A
This is an important modifiable risk factor in both ischemic and hemorrhagic strokes.
Hypertension
True or false: symptoms of a fat embolism can occur up to a week after initial injury.
True - onset of symptoms is rapid, typically within 24 to 72 hours of injury, but may occur up to a week after injury
If conservative measures do not restore tissue perfusion and relieve pain, this surgical procedure is considered the definitive treatment for acute compartment syndrome.
fasciotomy
True or false: syphilis, gonorrhea and chlamydia are all reportable diseases.
True
There are 4 categories of hypersensitivity reactions - which category is anaphylaxis?
Type I - anaphylactic hypersensitivity
This medication is used to treat malignant hyperthermia.
dantrolene
Cervical examination is avoided in a patient experiencing this condition, which typically occurs during the last two trimesters of pregnancy
placenta previa
Patients hospitalized with severe COVID-19 may benefit from being periodically placed in this position.
prone
The clomiphene citrate challenge test is used to assess this.
Part of assessment of female infertility - used to assess ovarian reserve (ability of eggs to become fertilized).
If the FSH level is greater than 15, the result is considered abnormal and the likelihood of conception with their own eggs is low
This test may elicit pain in the calf after the foot is sharply dorsiflexed in a patient with DVT, but is no longer used because it is considered an unreliable indicator of DVT.
Homan sign
A transjugular intrahepatic portosystemic shunt (TIPS) procedure can be used in treatment of this condition.
TIPS procedure - indicated for the treatment of acute uncontrolled variceal bleeding refractory to pharmacologic or endoscopic therapy
This is the basic diagnostic criteria someone would display to be diagnosed with bipolar I disorder.
at least one manic episode or mixed episode and a depressive episode have to occur
A mother asks what age her infant should start receiving annual flu vaccines - what age does the nurse tell her?
The CDC recommends annual flu vaccines for everyone 6 months and older
High levels of total serum bilirubin may put an infant at risk for this.
Neurotoxicity + bilirubin-induced neurologic disorders (BINDs)
This drug is used with pre-term labor and promotes fetal lung maturity by stimulating surfactant production
betamethasone
In prolonged (>24 hours) cases of PROM, the birthing parent’s risk for this complication increases and continues to increase the longer the time since the amniotic sac ruptured.
Infection - chorioamnionitis, endometritis, sepsis, and neonatal infections
Define gestational hypertension.
Gestational hypertension is characterized by hypertension (higher than 140/90 mm Hg) in a previously normotensive patient without proteinuria after 20 weeks’ gestation resolving by 12 weeks’ postpartum
CAD can cause MI - name three factors that increase risk for this
Family history, increasing age, gender, race, hyperlipidemia, HTN, tobacco use, obesity, physical inactivity, chronic inflammatory conditions, diabetes, CKD, history of premature menopause or preeclampsia
Name a medical or surgical intervention the nurse may expect to see in treatment of a patient with unstable pulmonary embolism
Thrombolytic therapy (t-PA or other agents such as reteplase) or surgical embolectomy
List at least three behaviors that would alert the nurse that a patient should be considered at high risk for suicide.
evidence or expression of a suicide plan, writing or talking about suicide/death, seeking or access to means (pills, firearms, etc.), hopelessness, anxiety, agitation, reckless behavior, feeling "trapped" or purposeless, increasing or excessive substance use, social withdrawal, abnormal sleep patterns, dramatic mood changes
A provider orders blood gases on infant with severe RSV - what might the nurse expect to see?
carbon dioxide retention and hypoxemia
(see p. 1317 Maternity and Pediatric Nursing book)
This is a potential complication of oliguria in an unmanaged AKI.
Fluid retention - may give rise to edema, water intoxication, and pulmonary congestion.
Untreated uremia - somnolence, seizures, coma, and death.
Hyperkalemia - muscle weakness, ECG changes.
List three interventions you would perform for a patient hospitalized with severe preeclampsia
Place patient in left lateral lying position, keep room dim and quiet, maintain seizure precautions, administer medications (magnesium, etc.) as ordered in collaboration with provider
Diagnosis of acute pancreatitis is based on the fulfillment of at least two out of the three following criteria - name these 3 criteria
History upper abdominal pain, serum amylase or lipase levels > three times upper normal limit, or typical findings on imaging (CT, MRI, or US).
These are the classic manifestations of placental abruption
dark red vaginal bleeding (but may also be concealed), “knifelike” abdominal pain, uterine tenderness, contractions, decreased fetal movement