Shakia
What is the antidote for opioid overdose?
What is Narcan?
What type of blood is the universal donor? Universal recipient?
What is blood type O negative and blood type AB+?
What increases your chances of getting sick?
What is certain medications, comorbidities, high/low BMI, smoking, alcohol/drug use, invasive procedures.....
What are risk factors for the development of skin cancer?
What is older in age, fair skin, chronic skin irritations, red hair/blue eyes, genetics, over exposure to UV rays?
Revisit Leukemia.
Leukemia- bone marrow suppression
Think infection, thrombocytopenia, pain
What is a PCA?
What is a patient controlled analgesic?
Minimal risk of overdose. No one but the patient should push the button. This should eliminate the need to call for pain meds. PCAs provide a constant level of pain relief with bolus amounts available for breakthrough pain. Pushing the button prior to pain becoming severe is recommended.
How should the stinger from a bee be removed from a patient?
What is scraped off with a credit card/ knife blade NOT tweezers that could inject more venom when pulling out the stinger?
What is an HAI?
What is a health care associated infection....
an infection that a client acquires during their stay in a healthcare setting.
examples- UTI, Picc line infection, Ventilator- associated pna.....
What are nursing interventions for a client that is immunocompromised?
What is- restrict sick visitors, cook all foods, bottled water only, No live vaccines, no live flowers, wear a mask....
Revisit Hemophilia.
Hereditary disorder where clotting factor VIII is missing.
Think Bleeding, pain (from bleeding into organs/joints).
Not an increased infection concern.
What are nonverbal indicators of pain?
What is grimacing, clenching, restlessness, increased BP, increased HR, increased RR?
What are manifestations of candidiasis if the mouth?
What is white patches covering the tongue and buccal membranes, pain when chewing/swallowing?
What are manifestations that an infection is present?
What is leukocytosis, edema, redness, purulent drainage, fever, fatigue, restlessness/agitation, confusion(elderly), adventitious lung sounds, dysuria, hematuria, polyuria, frequent loose stools....
Tell us about Methotrexate.
What is- Increase fluids, avoid alcohol, ,monitor for/ protect against bleeding and infection. No pregnancy or breast feeding. Take with folic acid to help with RBC production. Takes several week to feel effects- taken weekly.
Revisit Sickle Cell Anemia.
Sickle Cell anemia- red blood cell sickles from deoxygenation.
Think- infection, pain.
Clotting concern not bleeding concern.
What is Kaposi Sarcoma?
What is a skin cancer found in AIDS patients characterized by purple- brown lesions throughout the body.
What class is celecoxib/ Celebrex and why is it taken?
What is NSAID for osteoarthritis/ joint pain associated with autoimmune disorders?
What are manifestations of shingles and what are appropriate nursing interventions?
What is linear group of vesicles along a edematous reddened nerve pathway? Nurses should isolate the client, administer antivirals and analgesics. Monitor for complications such as post herpetic neuralgia and vision/hearing loss.
How are ear drops adminstered to an adult? To a child?
What is wear gloves, room temperature for drops.. Up and backward (adult) down and out (child) then apply pressure to the tragus?
What are nursing interventions for a client with thrombocytopenia?
What is- use a soft bristle toothbrush, water pick only, avoid IM injections, lubricate lips with a water- soluble ointment, blow nose gently ect....
How is HIV transmitted?
What is through infected fluids?
Standard precautions.
What class is timolol ophthalmic drops and what adverse effect should the client be monitored for?
What is beta blockers and hypotension or bradycardia?
What are home infection control education statements for the nurse to provide to a client with HIV?
What is- soak cleaning sponges in bleach solution, disinfect toothbrushes in dish washer or peroxide solution, take temp daily, wash genitals/ armpits with antibacterial soap, do not handle animal waste.
How can pressure injuries be prevented?
What is turn and repo Q 2 hours in bed - Q1 hour in a chair, minimize skin moisture, proper incontinence care, barrier creams to skin, increase hydration and protein in diet, off loading heels in bed, ect.....
Manifestations of gout.
Tophi, redness, tight/ swollen joint. PAINFUL.