Cardiac/Respiratory
Name the top arrhythmia contributing to Stroke diagnosis
Afib
Your patient admitted with a GI bleed is diagnosed with a peptic ulcer and prescribed this medication to coat the lining of the stomach and promote healing
What is sulcralfate (carafate)
This is a rare but severe and potentially life-threatening complication of hyperthyroidism characterized by a high fever, fast and often irregular heart beat, elevated blood pressure, vomiting, diarrhea, and agitation.
Thyroid Storm
Name 3 risk factors for development of osteoporosis
Frail female after menopause, long term corticosteroids, low BMI, smoking, low Ca/Vit D
A nurse is providing teaching about risk factors for cancer. It would be appropriate to include that this source causes more cancers than all other known causes combined:
smoking/tobacco
This chronic inflammatory lung disease causes obstructed airflow from the lungs
COPD
Describe McBurney's point and its significance
RLQ pain with appendicitis
Client having renal dialysis has tingling in hands and muscle cramping- What electrolyte abnormality do you suspect/ check for?
Hypocalcemia
Describe the symptoms and risk factors of a fat embolism
Risk- fractures esp. long bone (femur, pelvis)- S/S SOB dyspnea, confusion, fever, petechiae rash
a customized combination of different classes of medications that a physician prescribes based on such factors as the patient’s viral load (how much virus is in the blood), the particular strain of the virus, the CD4+ cell count, and other considerations
HAART is the acronym for "highly active antiretroviral therapy,"
This abnormal pattern of breathing characterized by progressively deeper, and sometimes faster, breathing followed by a gradual decrease that results in a temporary stop in breathing- seen at EOL
What are cheyne-stokes respirations
Pt has end stage cirrhosis and is having a procedure to reduce portal hypertension by placing a stent between hepatic and portal veins- Name the procedure
TIPS- transjugular intrahepatic portosystemic shunt
This condition in which the glands do not produce adequate amounts of steroid hormones, primarily cortisol; but may also include impaired production of aldosterone (a mineralocorticoid), which regulates sodium conservation, potassium secretion, and water retention.
What is adrenal insuffiency/ Addisons
Name 2 nursing priorities for status epilepticus
Ensure IV line/ benzos and protect from injury
Describe what a positive western blot test means
Positive HIV
Name 3 ways nurses can prevent PE's
early ambulation, SCD's, TEDs, leg exercises, sc heparin or lovenox
Your patient is taking Pentasa (mesalamine)- Name the classification and indication for use
Aminosalicylate (reduces inflam in IBS)
Describe the expected treatment of DKA
Fluid replacement (dehyd), IV insulin drip, potass replacement
Describe how to assess for increased intracranial pressure
GCS, Pupillary response, Cushings triad
How long will chemotherapy induced alopecia last?
Alopecia will be expected within 21-28 days after treatment initiation and is a temporary condition
A client who weighs 169 lbs. is to receive an Aminophylline infusion at the rate of 0.8mg/kg/hr. Pharmacy sends an IVPB of 1gm of Aminophylline in 250ml of 0.9% NaCl. The IV pump should be set to infuse this solution at ___ml/hr
15.4 ml/hr
Name 3 lab value changes expected with cirrhosis and 3 lab value changes expected with pancreatitis
Cirrhosis- elevated bilirubin, LFT's, alk phos, ammonia, creatinine, protime (decreased H+H, platelets, albumin)
Pancreatitis- increased lipase, amylase, glucose, alk phos, wbc (decreased Ca, Mg, plt)
a rare, usually noncancerous (benign) tumor that develops in an adrenal gland
What is pheochromocytoma
Explain the purpose of the med donepezil
Aricept- treat cognitive impairment Alzheimers
Describe neutropenic (reverse isolation) precautions
no fresh flowers, fruits, veggies, PPE, handwashing