finding is found under the
Diet, insulin right rib cage?
􀀀􀀀􀀀 An olive sized bulge (the hypertrophied
What are the two major treatments of pylorus)
pulmonary embolus? 􀀀􀀀􀀀
O2, anticoagulants What behavior on the part of the client is the
􀀀􀀀􀀀 BEST indicator
What are the two most common that they have accepted their stoma?
complications of When they do their own stoma care
hyperemesis gravidarum? 􀀀􀀀􀀀
Electrolyte imbalance (dehydration) What blood cell is low in leukopenia?
Starvation White blood cells
􀀀􀀀􀀀 􀀀􀀀􀀀
What are the two most common medical What blood count is elevated in
treatments for appendicitis?
otitis media? WBC
Systemic antibiotics 􀀀􀀀􀀀
Antibiotic ear drops What blood pressure is considered to be
􀀀􀀀􀀀 hypertension?
What are the two most common subjective Anything greater than 140/90 mm Hg
complaints of 􀀀􀀀􀀀
the woman who is decompensating during What blood test must be done before a
labor? transfusion?
SOB Type and cross match
Palpitations
􀀀􀀀􀀀
􀀀􀀀􀀀 What blood type is the universal donor?
What are the two types of oral O
contraceptives?
Progestin only and combination progesterone 􀀀􀀀􀀀
and estrogen What blood type is the universal recipient?
AB
􀀀􀀀􀀀
What are the urinaysis findings on AGN? 􀀀􀀀􀀀
Hematuria What blood value will dictate IV flow rate?
Proteinuria +3 to +4 The hematocrit
􀀀􀀀􀀀 􀀀􀀀􀀀
What body position should be avoided after What chemical is added to the bath water of
hysterectomy? a client with
Why? pemphigus?
Knee flexion (because it increases the Potassium permanganate
chance of 􀀀􀀀􀀀
thrombophlebitis) What class of drugs can lead to pulmonary
􀀀􀀀􀀀 embolus?
What body surface must be punctured to Oral contraceptives
administer PD? 􀀀􀀀􀀀
The abdomen What class of drugs is given with ECT?
􀀀􀀀􀀀 Muscle relaxant -- succinylcholine
What can be done during an EGD besides 􀀀􀀀􀀀
visualization? What class of drugs is the client with an
Remove polyps aneurysm most
Take specimens likely to be on?
Coagulate bleeding vessels Antihypertensives
􀀀􀀀􀀀 􀀀􀀀􀀀
What can happen if the client with COPD is What class of drugs is used to conservatively
given a high treat
flow rate of O2? endometriosis?
They may stop breathing Androgens
􀀀􀀀􀀀 􀀀􀀀􀀀
What can PREVENT the attacks of Meniere's? What class of drugs is used to first treat
Avoid sudden movements hypertension?
􀀀􀀀􀀀 Diuretics
What cardiac enzymes indicate an MI? 􀀀􀀀􀀀
Elevated CPK, LDH, SGOT What class of drugs is used to treat mastitis?
􀀀􀀀􀀀 Antibiotics
What causes angina pectoris? 􀀀􀀀􀀀
Decreased blood supply to myocardium, What class of drugs is used to treat MG?
resulting in ischemia Anticholinesterases
and pain
􀀀􀀀􀀀
􀀀􀀀􀀀 What color is the dialysate when it comes
What causes cast syndrome? out?
Anxiety and stress leading to Straw-colored - clear
sympathoadrenal shut-down of
the bowel 􀀀􀀀􀀀
What common household solution is used to
􀀀􀀀􀀀 remove nits?
What causes cast syndrome, specifically in a Vinegar. Nits are the eggs of lice that adhere
Risser to the hair shaft
cast?
Hyperextension of the spine by a body cast: 􀀀􀀀􀀀
the What commonly happens secondary to otitis
hyperextension interrupts the nerve & blood media?
supply to the Perforation of the ear drum
gut 􀀀􀀀􀀀
􀀀􀀀􀀀 What complication is common in CHF?
What causes or precedes pyelonephritis? Pulmonary edema
Cystitis always does 􀀀􀀀􀀀
􀀀􀀀􀀀 What conditions does ECT treat?
What causes the itching seen in renal failure? Depression primarily
Accumulation of wasted in the blood and the 􀀀􀀀􀀀
associated What cranial nerve is affected in Bell's Palsy?
signs. This occurs in the end stage renal #7, facial nerve
failure. 􀀀􀀀􀀀
􀀀􀀀􀀀 What daily measurement best indicates the
What causes thrombophlebitis after amount of fluid
hysterectomy? the client is retaining?
Venous stasis in the abdomen (the woman Daily weight
was in the vaginal 􀀀􀀀􀀀
lithotomy position for hours)
What diagnostic procedure confirms the 􀀀􀀀􀀀
diagnosis of What does BPH stand for?
endometriosis? Benign Prostatic Hypertrophy
Laparoscopy
􀀀􀀀􀀀
􀀀􀀀􀀀 What does evening or hour of sleep (HS) care
What dietary prescription is most appropriate consist of?
for the client Oral hygiene
with emphysema? Washing face/hands
Frequent small meals to prevent tiring Back rub
􀀀􀀀􀀀 Tightening linens
What disease often follows labyrinthectomy? 􀀀􀀀􀀀
Bell's palsy-- facial paralysis, will go away in a What does gluten do to the intestines of the
few months client with
􀀀􀀀􀀀 celiac's disease?
What do anticholinergics do for the eye? It destroys the lining of the intestine.
Dilate the pupil 􀀀􀀀􀀀
Cycloplegia What does hemarthrosis mean?
Paralyzes accommodation Bleeding into the joints
􀀀􀀀􀀀 􀀀􀀀􀀀
What do caffeine and smoking do to blood What does heterozygous mean?
pressure? It means you only have 1 defective gene
Increase it from 1 parent.
􀀀􀀀􀀀 􀀀􀀀􀀀
What do carbonic anhydrase inhibitors do to What does homozygous mean?
the eye? It means you have the defective gene from
Decrease production of aqueous humor and both parents.
thus decrease
intraocular pressure. 􀀀􀀀􀀀
What does left sided CHF mean?
􀀀􀀀􀀀 Left ventricle has decompensated
What do CF clients need to do (ingest) in hot
weather? 􀀀􀀀􀀀
Take NaCl tablets What does lightening mean?
When the fetal head descends into the pelvis
􀀀􀀀􀀀
What does AKA mean? 􀀀􀀀􀀀
Above the knee amputation What does nosocomial infection mean?
Infection acquired through contact with
􀀀􀀀􀀀 contamination in the
What does an EEG measure? hospital
Measures electrical activity generated by the
brain 􀀀􀀀􀀀
What does occult blood in the feces mean?
􀀀􀀀􀀀 Bleeding somewhere in the GI tract
What does a type and cross match indicate?
Whether the client's blood and donor blood 􀀀􀀀􀀀
are compatible. What does pre-icteric mean?
The stage BEFORE the patient exhibits
􀀀􀀀􀀀 jaundice.
What does bacteriocidal mean?
Having the capability to kill bacteria. 􀀀􀀀􀀀
What does right sided CHF mean?
􀀀􀀀􀀀 Right ventricle has decompensated
What does bacteriostatic mean? Dependent Edema (legs and sacrum)
Having the capability to stop growth of the Jugular venous distention
bacteria Abdominal distention
􀀀􀀀􀀀 Hepatomegaly
What does BKA mean? Splenomegaly
Below the knee amputation Anorexia and nausea
􀀀􀀀􀀀 Weight gain
What does blood cross matching mean? Nocturnal diuresis
Mixing a little of the client's blood with the Swelling of the fingers and hands
donor blood and Increased BP
looking for agglutination. 􀀀􀀀􀀀
􀀀􀀀􀀀 What does self-disclosure mean?
What does blood-typing mean? When the nurse tells the patient personal
Check for surface antigen on the red blood information about
cell self.
􀀀􀀀􀀀 osteoarthritis?
What does stenosis mean? Heberden's nodes
Narrowed 􀀀􀀀􀀀
􀀀􀀀􀀀 What do you see during and after feeding?
What does the eye look like when a client has Peristaltic waves from left to right
cataracts? 􀀀􀀀􀀀
Cloudy, milky-white pupil What drug can be given to treat urinary
􀀀􀀀􀀀 retention in MS?
What does the physician hope to achieve Urecholine, Bethanocol
with NRTI's and 􀀀􀀀􀀀
PI's for HIV? What drug can you apply topically to stop
A delayed onset of AIDS for as long as bleeding?
possible (usually can Epinephrine, or topical fibrin foam
delay onset for 10-15 years) 􀀀􀀀􀀀
􀀀􀀀􀀀 What drug is given to anesthetize the
What does torsion of an ovarian cyst mean? pharynx?
Twisting of cyst with interruption of its blood Xylocaine (a local anesthetic)
supply 􀀀􀀀􀀀
􀀀􀀀􀀀 What drug is most commonly used in
What does TURP stand for? polycythemia vera?
Transurethral resection of the prostate Myleran -- (this is usually used for bone
􀀀􀀀􀀀 marrow cancer)
What do miotics do for the eye? 􀀀􀀀􀀀
Constrict the pupil What drug is often used to prevent
􀀀􀀀􀀀 pregnancy after rape?
What do mydriatics do for the eye? Kits approved by FDA:
Dilate the pupil (My "D"riatic "D" for dilate) Preven (levornorgestrel & ethinly estradiol) or
Plan B:
􀀀􀀀􀀀 Levonorgestrel (less N&V)
What do NRTI's and PI's do?
They prevent viral replication 􀀀􀀀􀀀
What drug is used in pulmonary edema to
􀀀􀀀􀀀 reduce fluid in
What do you do first for the client the lungs?
experiencing A diuretic (Lasix)
autonomic dysreflexia?
Raise HOB 􀀀􀀀􀀀
What drug is used to fight epiglottitis?
􀀀􀀀􀀀 Penicillin, ampicillin
What do you do for dehiscence?
Decrease HOB (but not flat); cover with sterile 􀀀􀀀􀀀
gauze What drug is used to increase ventilation in
moistened with sterile saline, call MD clients with
pulmonary edema?
􀀀􀀀􀀀 Aminophylline (bronchodilator)
What do you do if you get blood in the
syringe upon 􀀀􀀀______________􀀀
aspiration? What drug is use to treat bladder spasm?
Remove the syringe immediately and apply B&O suppositories (Belladonna & Opiates)
pressure; you 􀀀􀀀􀀀
must discard the syringe and redraw What drugs are most commonly given before
medication in a new cystoscopy?
syringe Valium or demerol
􀀀􀀀􀀀 􀀀􀀀􀀀
What do you do, in order, for evisceration? What drugs are most commonly used?
Decrease HOB (but not flat); cover with sterile Steroids
gauze 􀀀􀀀􀀀
moistened with sterile saline, call MD What drugs can cause a Parkinson-like
􀀀􀀀􀀀 syndrome?
What do you do secondfor the client Haldol, major tranquilizers -- drugs that end in
experiencing -azine
autonomic dysreflexia? 􀀀􀀀􀀀
Check the bladder, check the bowel What drug should NOT be given to the
􀀀􀀀􀀀 patient with
What do you observe on the fingers of the chemotherapeutic thrombocytopenia?
client ASA (aspirin)
􀀀􀀀􀀀 What four organs does hypertension affect
What drug treates angina pectoris? the most?
Nitroglycerine Brain (stroke)
Eyes (blindness)
􀀀􀀀􀀀 Heart (MI)
What drug will be used to treat PVCs of MI? Kidney (renal failure)
Lidocaine
􀀀􀀀􀀀
􀀀􀀀􀀀 What four symptoms in a patient with a
What electrolyte is given to people with cesium implant
Meniere's? should be reported to the physician?
Ammonium chloride Profuse vaginal discharge
􀀀􀀀􀀀 Elevated temp
What ending do anticholinesterases have? Nausea
-stigmine Vomiting
􀀀􀀀􀀀 (these indicate infection and perforation)
What equipment should be at the bedside of 􀀀􀀀􀀀
an MG patient? What gauge catheter would you use to start
Suction apparatus (for meals), an IV in
tracheostomy/endotube (for hypovolemic shock?
ventilation) 16 or larger
􀀀􀀀􀀀 􀀀􀀀􀀀
What exercises should the post prostectomy What gauge needle is used with a blood
patient do transfusion?
upon discharge? Why? Large gauge, 18 gauge
Perineal exercises, start and stop stream of 􀀀􀀀􀀀
urine, because What genetic disorder can lead to pulmonary
dribbling is a common but temporary embolus?
problem post op Sickle cell anemia
􀀀􀀀􀀀 􀀀􀀀􀀀
What factor do clients with pernicious anemia What glands are affected in CF?
lack? Exocrine glands
Intrinsic factor. It has no other name.
􀀀􀀀􀀀
􀀀􀀀􀀀 What grains are allowed in a gluten-free diet?
What factor is present in the blood when the Rice and corn
client has
rheumatoid arthritis? 􀀀􀀀􀀀
The rheumatoid factor What grains are not allowed in a gluten-free
diet?
􀀀􀀀􀀀 Wheat
What flow rates of O2 are appropriate for the Oats
client with Rye
emphysema? Alfalfa
Low flow -- <2.5 L/min; never exceed 2.5L in Barley
COPD
􀀀􀀀􀀀
􀀀􀀀􀀀 What group of people get cast syndrome?
What fluid order should the emphysema ANYONE in a body cast
client have?
3 liters of fluid per day (this is an increase) 􀀀􀀀􀀀
What happens to the blood pressure in
􀀀􀀀􀀀 hypovolemic shock?
What follows the RUQ abd pain of It decreases
appendicitis?
N/V 􀀀􀀀􀀀
What happens to the kidney in AGN?
􀀀􀀀􀀀 It becomes clogged with antigen-antibody
What force causes the pulmonary edema in complexes which
left ventricular then cause inflammation and loss of function.
failure?
Increased hydrostatic pressure in the 􀀀􀀀􀀀
pulmonary capillaries What happens to the pulse pressure in
hypovolemic shock?
􀀀􀀀􀀀 It narrows (becomes a smaller number)
What force is used to introduce the dialysate
into the 􀀀􀀀􀀀
peritoneum? What happens when blood is administered
Gravity only, no pumps with Dextrose
IVs?
􀀀􀀀􀀀 The cells clump together & don't flow well
􀀀􀀀􀀀 Dizziness (vertigo)
What happens when patients with pernicious 􀀀􀀀􀀀
anemia don't What is a hysterectomy?
absorb Vitamin B-12? It is surgical removal of the uterus
Their RBC's do not mature and they become 􀀀􀀀􀀀
seriously What is alopecia?
anemic. Hair loss
􀀀􀀀􀀀 􀀀􀀀􀀀
What heart problem can lead to pulmonary What is a major nursing diagnosis post-
embolus? mastoidectomy?
Atrial fibrillation (RIGHT atrial fibrillation casues Safety
pulmonary
embolus; LEFT atrial fibrillation causes cerebral 􀀀􀀀􀀀
embolus) What is an MI?
Either a clot, spasm or plaque that blocks the
􀀀􀀀􀀀 coronary
What hormones are active during follicular arteries causing loss of blood supply to the
phase? heart and
FSH and Estrogen myocardial cell death
􀀀􀀀􀀀 􀀀􀀀􀀀
What if a woman forgets to take the pill for What is another name for Buerger's disease?
two days in a Thromboangiitis obliterans
row? What should she do?
Take 2 pills a day for two days in a row and 􀀀􀀀􀀀
then resume What is another name for external radiation
normal schedule. therapy?
Beam or X-rays
􀀀􀀀􀀀
What information does the measurement of 􀀀􀀀􀀀
skin fold What is another name for Vitamin B-12?
thickness yield? Extrinsic factor
The amount of body fat 􀀀􀀀􀀀
􀀀􀀀􀀀 What is another name of second intention?
What instructions are MOST important to give Granulation
a client 􀀀􀀀􀀀
during an EEG? What is anuria?
Try not to move Less than 50 cc of urine in 24 hours
􀀀􀀀􀀀 􀀀􀀀􀀀
What instructions do you give to a client What is arthodesis?
taking Joint fusion
tetracycline? 􀀀􀀀􀀀
Take it on an empty stomach and avoid the What is arthroplasty
sunlight Joint replacement
(photosensitivity)
􀀀􀀀􀀀
􀀀􀀀􀀀 What is a TIA?
What intellectual ability is impaired after ECT? Transient Ischemic Attack
Memory Warning sign of impending CVA (transient
􀀀􀀀􀀀 neurologic deficits
What is accomplished during the first stage of of any kind can last 30 seconds to 24 hours)
labor and 􀀀􀀀􀀀
delivery? What is automatic dysflexia or hyperreflexia?
Full effacement and dilation A common complication of quadriplegics in
􀀀􀀀􀀀 response to a
What is a colostomy? fulle bladder or bowel.
A surgically created opening of the colon out 􀀀􀀀􀀀
onto the What is cast syndrome?
abdomen wall. Nausea, vomiting and abdominal distention
􀀀􀀀􀀀 that can result in
What is a common complication of a client in intestinal obstruction
a body 􀀀􀀀􀀀
cast (like a Risser cast)? What is Chadwick's sign?
Cast syndrome Blue-tint to the cervix
􀀀􀀀􀀀 􀀀􀀀􀀀
What is a common side effect of What is cholesteatoma?
mastoidectomy?
An epidemial cyst in the ear highly associated 􀀀􀀀􀀀
with otitis What is egocentricity? In what stage is it
media. found?
􀀀􀀀􀀀 The child views everything from his frame of
What is cleft lip? reference,
The lip is open to the nares common in pre-operational thinking
􀀀􀀀􀀀 􀀀􀀀􀀀
What is cleft palate? What is endometriosis?
The roof of the mouth is open to the Growth of endometrial tissue outside of uterus
nasopharynx. 􀀀􀀀􀀀
􀀀􀀀􀀀 What is epitaxis?
What is conservation? In what stage does it Nose bleeds
develop? 􀀀􀀀􀀀
When the child realized that number, weight, What is found over the body of the client with
volume remain anorexia
the same even when outward appearances nervosa?
change; Concrete lanugo (soft downy hair)
Operational
􀀀􀀀______________􀀀
􀀀􀀀􀀀 What is global aphasia?
What is corrective surgery for otosclerosis Both receptive and expressive
called?
Stapedectomy 􀀀􀀀􀀀
What is glycogen?
􀀀􀀀􀀀 It is a stored formed of glucose/energy
What is Curlings ulcer? Why is it a problem in manufactured by the
burn patients? liver
What drug prevents it?
It is a stress GI ulcer, you get these with any 􀀀􀀀􀀀
severe physical What is gynecomastia?
stress. Tagamet, Zantac, Pepcid (any H2 Female-type breasts
receptor antagonist), 􀀀􀀀􀀀
Protonix Prilosec What is Hegar's sign?
􀀀􀀀􀀀 Uterine softening
What is cycloplegia? 􀀀􀀀􀀀
Paralysis of the iris/pupil What is hemianopsia?
􀀀􀀀􀀀 Not being able to see one half of the field of
What is dentifrice? vision.
Agents which promote adherence of 􀀀􀀀􀀀
dentures to gums, ie, What is hirsuitism?
Polygrip Hair where you don't want it
􀀀􀀀􀀀 􀀀􀀀􀀀
What is diastole? What is important about the level of the
The LOWEST force of blood on artery walls urinary drainage
􀀀􀀀􀀀 bag?
What is done in a graft for hemodialysis? Never have the bag at a higher level than
A blood vessel is sutured between an artery the bladder.
and a vein. 􀀀􀀀􀀀
􀀀􀀀􀀀 What is intermittent claudication?
What is done in an AV fistual? Pain in calf upon walking
A surgical anastomosis is made between the 􀀀􀀀􀀀
artery and a What is Kyphosis?
vein. Humpback in the thoracic area
􀀀􀀀􀀀 􀀀􀀀􀀀
What is done to correct pyloric stenosis? What is Lordosis?
Surgery (pyloromyotomy) Swayback in the lumbar region (Lumbar,
􀀀􀀀􀀀 Lordosis)
What is ecchymosis? 􀀀􀀀􀀀
Bruising What is lovenox?
􀀀􀀀􀀀 It is a low-dose Heparin used for
What is ECT? anticoagulation in POST-OP
The use of electrical shock current delivered THROMBOPHLEBITIS PREVENTION NOT USED
to the brain to FOR
induce a seizure that treats depression. PULMONARY EMBOLUS
􀀀􀀀􀀀 􀀀􀀀􀀀
What is mastoiditis? What is oliguria?
Inflammation/infection of the mastoid Less than 500 cc of urine in 24 hours
process 􀀀􀀀􀀀
􀀀􀀀􀀀 What is opisthotonos?
What is meant be the phrase "advance the Arching of back (entire body) from
drain 1 inch"? hyperextension of the
You pull the drain out 1 inch. neck and ankles, due to severe meningeal
􀀀􀀀􀀀 irritation.
What is meant by "cardiac 􀀀􀀀􀀀
decompensation"? What is otitis media?
It means that the compensatory mechanisms Chronic infectious/inflammatory disease of
- hypertrophy, the middle ear
dilation, tachycardia are not working and the 􀀀􀀀􀀀
heart has failed. What is otosclerosis?
􀀀􀀀􀀀 Overgrowth of spongy bone in the middle ear
What is meant by decompensation? that doesn't
Failure of the heart to maintain adequate allow the bones of the middle ear to vibrate
circulation. 􀀀􀀀􀀀
􀀀􀀀􀀀 What is paralytic ileus?
What is meant by dyspnea on exertion? Paralysis of the bowel due to surgery
Shortness of breath when active. (common --especially
􀀀􀀀􀀀 in abdominal surgery)
What is meant by orthopnea? 􀀀􀀀􀀀
Shortness of breath when lying flat What is petechiae?
􀀀􀀀􀀀 Small dot like pinpoint hemorrhages on the
What is meant by paroxysmal nocturnal skin.
dyspnea? 􀀀􀀀􀀀
Sudden episodes of difficulty breathing What is phlebotomy?
􀀀􀀀􀀀 Drain off 200-500 cc of blood from body
What is meant by the term "double barrel" (opposite of
colostomy? transfusion).
A procedure where the colon is cut and both 􀀀􀀀􀀀
ends are What is polycythemia vera?
brought out onto the abdomen. A blood disease in which there is an increase
􀀀􀀀􀀀 in erythrocytes,
What is meant by the term "temporary leukocytes and platelets
colostomy"? 􀀀􀀀􀀀
A colostomy that is not intended to be What is present when rebound tenderness is
permanent-- the present?
bowel will be reconnected at a later date Peritoneal inflammation
and the client will 􀀀􀀀􀀀
defecate normally What is pyelonephritis?
􀀀􀀀􀀀 A bacterial infection of the kidneys
What is meant when the physician/nurse use 􀀀􀀀􀀀
the terms What is recommended for the prevention of
total (complete) or partial (incomplete) in epiglottitis?
reference to All children two months and over should
placenta previa? receive an H.
Total or complete: placenta covers whole influenza B vaccine.
cervical opening
Partial or incomplete: placenta covers only 􀀀􀀀􀀀
part of the cervical What is scanning?
opening Moving the head from side to side to see the
whole field of
􀀀􀀀􀀀 vision.
What is melena?
A black, tarry stool indicating a GI bleed 􀀀􀀀􀀀
What is seen on the abdomen of the patient
􀀀􀀀􀀀 with Cushings?
What is methionine? Striae--purple horizontal lines
The precursor of the amino acid cystine
(precursor = material 􀀀􀀀􀀀
out of which something is made) What is sordes?
Crusts on the tongue and gums due to What is the #1 nursing diagnosis with shingles?
improper oral hygiene Alteration in comfort: pain, #2 Impaired skin
􀀀􀀀􀀀 integrity
What is spinal shock? 􀀀􀀀􀀀
It is a common occurrence in spinal cord What is the #1 purpose of a tepid sponge
injury in which the bath?
spinal cord swells above and below the level Lower body temperature during fever.
in injury 􀀀􀀀􀀀
􀀀􀀀􀀀 What is the #1 reason why MD's remove
What is systole? ovrian cysts?
The MAXIMAL force of blood on artery walls Remove before they transform into
􀀀􀀀􀀀 malignancy.
What is the #1 cancer that AIDS patients get? 􀀀􀀀􀀀
Kaposi's sarcoma What is the #1 side effect of
􀀀􀀀􀀀 antihypertensives?
What is the #1 cause of CD of pregnancy? Orthostatic hypotension (means you feel
Rheumatic heart disease weak when you rise
to a standing position because your blood
􀀀􀀀􀀀 pressure falls)
What is the #1 cause of death in pemphigus?
Overwhelming infection 􀀀􀀀􀀀
What is the #1 symptom of an MI?
􀀀􀀀􀀀 Severe chest pain unrelieved by rest and
What is the #1 cause of hypovolemic shock? nitroglycerine
Acute blood loss
􀀀􀀀􀀀
􀀀􀀀􀀀 What is the #1 symptom of Bell's Palsy?
What is the #1 cause of infant illness when the One sided (unilateral) facial paralysis
mother has
diabetes? 􀀀􀀀􀀀
Hypoglycemia What is the #1 symptom of cast syndrome?
Nausea and vomiting due to bowel
􀀀􀀀􀀀 obstruction
What is the #1 cause of maternal death in CD
of pregnancy? 􀀀􀀀􀀀
Decompensation What is the #1 therapy in the shock phase?
Fluid replacement/resuscitation
􀀀􀀀􀀀
What is the #1 complication of cleft 􀀀􀀀􀀀
lip/palate? What is the #1 treatment for autonomic
Aspiration dysreflexia?
Drain the bladder, empty the bowel
􀀀􀀀􀀀
What is the #1 contracture problem after 􀀀􀀀􀀀
BKA? What is the #1 treatment of cast syndrome?
Flexion of the knee NPO and NG tube for decompression
􀀀􀀀􀀀 􀀀􀀀􀀀
What is the #1 danger of epiglottitis? What is the #1 treatment of CD during
Airway obstruction pregnancy?
Rest
􀀀􀀀􀀀
What is the #1 difference between sealed & 􀀀􀀀􀀀
unsealed What is the #1 treatment of celiac's disease?
radiation? Gluten-free diet
Both are internal forms of radiotherapy 􀀀􀀀􀀀
however, in sealed, a What is the action of nitro?
solid object is placed in a body cavity; in dilates coronary arteries to increase blood
unsealed a supply (O2 supply)
radioactive substance is injected in liquid and reduces preload.
form into a vein 􀀀􀀀􀀀
􀀀􀀀􀀀 What is the activity order after
What is the #1 integumentary side effect of labyrinthectomy?
chemotherapy? Bed rest
Alopecia 􀀀􀀀􀀀
􀀀􀀀􀀀 What is the activity order for a woman with
What is the #1 medical treatment of severe preeclampsia?
hypovolemic shock Left side lying
Replace blood and fluids 􀀀􀀀􀀀
􀀀􀀀􀀀 What is the activity order for clients with CHF?
Bed Rest 􀀀􀀀􀀀
􀀀􀀀􀀀 What is the best treatment for breast
What is the advantage of balanced engorgement?
counteraction? Breast-feeding - it will balance supply and
You can easily move the patient around in demand
bed 􀀀􀀀􀀀
􀀀􀀀􀀀 What is the best way to prevent pulmonary
What is the age range for early adulthood? embolus in
19 to 35 years of age post-operative patients?
􀀀􀀀􀀀 Early ambulation
What is the age range for late adulthood? 􀀀􀀀􀀀
64 years of age to death What is the best way to screen men for BPH?
􀀀􀀀􀀀 Digital rectal exam
What is the age range for middle adulthood? 􀀀􀀀􀀀
35 to 64 years of age What is the big danger from torsion?
􀀀􀀀􀀀 Necrosis and rupture of ovary
What is the age range of concrete 􀀀􀀀􀀀
operational thinking? What is the BIG danger in renal failure?
7-11 Hyperkalemia and it's effect on the heart
􀀀􀀀􀀀 􀀀􀀀􀀀
What is the age range of formal operation What is the big danger to staff when caring
thinking? for a client with
12-15 cesium implant?
􀀀􀀀􀀀 Radiation hazard
What is the age range of pre-operational 􀀀􀀀􀀀
thinking? Hint: What is the BIG danger with aneurysms of any
Think of PRE-schoolers. type?
3-6 Rupture, leads to shock and death
􀀀􀀀􀀀 􀀀􀀀􀀀
What is the antibiotic most commonly given What is the BIG danger with pyelonephritis?
to clients with Permanent scarring and kidney damage
acne? 􀀀􀀀􀀀
Tetracycline What is the biggest challenge in nursing care
􀀀􀀀􀀀 of the client
What is the apgar scale? with hyperemesis gravidarum?
quick objective way to evaluate the vital Getting them to eat
functions of the 􀀀􀀀􀀀
newborn What is the causative organism of acne?
􀀀􀀀􀀀 P. acnes (propionibacterium acnes)
What is the appearance of the stool in a 􀀀􀀀􀀀
client with What is the characteristic lesion of
CF? remember the 4 Fs pemphigus?
Fat Large vesicular bullae
Frothy
Foul-smelling 􀀀􀀀􀀀
Floating What is the classic motor manifestation of
Steatorrhea Parkinson's?
Pill-rolling and tremors
􀀀􀀀􀀀
What is the average blood loss during labor? 􀀀􀀀􀀀
500 cc What is the classic pattern in formal
operational thinking?
􀀀􀀀􀀀 Abstract reasoning
What is the best and safest way to confirm
placenta previa? 􀀀􀀀􀀀
Ultrasound What is the classic symptom of Placenta
Previa?
􀀀􀀀􀀀 Painless 3rd trimester bleeding (hint: Painless
What is the best indicator of renal function? Placenta Previa)
The serum creatinine
􀀀􀀀􀀀
􀀀􀀀􀀀 What is the classic test for CF?
What is the best location in a client's room to Iontophoresis - sweat test
set up a
sterile field? 􀀀􀀀􀀀
On the over-bed table
What is the common finding with pediculosis What is the first phase in acute renal failure?
pubis? The oliguric phase
Reddish-brown dust in the underwear 􀀀􀀀􀀀
􀀀􀀀􀀀 What is the first sign of appendicitis?
What is the common name for Herpes Zoster? right upper quadrant pain
Shingles 􀀀􀀀􀀀
􀀀􀀀􀀀 What is the first sign of MS?
What is the common name for pediculosis? Blurred or double vision
Lice 􀀀􀀀􀀀
􀀀􀀀􀀀 What is the first sign of pulmonary embolus?
What is the danger with PROM? Dyspnea
Infection 􀀀􀀀􀀀
􀀀􀀀􀀀 What is the first test for HIV antibodies?
What is the definitive diagnostic test for ELISA
meningitis? 􀀀􀀀􀀀
Lumbar puncture with culture of CSF What is the first thing a nurse must do to help
(cerebro-spinal fluid) families in
􀀀􀀀􀀀 crisis?
What is the developmental task for early Nurse must first examine her own values
adulthood? 􀀀􀀀􀀀
Intimacy vs. Isolation What is the highest flow rate appropriate for
􀀀􀀀􀀀 nasal
What is the developmental task for later cannulae?
adulthood? 6 L/min
Ego Integrity vs. Despair 􀀀􀀀􀀀
􀀀􀀀􀀀 What is the hightes that the temp will be in
What is the developmental task for middle appendicitis?
adulthood? 102 F
Generativity vs. stagnation. 􀀀􀀀􀀀
􀀀􀀀􀀀 What is the icteric stage?
What is the dietary order for the woman with When the patient exhibits jaundice.
severe preeclampsia? 􀀀􀀀􀀀
Low salt, high protein What is the increase in anterior-posterior
􀀀􀀀􀀀 diameter of
What is the difference between external emphysema called?
radiation Barrel chest
treatment and internal radiation treatment? 􀀀􀀀􀀀
In external the tumor is bombarded with x- What is the initial diet order for clients with
rays & nothing is hyperemesis
placed in the body; in internal there is some gravidarum?
radioactive NPO
substance introduced into the body
􀀀􀀀􀀀
􀀀􀀀􀀀 What is the lesion like in primary syphilis?
What is the difference between structural and The chancre (pronounced shanker)
functional scoliosis?
Structural-you are born with; Functional-you 􀀀􀀀􀀀
get from bad What is the major complication of
posture endometriosis?
Infertility
􀀀􀀀􀀀
What is the difference between whole blood 􀀀􀀀􀀀
and packed What is the major function of the luteal phase
cells? of the
Packed cells don't have nearly as much ovarian cycle?
plasma or volume as To develop and maintain the corpus luteum
whole blood does which produces
progesterone to maintain pregnancy until
􀀀􀀀􀀀 placenta is
What is the famous triad of symptoms in established.
Meniere's?
Paroxysmal whirling vertigo -- sensorineural 􀀀􀀀􀀀
hearing loss-- What is the major objective in caring for a
tinnitus (ringing in the ears) client after
surgical cataract removal?
􀀀􀀀􀀀 To prevent pressure in or on the eyes
􀀀􀀀􀀀 􀀀􀀀􀀀
What is the maximal O2 flow rate for the What is the most common NRTI used?
client with COPD? AZT (zidovudine)
2 L/min 􀀀􀀀􀀀
􀀀􀀀􀀀 What is the most common organism to cause
What is the meaning of cervical effacement? UTI with
The cervix thins catheterization?
􀀀􀀀􀀀 E. coli
What is the medical treatment for mastoiditis? 􀀀􀀀􀀀
Systemic antibitoics What is the most common positive effect of
􀀀􀀀􀀀 lightening?
What is the medical treatment for pernicious After it occurs the woman can breathe much
anemia? easier
IM injections of Vitamin B-12 􀀀􀀀􀀀
􀀀􀀀􀀀 What is the most common problem due to
What is the most challenging aspect of catheterization?
combination of drug UTI
therapy for HIV disease? 􀀀􀀀􀀀
The number of pills that must be taken in 24 What is the most common retinoid given to
hours can be people with
overwhelming. The frequency also makes it acne?
hard to Accutane
remember-an alarm wristwatch is used. 􀀀􀀀􀀀
􀀀􀀀􀀀 What is the most common route for organisms
What is the most common arrhythmia after a to enter the
MI? blader when a catheterization is used?
Premature ventricular contractions (PVCs) Up through the inside of the catheter in the
􀀀􀀀􀀀 days following
What is the most common cause of catheterization
mastoiditis? 􀀀􀀀􀀀
Chronic otitis media What is the most common side effect of
􀀀􀀀􀀀 accutane? And
What is the most common complaint after an what is most important in health teaching in
EGD? adminstration?
Sore throat Inflammation of the lips; Causes birth defects
􀀀􀀀􀀀 􀀀􀀀􀀀
What is the most common complication of What is the MOST common side effect of
appendicitis? endometriosis?
Peritonitis Dysmenorrhea (painful menstruation)
􀀀􀀀􀀀 􀀀􀀀􀀀
What is the most common complication of What is the most common sign of fallopian
malpositioned tube ectopic
lenses in the comatose or confused patient? pregnancy?
Corneal ulceration Unilateral pelvic pain
􀀀􀀀􀀀 􀀀􀀀􀀀
What is the most common dietary What is the most common sign of
modification for the neurosyphillis?
woman with CD who shows signs of Ataxia (gait problems)
decompensation? 􀀀􀀀􀀀
Decreased sodium, decreased water What is the most common site for an AV
(restriction) shunt?
􀀀􀀀􀀀 Radial artery to radial vein
What is the most common dietary restriction 􀀀􀀀􀀀
for AGN? What is the most common symptom of lice?
Moderate sodium restriction. Fluid restriction is Itching
#2 if edema 􀀀􀀀􀀀
is severe. What is the most common use for
􀀀􀀀􀀀 anticholinergics in the
What is the most common musculo-skeletal eye?
symptom of To cause cycloplegia
meningitis? Dilation
Stiff neck- nuchal rigidity Allowing eye exam
􀀀􀀀􀀀 120/80
What is the most dangerous complication of 􀀀􀀀􀀀
EGD? What is the normal color of cerebrospinal
Secondary respiratory arrest (valium) fluid?
􀀀􀀀􀀀 Clear, colorless
What is the most dangerous side 􀀀􀀀􀀀
effect/complication of What is the normal pulse pressure?
fallopian ectopic pregnancy? 40 (+ or -10)
Rupture of the fallopian tube 􀀀􀀀􀀀
􀀀􀀀􀀀 What is the only IM given to a burn patient?
What is the most dangerous toxicity of Kwell? Tetanus toxoid- if they had a previous
CNS toxicity immunization; tetanus
􀀀􀀀􀀀 antitoxin- if they have never been immunized
What is the most effective way to decrease before (or
UTI with immune globulin)
catheters? 􀀀􀀀􀀀
Keep the drainage system closed, do not What is the only treatment recommended for
disconnect junction appendicitis?
of tubing surgery - appendectomy
􀀀􀀀􀀀 􀀀􀀀􀀀
What is the most important intervention in What is the permanent EKG change seen
treating AGN? post MI?
Bedrest - they can walk if hematuria, edema ST wave changes
and 􀀀􀀀􀀀
hypertension are gone. What is the primary dietary prescription for
􀀀􀀀􀀀 calcium
What is the most important thing to nephrolithiasis?
remember about giving Low calcium diet
Mestinon and other anticholestinerases? 􀀀􀀀􀀀
They must be given EXACTLY ON TIME; at What is the primary purpose of a 3 way
home, they might continuous bladder
need to set their alarm irrigation (CBI) after TURP?
􀀀􀀀􀀀 To keep the catheter clear of clots and to
What is the most RELIABLE or VALID indication drain urine
that a 􀀀􀀀􀀀
woman is in labor? What is the problem with giving high flow
The onset of regular contractions that result in rates of O2 by
progressive nasal cannulae?
dilation/effacement of the cervix Dries the mucous membranes.
􀀀􀀀􀀀 􀀀􀀀􀀀
What is the most severe complication of otitis What is the pulse pressure?
media? The difference between the systolic and the
Meningitis or mastoiditis diastolic blood
􀀀􀀀􀀀 pressure
What is the name for an elevated WBC? 􀀀􀀀􀀀
Leukocytosis What is the purpose of a Logan Bow?
􀀀􀀀􀀀 To prevent stress on the suture line
What is the name of frozen factor VIII given to 􀀀􀀀􀀀
hemophiliacs? What is the purpose of a wound drain?
Cryoprecipitate Remove secretions from the area so healing
􀀀􀀀􀀀 occurs.
What is the name of the process in which 􀀀􀀀􀀀
outside agents What is the purpose of restricting activity after
cause birth defects in the fetus? spinal
Teratogenesis tap?
􀀀􀀀􀀀 To prevent headache due to CSF loss
What is the name of the RLQ abd pain where 􀀀􀀀􀀀
appendicitis What is the reason for giving post MI patients
pain finally localizes? ASA?
McBirney's point To prevent platelets from forming clots in the
􀀀􀀀􀀀 coronary
What is the normal adult blood pressure? arteries
􀀀􀀀􀀀 referred to a BULBAR signs.
What is the routine for vital sign measurement 􀀀􀀀􀀀
with a What is the word used to identify the feeling
transfusion? that the
Once before administration mother experiences when the fetus moves?
Q15 x 2 after administration is begun Quickening
Q1 x1 after transfusion has stopped 􀀀􀀀􀀀
􀀀􀀀􀀀 What IV solution is hung with a blood
What is the sensori-motor stage of intellectual transfusion?
development? 0.9 normal saline (No glucose)
It is the intellectual stage of children from birth 􀀀􀀀􀀀
to 2 years What IV solution is used during labor for the
􀀀􀀀􀀀 diabetic?
What is the simple formula for calculating fluid D5W
replacement 􀀀􀀀􀀀
needs in the first 24 hours? What kind of lubricant should be used on the
3cc X Kg X % burned per day suction
􀀀􀀀􀀀 catheter?
What is the surgery done for Meniere's? Sterile water-soluble
Labyrinthectomy 􀀀􀀀􀀀
􀀀􀀀􀀀 What kind of rod is used to "fix" curvature?
What is the surgery for mastoiditis called? Harrington Rod
Simple or radical mastoidectomy 􀀀􀀀􀀀
􀀀􀀀􀀀 What kind of treatment is done for severe
What is the top priority in the care of the scoliosis?
client with Surgical fusion with rod insertion
anorexia nervosa? 􀀀􀀀􀀀
intake of enough food to keep them alive, What kinds of fluids will clients with pemphigus
have them gain drink best?
weight Cold fluids
􀀀􀀀􀀀 􀀀􀀀􀀀
What is the treatment of choice for syphilis? What lab findings are present in AIDS?
Penicillin Decreased RBC's, WBC's and platelets
􀀀􀀀􀀀 􀀀􀀀􀀀
What is the treatment of for cast syndrome? What lab test assesses the risk of Respiratory
Removal of the cast, NG tube to decompress, Distress
NPO Syndrome?
􀀀􀀀􀀀 L/S ratio (Lecithin/Sphingomyelin ratio)
What is the typical complexion of a client with 􀀀􀀀􀀀
polycythemia What level of fever is present in epiglottitis?
vera? Over 102 degrees
Ruddy red, almost purple
􀀀􀀀􀀀
􀀀􀀀􀀀 What L/S ratio indicated fetal lung maturity?
What is the typical diet for CF client? 2/1
High calorie
High protein 􀀀􀀀􀀀
Modified fat What lubricant can safely be applied to the
cracked lips of
􀀀􀀀􀀀 chemotherapy stomatitis?
What is the typical of the lesions of K-Y Jelly
pemphigus?
Foul-smelling, blisters break easily, seen in the 􀀀􀀀􀀀
elderly, cause What major sense is affected most in MS
unknown (besides vision)?
Tactile (touch)-- they burn themselves easily
􀀀􀀀􀀀
What is the typical skin care of pemphigus? 􀀀􀀀􀀀
Cool wet dressing What may be added to the IV to correct the
acidosis?
􀀀􀀀􀀀 Bicarbonate
What is the unique adjective given to
describe the early 􀀀􀀀􀀀
signs of MG? What measurement must the woman with
The early signs (difficulty swallowing, visual pre-eclampsia
problems) are make every day?
She must weigh herself
􀀀􀀀􀀀 Iron
What medical intervention is necessary in Folic acid
pyelonephritis? Prevent anemia (anemia always makes the
IV antibiotics for one to two weeks, must get heart work more)
urine culture 2 􀀀􀀀􀀀
weeks after antibiotic therapy is over What occurs during the 4th stage of labor
􀀀􀀀􀀀 and delivery?
What medication is given? By what route? Recovery
Survanta (Surfactant) via ET tube. Repeat 􀀀􀀀􀀀
doses are often What occurs during the follicular phase of the
required. ovarian cycle?
􀀀􀀀􀀀 It accomplishes maturation of the graafian
What might Levodopa do to patients urine? follicle which
Make it very dark results in ovulation
􀀀􀀀􀀀 􀀀􀀀􀀀
What movements are to be avoided after What oral problem will people with
cataract surgery? polycythemia vera have?
Coughing Bleeding mucous membranes
Sneezing 􀀀􀀀􀀀
Bending at the waist What organism causes acute glomerular
Straining at stool nephritis?
Rubbing or touching eyes Group A beta hemolytic strep
Rapid head movements 􀀀􀀀􀀀
􀀀􀀀􀀀 What organism causes epiglottitis?
What must be done to the equipment before Hemophilus influenza B
injecting by Ztrack 􀀀􀀀􀀀
method? What organism causes shingles?
Change the needle Varicella--herpes zoster
􀀀􀀀􀀀 􀀀􀀀􀀀
What must the mother do after feeding the What organism causes syphilis?
baby who has Treponema palladium
had cleft lip/palate repair?
Rinse the infant's/child's mouth with water 􀀀􀀀􀀀
What organ will be enlarged in polycythemia
􀀀􀀀􀀀 vera?
What must you do if you reach across a sterile The spleen, because it is destroying the
field? excessive RBC's.
Consider the area contaminated and not use
the articles in 􀀀􀀀􀀀
the area What other disease can be confused with
pernicious
􀀀􀀀􀀀 anemia?
What name is is given to diabetes that is Angina pectoris
brought on by
pregnancy? 􀀀􀀀􀀀
Gestational diabetes What other disease is related to shingles?
chickenpox
􀀀􀀀􀀀
What neurologic test do they do for this 􀀀􀀀􀀀
anemia? What other disorders resemble rupture of
The Romberg test (a test for balance), in ovarian cysts?
normal people this Appendicitis, rupture of a fallopian tube
test is negative, in the client with pernicious pregnancy
anemia this test 􀀀􀀀􀀀
becomes positive What other test is used to confirm fetal lung
􀀀􀀀􀀀 maturity?
What neurotransmitter is problematic in MG? Amniotic fluid is analyzed for presence of PG
Acetylcholine 􀀀􀀀______________􀀀
􀀀􀀀􀀀 What other things are appropriate after a
What nutrient is lost in highest amounts during reaction?
PD? Call MD, get a blood sample, get urine
Protein sample, monitor
vitals, send blood to lab
􀀀􀀀􀀀
What nutrients should be supplied in the diet 􀀀􀀀􀀀
of the What outcomes would indicate that
pregnant woman with CD? suctioning was
effective? What pre-test activities must be performed
Clear even lung sounds, normal vital signs before the EGD?
􀀀􀀀􀀀 Remove dentures and eyeglasses
What pain medication is given for the pain of Sign consent
a MI (Give NPO after midnight
three). 􀀀􀀀􀀀
Morphine, Demerol, Nitroglycerine What procedure is done to relieve symptoms
􀀀􀀀􀀀 in
What part of the body is most affected by polycythemia vera?
Raynaud's? Phlebotomy
The fingers 􀀀􀀀􀀀
􀀀􀀀􀀀 What reflex is commonly routinely tested in
What part of the ear is involved in otitis the recovery
media? room?
Middle ear Gag reflex
􀀀􀀀􀀀 􀀀􀀀􀀀
What part of your hand do you use to handle What safety measures should be followed
a wet cast? with Meniere's?
The palm Side rails up x 4, ambulate only with
assistance
􀀀􀀀􀀀
What percentage of North American families 􀀀􀀀􀀀
are singleparent? What serum protein rises soonest after
50% myocardial cell
injury?
􀀀􀀀􀀀 Troponin
What position is best for clients with
emphysema under 􀀀􀀀􀀀
normal circumstances? What shampoo is used for lice?
Semi-fowlers or higher Kwell
􀀀􀀀􀀀 􀀀􀀀􀀀
What position is contraindicated after cleft lip What shape does Hgb S make the RBC's?
repair? Crescent-shaped
NEVER lie on their abdomen 􀀀􀀀􀀀
􀀀􀀀􀀀 What should a woman do if she forgets to
What positions are okay after cataract take her pill for 3
surgery? days or more?
Do not lie on operative side; do not lie on Throw away pack and start new pack same
back day. use back-up
contraceptive method for 7 days
􀀀􀀀􀀀
What positions are to be avoided after 􀀀􀀀􀀀
cataract surgery? What should be avoided in the arm of the
Lying face down. Also, do not lie on operative client with an AV
side for a shunt?
month. No venipuncture or blood pressure allowed in
the arm with a
􀀀􀀀􀀀 shunt, graft or fistula.
What precaution must be taken with
potassium 􀀀􀀀􀀀
permanganate? What should the client avoid after
Be careful that no undissolved crystals touch labyrinectomy?
the client; it will Sudden movements and increased Na food
burn the skin 􀀀􀀀􀀀
􀀀􀀀􀀀 What should the client avoid post-
What precaution must the nurse take when stapedectomy?
administering coughing
topical nitro paste? sneezing
wear gloves, nurse may get a dose of the blowing nose
med swimming
showers
􀀀􀀀􀀀 flying
What precautions are important in the care
of the client 􀀀􀀀􀀀
receiving PD? What should the client do after an EEG?
Safety, because they get dizzy. Wash their hair
􀀀􀀀􀀀 􀀀􀀀􀀀
What should the client do if they get an What sign would indicate the presence of
attack? thrombophlebitis?
Bed Rest A hard, red swelling in the posterior calf
􀀀􀀀􀀀 􀀀􀀀􀀀
What should the client expect regarding What skin products should the patient
hearing poststapedectomy? receiving
An initial decrease with the benefits of surgery external radiotherapy AVOID?
noticeable in No ointments with metals like zinc oxide, no
6 weeks talcum powder
􀀀􀀀􀀀 􀀀􀀀􀀀
What should the client with Raynaud's avoid? What skin symptoms do you see in hepatitis?
Cold weather. (They should wear gloves & (Give 2)
stop smoking) Pruritis (itching)
􀀀􀀀􀀀 Jaundice (Both are due to bilirubin
What should the nurse do with the IV line if accumulation)
transfusion 􀀀􀀀􀀀
reaction is suspected? What solution and material are used to
Keep it open with saline cleanse the eyes of
􀀀􀀀􀀀 an infant?
What should the nurse measure before Plain water, cotton balls, washcloths
starting a 􀀀􀀀􀀀
transfusion? What solution is best to use if you intend to
Vital signs remove a
􀀀􀀀􀀀 client's contact lenses?
What should the post-stapedectomy client Sterile saline
do if he must 􀀀􀀀􀀀
sneeze? What solution is commonly used for care of
Open his mouth, this de-pressurizes the middle umbilical cord?
ear. 70% alcohol to promote drying (trend is
􀀀􀀀􀀀 toward soap and
What should you do if an obsessive- water)
compulsive patient is 􀀀􀀀􀀀
always late due to their rituals? What solution is put onto the skin to protect it
Get them started earlier-- for example if they from the
wash their irritating effects of the tape?
hands for 1/2 hours before meals and are Tincture of benzoin
always late for 􀀀􀀀􀀀
breakfast, just get them started 1/2 hour What solution is used for CBI?
earlier. Normal saline (0.9 NaCl)
􀀀􀀀􀀀 􀀀􀀀􀀀
What should you do to assess for facial nerve What solution should be used on the skin
paralysis where the
post-mastoidectomy? brace rubs?
Have the patient smile and wrinkle forehead. Tincture of benzoin or alcohol,no lotions of
􀀀􀀀􀀀 ointments-you
What should you tell a breast feeding mother want to toughen the skin not soften it
about her 􀀀􀀀􀀀
milk supply when she goes home from the What solution should be used to clean a
hospital? hearing aid?
Milk should come in postpartum day 3. Soap and water
Breastrfeed every 2-3
hours to establish good milk supply. 􀀀􀀀􀀀
What solution should be used to clear the
􀀀􀀀􀀀 tubing
What signs or symptoms would you report if during suctioning?
they were Sterile saline
present after cast application?
Numbness 􀀀􀀀􀀀
Tingling What special item do clients with CHF have to
Burning wear to
Pallor decrease venous stasis in the legs?
Unequal or absent pulses TED hose
Unequal coolness 􀀀􀀀􀀀
􀀀􀀀􀀀 What structures are involved in acne vulgaris?
The sebaceous glands
􀀀􀀀􀀀 􀀀􀀀􀀀
What structures in the brain are most affected What three drugs are given post-operatively
in for surgical
Parkinson's? cataract removal?
Basal ganglia Stool softeners
􀀀􀀀􀀀 Antiemetics
What surgery CAN be done for MG? Analgesics (mild to moderate)
Thymectomy (removal of thymus) 􀀀􀀀􀀀
􀀀􀀀􀀀 What three drugs can be given for muscle
What symptoms are classic epiglottitis? spasms?
Muffled voice Valium, Baclofen (Lioresal), Dantrium
Drooling 􀀀􀀀􀀀
Stridor What three medications are used in
􀀀􀀀􀀀 osteoarthritis?
What syndrome results when too much fluid is Aspirin, non-steroidal inflammatory (NSAIDs)
exchanged Indocen,
during hemodialysis too quickly? Ibuprofen, steroids
Disequilibrium syndrome 􀀀􀀀􀀀
􀀀􀀀􀀀 What three most common visual defects
What technique is used to remove feces and occur with
flatus from the cataract?
bowel through a colostomy? Cloudiness
Colostomy irrigation Diplopia (double vision)
Photophobia (sensitivity to light)
􀀀􀀀􀀀
What temperature is appropriate for the 􀀀􀀀􀀀
water used to What time of day can be particularly
bathe an infant? dangerous for the
100 to 105 Parkinson's patient?
Mealtime, due to choking
􀀀􀀀􀀀
What test confirms the diagnoses of 􀀀􀀀􀀀
gestational diabetes? What treatment modality can lead to
3 hour glucose tolerance test pulmonary embolus?
Bed rest
􀀀􀀀􀀀
What test confirms the ELISA? 􀀀􀀀􀀀
Western Blot What two classes of drugs are given in
Meniere's?
􀀀􀀀􀀀 Antihistamines and diuretics (Diamox)
What test CONFIRMS the presence of syphilis?
Dark-field illumination of the treponema 􀀀􀀀􀀀
palladium What two discomforts are common during an
EGD?
􀀀􀀀􀀀 Vomiting
What test/exam CONFIRMS the diagnosis of Gagging
scoliosis?
X-rays of the spine 􀀀􀀀􀀀
What two drugs are commonly give post-
􀀀􀀀􀀀 stapedectomy?
What test identifies Rh factor? Codeine/Demerol for pain, Dramamine for
Coombs test detects antibodies to Rh dizziness
􀀀􀀀􀀀 􀀀􀀀􀀀
What test is done to confirm a diagnosis of What two joints are most commonly affected
pyloric stenosis? in
Upper GI series (barium swallow) osteoarthritis?
􀀀􀀀􀀀 knee and hip
What the two most common causes of 􀀀􀀀􀀀
whistling and What two lab tests monitor coumadin
squealing of a hearing aid? therapy?
Loose earmold Prothrombin time (PT) and the INR
Low battery
􀀀􀀀􀀀
􀀀􀀀􀀀 What two non-dietary lifestyle changes are
What three drugs are given for shingles? used commonly
Acyclovir (anti-infective) to treat hypertension?
Tegretol (anticonvulsant--given to stabilize Decreases stress
nerve cell Increase activity
membranes) Steroids (anti-inflammatory)
􀀀􀀀􀀀 􀀀􀀀􀀀
What type of brace is most commonly used What type of pain is typical of migraines?
for Throbbing
scoliosis? 􀀀􀀀􀀀
Milwaukee What type of rash occurs with shingles?
􀀀􀀀􀀀 A vesicular rash over the pathway of a
What type of cast causes cast syndrome? sensory nerve
A body cast 􀀀􀀀􀀀
􀀀􀀀􀀀 What type of rigidity is typical of Parkinson's?
What type of cast is used post-operatively? Cogwheel
Risser cast 􀀀􀀀􀀀
􀀀􀀀􀀀 What type of traction is most commonly used
What type of diet is indicated for a woman for hip
with preeclampsia? fracture in adults?
Increased protein/normal salt intake (no Bucks
restriction typically) 􀀀􀀀􀀀
􀀀􀀀􀀀 What type of traction is most commonly used
What type of diet is the client with Meniere's for hip
on? fractures in children?
Low salt Bryants
􀀀􀀀􀀀 􀀀􀀀􀀀
What type of diet is this woman with a cesium What type of vomiting is present in
implant on? meningitis?
Low residue (decrease bowel motility ) Projectile
􀀀􀀀􀀀 􀀀􀀀􀀀
What type of diet is used in BPH? What types of chemicals cause burns to oral
Acid Ash mucosa when
􀀀􀀀􀀀 ingested?
What type of diet should the patient with MG Lye, caustic cleaners
be on? 􀀀􀀀􀀀
Soft What types of precautions will be in effect for
􀀀􀀀􀀀 a woman with
What type of diet will people with severe pre-eclampsia?
polycythemia vera be on? Seizure precautions
Low iron 􀀀􀀀􀀀
􀀀􀀀􀀀 What typical pre-operative type of orders will
What type of dressing is applied to a central be ordered
line insertion before ECT?
site? NPO after midnight
Sterile occlusive Remove dentures
Client to void before surgery
􀀀􀀀􀀀 Side rails up
What type of environmental modification is
best for a 􀀀􀀀􀀀
migraine? What unique urine test is done to diagnose
Dark and quiet environment pernicious
anemia?
􀀀􀀀􀀀 The Schilling test
What type of gait is seen in Parkinson's?
Shuffling slow gait 􀀀􀀀􀀀
What unusual nursing diagnosis is high priority
􀀀􀀀􀀀 in
What type of hearing loss is associated with pemphigus?
otosclerosis? Alteration in fluid and electrolyte balance
Conductive
􀀀􀀀􀀀
􀀀􀀀􀀀 What unusual post-operative complication
What type of movement should be used for can result from
cleansing eyes? mastoidectomy?
Inner to outer canthus Facial nerve paralysis due to accidental
􀀀􀀀􀀀 damage during
What type of oral/esophageal infections do surgery (law suit time!)
AIDS patients 􀀀􀀀􀀀
get? What urinary pH prevents UTI?
Candida Acidity, low pH
􀀀􀀀􀀀 What will the activity order be for the post-MI
What virus causes AIDS? client?
HIV - Human immunodeficiency virus Bed rest with bedside commode
􀀀􀀀􀀀 􀀀􀀀􀀀
What vision problem do women with pre- What will the client be wearing after cataract
eclampsia have? surgery?
Blurred vision A protective patch/shield on the operative
eye for 24 hours,
􀀀􀀀􀀀 then a metal shield (AT NIGHT only) for 3
What visual symptom will the patient with weeks
meningitis have?
Photophobia (over-sensitivity to light) 􀀀􀀀􀀀
What will the client with otosclerosis complain
􀀀􀀀􀀀 of besides
What vital sign changes are most ominous hearing loss?
after cystoscopy? Buzzing or ringing, in the ears (tinnitus)
A fall in the blood pressure and increase in
the pulse-- 􀀀􀀀􀀀
increasing hemorrhage What will the extremities of the client with a MI
feel like?
􀀀􀀀􀀀 Cold, clammy
What vitamin is not absorbed in a patient with
pernicious 􀀀􀀀􀀀
anemia? What will the facial appearance of a patient
Vitamin B-12 with MG look
like?
􀀀􀀀􀀀 Mast-like with a snarling smile (called a
What vitamin should patients on Levodopa myasthenic smile)
avoid?
B6 pyridoxine 􀀀􀀀􀀀
What will the fingers look like?
􀀀􀀀􀀀 Pale, sometimes blue
What vitamins need to be replaced in CF?
Fat soluble in water soluble form -- A,D,E,K 􀀀􀀀􀀀
What will the nurse auscultate over the lungs
􀀀􀀀􀀀 when
What warning should you give the client pulmonary edema occurs?
about getting up Crackles (rales)
after stapedectomy?
Get up slowly 􀀀􀀀􀀀
What will you auscultate over the lungs of the
􀀀􀀀􀀀 neonate with
What will be a high priority nursing diagnosis Respiratory Distress Syndrome?
for a client Decreased lung sounds with crackles
post cataract surgery?
Safety 􀀀􀀀􀀀
What will you find when you assess the legs of
􀀀􀀀􀀀 these
What will be the results of the Rinne test in patients?
otosclerosis? Weak/absent pulses, cool, pale, loss of hair,
Bone conduction will be better than air shiny thin skin
conduction
􀀀􀀀􀀀
􀀀􀀀􀀀 What will you hear when you auscultate the
What will be used to feed the infant after cleft heart of the
lip repair? client with CD of pregnancy?
A dropper/syringe with rubber tip to Murmurs
discourage sucking
􀀀􀀀􀀀
􀀀􀀀􀀀 What will you hear when you auscultate the
What will excessively fatty stool be like? lungs of the
Large, pale, foul smelling, greasy client with CD of pregnancy?
􀀀􀀀􀀀 Crackles-rales
What will prevent hip flexion contracture after 􀀀􀀀􀀀
AKA? What will you observe on the hands of the
Lying prone several times a day client with
􀀀􀀀􀀀 emphysema?
What will the abdomen of clients with celiac's Clubbing of the fingernail beds
disease look 􀀀􀀀􀀀
like? What will you see when you observe the neck
Distended with flatus of a client
􀀀􀀀􀀀 with CD of pregnancy?
Distended neck veins -JVD number stands for the change in sounds or
􀀀􀀀􀀀 cessation of
What words will the client use to describe the sounds?
pain of an MI? Cessation of sounds
Crushing, heavy, squeezing, radiating to left 􀀀􀀀􀀀
arm, neck , jaw, When 2 values are given in a blood pressure
shoulder the first is the
􀀀􀀀􀀀 __________measurement.
What would you do first if you suspected Systolic
transfusion 􀀀􀀀􀀀
reaction? When a client is unable to hold his dentures
Stop the blood and start the saline firmly in his
􀀀􀀀􀀀 mouth, the nurse should...
What would you do if the cesium implant Leave them out
came out? 􀀀􀀀􀀀
Pick it up with forceps only - never touch with When a client voices embarrassment over the
hand even if noises that
you are wearing gloves. their colostomy makes on the first post-op
􀀀􀀀􀀀 day, what would
What would you do if the client complains of you say?
flank pain The noise will go away in a few days to a
(back pain) after hysterectomy? week.
Call the MD, probably had a ureter tied off 􀀀􀀀􀀀
accidentally in When a doctor takes three different blood
surgery pressure
􀀀􀀀􀀀 readings at different times, how far apart
What would you do if the client had an must the
increasing measurements be made?
temperature and was to get blood? At least one week
Call the MD because blood is often held with 􀀀􀀀􀀀
an elevated When a dressing saturated, germs can enter
temperature the wound
􀀀􀀀􀀀 from the outside. (T/F)
What would you do if the client had any one True, by a process called capillary action
of the 􀀀􀀀􀀀
following after cystoscopy: bladder spasm, When a patient does not understand
burning, INCOMING language
frequency? he is said to have ______ aphasia.
Record it but no need to call the MD Receptive
􀀀􀀀􀀀 􀀀􀀀􀀀
What would you do if the client's urine was When a patient is in a Buck's traction they
pink-tinged may turn to the
after cystoscopy? _________ side.
Record it in the notes, no need to call the Unaffected
MD. 􀀀􀀀􀀀
􀀀􀀀􀀀 When a patient is taking Levodopa he should
What would you do if you noticed a small have
amount of blood assistance getting out of bed because...
come out in the first few bottles that were Of orthostatic hypotension
infused? 􀀀􀀀􀀀
Nothing, this is normal: the blood is due to the When a person increases fiber in the diet they
initial should do
puncture of the abdomen so____________.
􀀀􀀀􀀀 Slowly
What would you tell a client who says what if I 􀀀􀀀􀀀
get shocked When applying restraints remember to...
during my EEG? Avoid bruising skin, cutting off circulation,
That is impossible since the test measures accidental
electrical activity entangling
coming FROM him, never to him.
􀀀􀀀􀀀
􀀀􀀀􀀀 When are hemolytic transfusion reactions
When 2 values are given in a blood pressue, likely to occur?
the bottom In the first 10 to 15 minutes
􀀀􀀀􀀀 False, the whole cartridge system must be
When are there activity restrictions after an returned to the
EEG? pharmacy due to federal narcotic control
ONLY when sedatives are used, and then it's laws.
only necessary 􀀀􀀀􀀀
to keep side rails up. When does a nuclear family become an
􀀀􀀀􀀀 extended family?
When are urine pregnancy tests positive? When aunts or uncles or grandparents live
At the time of the first missed period with the family
􀀀􀀀􀀀 􀀀􀀀􀀀
When a stump is wrapped, the bandage When does lightening occur in pregnancy?
should be tightest 2-3 weeks before birth for primipara
_____________ and loosest _____________. 􀀀􀀀􀀀
distally (far from the center), proximally When does pre-eclampsia usually begin in
(neareast to the pregnancy
point) (week)?
􀀀􀀀􀀀 After 20 weeks
When a woman is hospitalized for severe pre- 􀀀􀀀􀀀
eclampsia the When does spinal shock occur?
nurse should test... Immediately or within 2 hours of injury
#1 reflexes, the urine for protein 􀀀􀀀􀀀
􀀀􀀀􀀀 When does the 4th stage of labor and
When blood is administered by IV, the delivery end?
needle/catheter 2 hours after expulsion of the placenta
should be ________gauge. 􀀀􀀀􀀀
18 gauge When does typing and cross matching need
􀀀􀀀􀀀 to be done?
When can an EGD client begin to eat after Whenever a client is to get a blood product.
the test? It is only good
When gagg reflex returns (knocked out with for 24 hours.
xylocaine) 􀀀􀀀􀀀
􀀀􀀀􀀀 When do you need a gown with AIDS?
When cancer spreads to a distant site it is If you are going to get contaminated with
called? secretions
Metastasis 􀀀􀀀􀀀
􀀀􀀀􀀀 When do you need a mask with AIDS?
When cardiac output fails, name three ways Not usually unless they have an infection
the heart will caused by an
try to compensate. airborne bug
Ventricle hypertrophy 􀀀􀀀􀀀
Dilate and heart rate will increase When do you need goggles with AIDS?
􀀀􀀀􀀀 Suctioning, central line start, arterial
When changing central line tubing the procedures
patient should be 􀀀􀀀􀀀
told to_________? When during the day should TED hose be
Turn his head away from the site, hold breath, applied?
and perform Before the client gets out of bed
the Valsalva maneuver
􀀀􀀀􀀀
􀀀􀀀􀀀 When fluid accumulates in the abdomen
When cleansing an infant's eye, cleanse from during PD what
outer to inner problem does the client experience first?
canthus? Dyspnea - SOB or difficulty breathing, due to
No, inner to outer the inability of
􀀀􀀀􀀀 the diaphragm to descend
When coumadin is therapeutic, the INR 􀀀􀀀􀀀
should be between When giving a bed bath, on which body
_______ and _______. party should the
2.0 and 3.0 nurse begin to work?
􀀀􀀀􀀀 The eyes
When discontinuing a PCA infusion it is 􀀀􀀀􀀀
acceptable to When giving a Z-track injection, the overlying
discard the drug cartridge. (T/F) skin is pulled
(up/down/medially/laterally). you do need to be heparinized for
Laterally hemodialysis
􀀀􀀀􀀀 􀀀􀀀􀀀
When halo traction is being used to When pouring liquid onto a sterile field you
immobilize the should pour
spinal cord the client is allowed to _______. from a height of _____ to _____ inches above
Ambulate sterile field.
􀀀􀀀􀀀 6 to 8
When Inderal is given in migraine headache, 􀀀􀀀􀀀
it is used to When pre-eclampsia gets worse the deep
prevent or treat an attack? tendon reflexes
To prevent. It DOES NOT treat. will be (hyper/hypo) reflexia.
When is a bad time to change dressings? Hyper-reflexia
Mealtime 􀀀􀀀􀀀
􀀀􀀀􀀀 When pressure is auscultated the first sound
When is a febrile reaction likely to occur? heard is the
Within 30 minutes of beginning the transfusion ____________ measurement.
􀀀􀀀􀀀 Systolic
When is apgar scoring performed on infants? 􀀀􀀀􀀀
at one minute and again at 5 minutes after When PROM occurs, the age of the fetus
the birth must be
􀀀􀀀􀀀 determined. The best way to assess lung
When is cleft palate repaired? maturity is to
Between 1 and 5 years of age check the ________ ratio.
L/S (lecithin/sphingomyelin)
􀀀􀀀􀀀
When is infant hypoglycemia most likely to 􀀀􀀀􀀀
occur during When pulmonary edema is severe what does
labor and delivery? the sputum
In the hours immediately following delivery look like?
Bloody and frothy
􀀀􀀀􀀀
When is insulin used in the treatment of 􀀀􀀀􀀀
gestatinal When putting on the first glove of a set of
diabetes? sterile gloves,
When dietary control does not keep the you should grasp the cuff. (T/F)
blood sugar within True
normal limits 􀀀􀀀􀀀
􀀀􀀀􀀀 When putting on the second glove of a set of
When is pre-eclampsia called eclampsia? sterile gloves,
Once convulsions have occured you must not use the thumb of the first hand.
(T/F)
􀀀􀀀􀀀 True
When mastitis is present the breasts are
________, 􀀀􀀀􀀀
_________, and __________. When putting on the second of a set of sterile
Hard, swollen, warm gloves, you
should grasp the cuff. (T/F)
􀀀􀀀􀀀 False, reach under the cuff with the tip of the
When men get MG they are usually old or gloved fingers.
young?
Old 􀀀􀀀􀀀
When shaving a client, water used should be
􀀀􀀀􀀀 more
When must psychological care of the rape (hot/cold) than bath water?
victim Hot
begin?
In the emergency room 􀀀􀀀􀀀
When should a diabetic be delivered?
􀀀􀀀􀀀 Between 37 and 39 weeks
When O2 is administered, it must be...
Humidified 􀀀􀀀􀀀
When should a patient put on TED hose?
􀀀􀀀􀀀 Before getting out of bed (before the swelling
When PD is being used the client must be on occurs).
heparin. (T/F)
False, you do not need to be heparinized for 􀀀􀀀􀀀
peritoneal, but When should the breast feeding infant be
burped?
After feeding from each breast
􀀀􀀀􀀀 but will get a different prescription in 2 to 3
When should the child with CF take his months
pancreatin/viokase/pancreas? 􀀀􀀀􀀀
With meals, so it is in the gut while the food is When the client is taking diuretics, what
present, the mineral is the CHF
whole purpose is to increase absorption of client most likely to lose?
ingested food. Potassium--K+
􀀀􀀀􀀀 􀀀􀀀􀀀
When should the nurse WITHHOLD IM When the CVA client understands your
injections in the question but can't
client on chemotherapy? respond verbally correctly, he is said to have
Only when their PLATELET count is down. ___________
􀀀􀀀􀀀 aphasia.
When sponge-bathing with tepid water the Expressive
correct temp is 􀀀􀀀􀀀
_____________. When the lens is to be extracted for
98.6 F cataracts, what drugs
􀀀􀀀􀀀 are given preoperatively?
When surgery is performed for Meniere's, what Mydriatics
are the Dilators
consequences? Antibiotic drugs (gtts)
Hearing is totally lost in the surgical ear 􀀀􀀀􀀀
􀀀􀀀􀀀 When the patient is receiving radioactive
When swabbing an incision you would start at iodine what
the incision precautions is/are most important?
or 1 Inch away from the incision? Wear gloves while in possible contact with
Start at the incision and move outward. urine, special
precautions taken to dispose of the urine.
􀀀􀀀􀀀
When taking a child to the ER after 􀀀􀀀􀀀
accidental poisoning has When the patient with spinal cord injury is in
occurred what must accompany the child to tongs or
the ER? on a stryker frame or on a circoelectric bed
the suspected poison they are on......
Absolute bed rest
􀀀􀀀􀀀
When the Absolute Neutrophil Count ANC is 􀀀􀀀􀀀
below________ When the spinal cord injury is at level of _____
the person on chemotherapy will be placed to
on reverse _____ the patient will be a quadriplegic.
isolation. C1 to C8
500 􀀀􀀀􀀀
􀀀􀀀􀀀 When the spinal cord injury is between _____
When the AIDS patient has a low platelet and
count, what is _____, there is permanent respiratory paralysis.
indicated? C1 and C4
bleeding precautions; No IM's, no rectal 􀀀􀀀􀀀
temperatures, other When the terminology "the three phases of
bleeding precautions labor" is used,
􀀀􀀀􀀀 what does it mean?
When the body does not receive enough If the statement refers to phases of labor, it
carbs it burns means the 3-
___________ and _____________. step process of latency, followed by an
protein, fat active and transitional
􀀀􀀀􀀀 􀀀􀀀􀀀
When the client asks about the use of glassess When unwrapping a sterile pack how should
or contacts you unfold the
after cataract surgery what would you say? top point?
If an introcular lens is implanted they will NOT Away from you
need glasses. 􀀀􀀀􀀀
If no lens is implanted, then contacts will be When using restraints with clients who object,
fitted for 3 don't forget
months post-op, temporary thick glasses about _____- _____.
given immediately False imprisonment
􀀀􀀀􀀀
When using silver nitrate, the dressings must 􀀀􀀀􀀀
be kept Where do the emboli that cause pulmonary
__________. embolus usually
Wet come from?
􀀀􀀀􀀀 The legs
When will bowel sounds return after a 􀀀􀀀􀀀
hysterectomy? Where is the pain of migraine most likely
After 24 hours but before 72 hours located?
􀀀􀀀􀀀 Temporal, supraorbital
When will phantom limb sensation subside? 􀀀􀀀􀀀
in a few months Where is the pyloric sphincter?
􀀀􀀀􀀀 At the distal (duodenal) end of the stomach
When will the artificial airway be removed in 􀀀􀀀􀀀
the recovery Which 2 classes of drugs are given in
room? combination for HIV
When the gag reflex returns sero-positivity?
􀀀􀀀􀀀 NRTI's (nucleoside reverse transcriptease
When will the cleft lip be repaired? inhibitors) and PI's
Between 10 weeks and 6 months (protease inhibitors)
􀀀􀀀􀀀 They prevent viral replication.
When will the client with an MI be allowed to 􀀀􀀀􀀀
engage in Which acid-base disorder is MOST commonly
sexual intercourse after an MI? associated
6 weeks after discharge with hypovolemic shock?
􀀀􀀀􀀀 Metabolic acidosis (due to lactic acid
When women get MG they are usually old or accumulation- no
young? oxygen = anaerobic metabolism)
Young 􀀀􀀀􀀀
􀀀􀀀􀀀 Which age group engages in stalling tactics
When working with a rape victim they should before painful
be treated procedures most?
with ________ and _________. School-Age
Dignity & respect 􀀀􀀀􀀀
􀀀􀀀􀀀 Which age group(s) are most likely to
When you are not at the bedside the bed experience PIH?
should always Patients under 18 and over 35
be... 􀀀􀀀􀀀
In the lowest position Which age groups are most likely to physically
􀀀􀀀􀀀 resist the
When you plan to use gloves for a procedure nurse during procedures?
you do not School-age, adolescents
need to wash hands before it. (T/F) 􀀀􀀀􀀀
False, always wash even if you plan to use Which androgen drug is most commonly used
gloves to treat
􀀀􀀀􀀀 endometriosis?
When you take the blood pressure of the Danazol
client with 􀀀􀀀􀀀
hypertension you would measure _____- Which aneurysm is most likely to have no
_______, with the symptoms?
client _____, _______ and _______. the abdominal is most often "silent"
Both arms; lying, sitting and standing 􀀀􀀀􀀀
􀀀􀀀􀀀 Which artery is most commonly used to
Where are head lice most commonly found? measure blood
At the back of the head and behind the ears pressure?
􀀀􀀀􀀀 Brachial
Where does the organism that causes mastitis 􀀀􀀀􀀀
come from? Which blood gas disorder is most common in
The infant's nose or mouth pneumonia?
􀀀􀀀􀀀 Respiratory alkalosis, because the
Where does the pain of appendicitis finally hyperventilation blows off
end up? more CO2, than the consolidation traps in the
RLQ blood
􀀀􀀀􀀀 E. Coli
Which cells are low in thrombocytopenia? 􀀀􀀀􀀀
Platelets Which organism most commonly causes
􀀀􀀀􀀀 mastitis?
Which defense mechanism is most closely Staph
associated with 􀀀􀀀􀀀
obsessive-compulsive disorder? Which patients should be forbidden to
Displacement smoke? Smoke
􀀀􀀀􀀀 alone?
Which disease has more severe symptoms-- Those with oxygen in the room, confused,
Hepatitis A or sleepy, drugged
B? clients
Hepatitis B 􀀀􀀀􀀀
􀀀􀀀􀀀 Which pressure is most damaging, an
Which extremities are affected by it? increased
Lower only (systolic/diastolic)?
An increased diastolic
􀀀􀀀􀀀
Which hand should hold the suction 􀀀􀀀􀀀
catheter? Which Which sex does it affect the most often?
should hold the connecting tube? Males
The dominant, the non-dominant 􀀀􀀀􀀀
􀀀􀀀􀀀 Which sex has a higher incidence of
Which has highest fiber? Grains, fruits, otosclerosis?
veggies, nuts. Women
Grains, especially bran 􀀀􀀀􀀀
􀀀􀀀􀀀 Which side will the client be allowed to lie
Which heart rate is associated with upon poststapedectomy?
hypovolemic shock, Depends on M: operative side promotes
bradycardia or tachycardia? drainage, unoperative
Tachycardia side prevents graft dislodgement. Don't make
a big
􀀀􀀀􀀀 deal of position post-op
Which is more dangerous, oliguria or anuria?
Why? 􀀀􀀀􀀀
Oliguria, because since you are losing more Which solution is used to irrigate a colostomy?
fluids you are Tap water
actually hemo-concentrating the 􀀀􀀀􀀀
hyperkalemia more Which soups are not allowed on a gluten free
􀀀􀀀􀀀 diet?
Which is the best method for identifying Creamed soups- these often have flour
clients accurately? 􀀀􀀀􀀀
By ID name-band Which test is the best indicator of the progress
􀀀􀀀􀀀 of HIV
Which of the following are signs of transfusion disease?
reaction? CD4 count
Bradycardia, Fever, Hives, Wheezing, 􀀀􀀀􀀀
Increased Blood Pressure, Low Back Pain Which trimester do Braxton-Hicks contractions
Low back pain, wheezing, fever, hives begin?
􀀀􀀀􀀀 Third
Which of these classes of drugs causes 􀀀􀀀􀀀
contact dermatitis? Which trimester is nausea and vomiting most
Miotics common?
􀀀􀀀􀀀 First
Which of these symptoms are NOT seen in 􀀀􀀀􀀀
hemophilia? Which trimester is the fetus most susceptible
Prolonged bleeding, petechiae, ecchymosis to effects of
or hematoma? outside agents?
Petechiae First
􀀀􀀀􀀀 􀀀􀀀􀀀
Which oils are high in cholesterol? Which two groups of these drugs cause
Animal oils photophobia?
􀀀􀀀􀀀 Mydriatics
Which organism causes pyelonephritis? Anticholinergics
􀀀􀀀􀀀 􀀀􀀀􀀀
Which two nutrients is breast milk lower in? Who is the most likely to receive a graft for
Fluoride and iron dialysis?
􀀀􀀀􀀀 People with diabetes mellitus.
Which two of these classes of drugs cause 􀀀􀀀􀀀
tachycardia? Whole grains and grain products are
Mydriatics (high/low) in fiber.
Anticholinergics (sympathetic effects) High
􀀀􀀀􀀀 􀀀􀀀􀀀
Which type of medications are given by Z- Why are Adrenocorticotropic Hormone
track injection? (ACTH) and
Irritating, staining prednisone given during acute MS?
􀀀􀀀􀀀 To decrease edema in the demyelination
Which type of paralysis is typical of CVA- process
paraplegia, 􀀀􀀀􀀀
hemiplegia or quadriplegia? Why are anticoagulants (heparin only) given
Hemiplegia to women with
􀀀􀀀􀀀 CD of pregnancy?
Which type of tumor is more malignant? To prevent thrombophlebitis due to venous
Differentiated or congestion,
undifferentiated? usually in legs.
Undifferentiated is worse to have (highly 􀀀􀀀􀀀
differentiated is Why are diuretics given to women with CD of
better to have) pregnancy?
􀀀􀀀􀀀 To promote diuresis which will:
Which types of client should have their -lower circulating blood volume
toenails trimmed -decrease preload
only by an MD? -decrease the amount of blood the heart
Diabetics, peripheral vascular disease, very pumps.
thick nails 􀀀􀀀􀀀
􀀀􀀀􀀀 Why are doctors cautious in using antiemetics
Which vital signs are most important to to treat
measure in clients hyperemesis gravidarum?
with aneurysm? They don't want to harm the fetus
The pulse and blood pressure 􀀀􀀀􀀀
􀀀􀀀􀀀 Why does the pyloric valve become stenosed
Which way would you turn the client hear to in pyloric
suction stenosis?
the right mainstem bronchus? The left It hypertrophies
mainstem bronchus? 􀀀􀀀􀀀
To the left, to the right Why do the crescent-shaped RBCs cause
􀀀􀀀􀀀 occlusion
Which week can mother first feel the fetus of the vessels?
move? They clump together and create a sludge.
16th to 20th week (the end of the 4th month 􀀀􀀀􀀀
into the 5th Why is cleft lip repaired early?
month) Feeding is easier after repair and
􀀀􀀀􀀀 appearance after repair is
Which will bring on a MS exacerbation: over- more acceptable to parents.
heating or 􀀀􀀀􀀀
chilling? Why is digitalis given to women with CD of
Both will; but they tend to do better in cool pregnancy?
weather (summer To increase the strength of the heart and to
will always be a bad time for MS patients) decrease the
􀀀􀀀􀀀 rate, rest the heart while making it more
Who is at higher risk for suicide, a man or a efficient
woman? 􀀀􀀀􀀀
Man Why is final repair of the palate delayed until
􀀀􀀀􀀀 4 to 5 years?
Who is the most common subjective Earlier surgery would interfere with tooth
symptoms of shingles? development.
Pain, pain, Pain 􀀀􀀀􀀀
Why is hypoglycemia such a dangerous Will the client have hypo or hyper tension with
problem? AGN? Why?
Brain cells die without glucose, brain damage Hypertension, because of fluid retention
􀀀􀀀􀀀 􀀀􀀀􀀀
Why is morphine given to clients with Will the client with a MI be
pulmonary edema? nauseated?...diaphoretic?
To decrease apprehension and decrease yes, yes
preload, this rests 􀀀􀀀􀀀
the heart Will the client with a MI need 100% O2 for their
􀀀􀀀􀀀 entire stay
Why isn't Vitamin B-12 absorbed in pernicious in the hospital?
anemia? No, just moderate flow (42% or 3 to 6 liters for
Because these patients lack intrinsic factor first 48 hours)
􀀀􀀀􀀀 􀀀􀀀􀀀
Why is penicillin administered with Procaine? Will the client with pyelonephritis have daily
With Probenecid? weights?
Procaine makes the shot less painful; Yes, as would any client with kidney problem
Probenecid blocks the 􀀀􀀀􀀀
excretion of penicillin Will the client with pyelonephritis have
􀀀􀀀􀀀 hematuria?
Why is the child with CF receiving It is common but not always present
pancreas/viokase/pancreatin? 􀀀􀀀􀀀
They are enzymes which aid absorption of Will the man with BPH have enuresis, nocturia
nutrients. or hematuria?
􀀀􀀀􀀀 Enuresis-No, Nocturia-Yes, and Hematuria-
Why is the dorsogluteal site not Maybe
recommended for IM 􀀀􀀀􀀀
injection the children less than 3 years of Will the muscles of MS clients be spastic or
age? flaccid?
Because the muscle is not well developed Spastic
yet.
􀀀􀀀􀀀
􀀀􀀀􀀀 Will the patient be able to close their eye on
Will a child with epiglottitis cough? the affected
No, there will be a lack of spontaneous side?
cough. no
􀀀􀀀􀀀 􀀀􀀀􀀀
Will a simple mastoidectomy worsen hearing? Will the patient with meningitis have a
No, a radical mastoidectomy may headache?
􀀀􀀀􀀀 Yes
Will a woman with active bleeding in 􀀀􀀀􀀀
Placenta Previa be Will the post prostectomy patient be
given any systemic pain relief during labor? impotent?
No, they don't want to depress the fetus If TURP, no impotence, if perineal
􀀀􀀀􀀀 prostatectomy, yes
Will breakthrough bleeding, nausea and impotence
vomiting and 􀀀􀀀􀀀
breast tenderness go away when a woman is Will the typical post-operative client have
on oral lung sounds?
contraceptives? Bowel sounds? Increased temperature?
Yes, after about 3-6 months of treatment. Lung - yes; bowel sounds - no; Low grade
􀀀􀀀􀀀 temperature - yes
Will client die of endometriosis? What would 􀀀􀀀􀀀
you say? Will the woman with a cesium implant have a
Not life-threatening foley?
􀀀􀀀􀀀 Yes
Will fluid resuscitation (administering large 􀀀􀀀􀀀
amounts of IV Within in minutes of birth, what 3 respiratory
fluid) treat cardiogenic shock? difficulties
No, you must use cardiac drugs (giving IVs occur?
and blood will not Retractions, nasal flaring, and grunting
help this kind of shock)
􀀀􀀀􀀀
􀀀􀀀􀀀
Without leukopenia the AIDS patient will be 􀀀􀀀􀀀
on ____________ Women with Cushings develop?
precautions. Hirsutism
Standard precautions or blood and body fluid Amenorrhea
precautions
􀀀􀀀􀀀
􀀀􀀀􀀀 Women with endometriosis should be
With PD there is a high/low risk of peritonitis? counseled to use
High (tampons/pads) during menstruation?
􀀀􀀀􀀀 Pads only
With severe pulmonary embolus the client will 􀀀􀀀􀀀
look as Would sympathetic stimulators or sympathetic
though they are __________. blockers
In Shock treat hypertension?
􀀀􀀀􀀀 Sympathetic blockers (decrease cardiac
With what device will the infant be output and decrease
restrained? resistance)
Elbow restraints 􀀀􀀀􀀀
􀀀􀀀􀀀 Would vasodilators or vasoconstrictors treat
With what is a round closed in first intention? hypertension?
Sutures or steri-strips, staples Vasodilators (decreases resistance)
􀀀􀀀􀀀 􀀀􀀀􀀀
With what size catheter should an adult's Would you do a throat culture for a child with
airway be epiglottitis?
suctioned? No, never put anything in their mouth.
12 to 16 French 􀀀􀀀􀀀
􀀀􀀀􀀀 You can administer up to ____ cc of a drug
With what solution should blood be per site by IM
transfused? injection in adults.
0.9 normal saline 3 cc
􀀀􀀀􀀀 􀀀􀀀􀀀
With what solution should the client with You may use friction to remove vernix
chemotherapeutic caseosa from an
stomatitis rinse pc (after meals)? infant's skin. (T/F)
H2O2 - hydrogen peroxide False, it causes damage/bruising
􀀀􀀀􀀀 􀀀􀀀􀀀
With what solution & when should a breast You must never turn your back to a sterile
feeding mother field. (T/F)
cleanse the areola? True
Plain water, before & after each feeding 􀀀􀀀􀀀
􀀀􀀀􀀀 Young adults are (low/high) risk for suicide.
With which body part do you begin when High to moderate
bathing an infant? 􀀀􀀀􀀀
Eyes always Young infants accept medication best when
􀀀􀀀􀀀 given with a
With which other two spine deformities is _______.
scoliosis Dropper
associated? 􀀀􀀀􀀀
Kyphosis (humpback), Lordosis (swayback) You should call the MD after TURP when you
􀀀􀀀􀀀 see _________
The woman must avoid sexual intercourse if thick ________, _____________ clots, and
PROM has ____________ urine
occurred. (T/F) drainage on the dressing.
True Bright thick blood, persistent clots, persistent
􀀀􀀀􀀀 urine on
Women have a (higher/lower) incidence of dressing (don't call MD for transitory clots and
stroke than men? urine on
Lower dressing.)
􀀀􀀀􀀀 􀀀􀀀􀀀
Women who have gestational diabetes tend You should tell the client with CHF to
to deliver immediately report to
infants who are (small/large). his/her doctor if he/she gains _____pounds in
Large for gestational age one week.
Three