disease processes
clubbing of the fingernails, barrel chest
what is negligence?
performing an act that a reasonably prudent person under similar circumstances would NOT do.
reversal agent for Heparin
protamin sulfate
donning sequence
hand hygiene, gown, mask, eye protection, gloves.
doffing sequence
gloves, goggles, gown, mask, hand hygiene
name at least 3 risk factors for hypertension
family hx, poor diet, over weight, smoking, lack of exercise, chronic stress.
5 rights of delegation
right task, right person, right communication, right supervision, right circumstance
what labs must a nurse monitor when a pt is taking warfarin (coumadin)
PT & INR
PT: 10-15 seconds
INR: 1.3-2
describe dehiscence of a wound and what it can be caused by
when the wound edges separate, can be caused by infection or stress.
at least 3 manifestations of hypoglycemia
shakiness, diaphoresis, hunger, pallor, ALTERED MENTAL STATUS-stupor, confusion, coma, difficulty speaking
name at least two treatments for iron-deficiency anemia
oral iron replacement, leafy greens, & red meats, beans. VITAMIN C HELPS WITH ABSORBTION, ADVISE TO TAKE WITH A CUP OF ORANGE JUICE.
what is autonomy and social justice?
autonomy- the right to self determination
social justice- fairness, non discriminary
what MUST the nurse assess before administering digoxin ?
take apical pulse for ONE full minute before administration
what is cultural assimilation?
when a minority group takes on the cultural characteristics of the dominant culture.
common risk factors for age related macular degeneration
family hx, obesity, HTN, SMOKING**!
What are the ABC signs and symptoms of hypertension?
Achy head. Blurred vision. Chest pain.
hospice- for comfortability and for people w/ limited life expectancy of at 6 months or less
palliative- optimize quality of life, can be provided at any time during an illness, provide support and education
adverse effect of loop diuretics and its normal value
hypokalemia (low k+)
Normal: 3.5-5
benzodiazepines effect what? and what is the reversal agent
gaba receptors. Reversal agent: flumazenil(romazicon)
name 3 manifestations and 3 risk factors for obstructive sleep apnea
manifestations- insomnia, irritable, MORNING HEAD ACHE
risk factors- >65 y/o, BMI >30, large neck greater than 16"
what type of meds are given for hypertension?
Diuretics, ACE inhibitors, Beta Blockers (-lol ending)
primary care, secondary care, tertiary care
primary- immunization clinics, teach about healthy eating habits, health risk assessments.
secondary- screenings or tests (mammograms, physical exams, BP checks)
tertiary- after a pt has been diagnosed, you want to get them back to a healthy state. (giving meds, therapies, providing education)
2 major side effects of beta blockers and what the nurse should be monitoring for each
Bradycardia- monitor HR before administering
Masks hypoglycemia- monitor for light headed, sweating, nausea
Onset, peak and duration of rapid acting insulins
(lispro, Aspart, Glulisine)
onset: 10-30 min
peak: 30-1 hr
duration: 3-5hrs
what is hypoxemia and some manifestations of Hypoxemia ?
low o2 levels in the blood, specifically pa02 of <80
manifestations: tachycardia, cyanosis, confusion