TIA/CVA
Neuro
Hem/Onc
Immuno
Blood Components
100
Name symptoms of TIAs.
What is Sensory Deficits: Paresthesia (numbness, tingling), vertigo Speech Deficits: Aphasia (loss of ability to understand or express speech), dysarthria (slurred speech) Vital signs: BP elevated, pulse may be rapid & bounding Visual: blurred vision, double vision, blindness in one eye, tunnel vision. Motor deficits: weakness (arm, leg, hand), gait disturbance (ataxia)
100
Name some foods that are contraindicated when taking Selegiline (MAOI for Parkinson's disease.)
What is aged cheeses, cured or smoked meats or fish, some overripe fruits, soy products
100
Name what is low in thrombocytopenia, leukopenia, and anemia.
What is thrombocytopenia- low platelets leukopenia- low WBC anemia- low RBC
100
In what environment is there the greatest risk for tick exposure?
What is the woods
100
Within what time frame should blood be transfused?
What is 4 hours.
200
Explain the difference between embolic and thrombotic stroke.
What is Thrombotic stroke- blockage within a brain vessel or carotid artery, decreasing the blood flow past that area. Slow buildup of blockage. Embolic stroke- The clot formed somwhere distal to the brain, but broke off and traveled to the brain. Sudden blockage.
200
Describe symptoms of Parkinson's Disease
What is progressive onset: resting tremor, cogwheel rigidity, micrographic (small writing), muffled speech, mask like expression, bradykinesia (slowing down of movement), balance difficulty, shuffling gait.
200
Name three foods you would recommend to an iron deficient anemic patient.
What is red meat, pork and poultry, beans, dark green leafy vegetables, raisins, apricots, iron-fortified cereals, breads and pasta, peas
200
What intervention should patients with lupus do before leaving home?
What is apply sunscreen.
200
If a patient experiences a febrile nonhemolytic reaction, name two things the nurse should do.
What is stop the transfusion monitor temperature every 4 hrs give antipyretics
300
Name two safety concerns for post stroke patients.
What is Falls- gait disturbance, impaired spatial perception, weakness Pressure ulcers from immobility Nutrition and fluid imbalances Aspiration
300
What should the nurse do if a patient is seizing? What should the nurse not do?
What is lower patient gently to the floor (if standing), turn the patient on their side, ensure nothing is tight around their neck. Record body parts involved and what occurred during the seizure. Do not use restraints, hold limbs down, use tongue blades, or suction during the seizure.
300
Name two characteristics of neutropenic precautions.
What is no fresh fruit or fresh vegetables, no flowers, no sick visitors, nurse must wear face mask, patient must wear face mask when leaving room.
300
A patient agrees to HAART treatment, but says they will probably quit taking their medication if it becomes too expensive. What teaching should the nurse provide?
What is HAART treatment must be taken lifelong. If medication is difficult to afford, there are programs that can cover the cost.
300
If a patient has an allergic transfusion reaction and has pruritus and urticaria, can the transfusion be resumed?
What is yes. This is the only reaction in which a transfusion can be resumed.
400
Name two long term changes that may occur in patients after having suffering a stroke?
What is possible affected cognitive deficits, impairment in memory, judgement, problem solving, decision making, and personality changes, poor impulse control, aphasia, dyslexia, agraphia, dysarthria
400
What warning should the nurse give women taking migraine drugs?
What is ergotamine is a category X drug. Triptans are teratogenic.
400
What levels of hemoglobin and hematocrit indicate anemia? (M or F).
What is Female: Hct < 37% & Hb < 12 g/dl Male: Hct < 41% & Hb < 13.5 g/dl
400
Which type of pneumonia indicates a patient may have HIV?
What is pneumocystis carinii pneumonia (PCP).
400
Name three symptoms that lead the nurse to suspect the patient is experiencing transfusion associated circulatory overload.
What is dyspnea, cough, crackles at lung bases, tachypnea, headache, hypertension, tachycardia, increased central venous pressure, distended neck veins, increased BNP
500
How much tPA would you give a patient weighing 110lb?
What is 45mg 110lbs/2.2 = 50kg 50kg * 0.9mg/kg = 45mg
500
What is the greatest medical concern for a patient in status epilepticus?
What is oxygenation/perfusion- establishing an airway.
500
Explain the difference in pain between Hodgkins and Non- Hodgkins lymphoma.
What is Non- Hodgkins is painless. Hodgkins is painful.
500
Name two nursing interventions for fibromyalgia.
What is monitor pain level, give SNRIs, teach patient stretches, encourage exercise, provide emotional support
500
What treatment can be done to blood to prevent febrile nonhemolytic reactions?
What is leukoreducution.
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