A is for...
Your client with ascites is scheduled for a paracentesis. You know to review these labs prior to this procedure.
What are PT/PTT and Platelets?
Your client's Beta Naturietic Peptid (BNP) is 731.
You would expect to find your client suffering from this condition based on this lab result.
Name the condition.
List 3 symptoms you are likely to see with this condition.
Heart Failure
Left -crackles, SOB, pink frothy sputum
Right -JVD, LE edema, Hepatomegaly
Your client puts the call light on. You arrive to find your 'barrel-chested' patient:
Using accessory muscles, pursed lip breathing, SOB, coughing up white sputum, in a tripod position.
Name the condition.
Name 1 medication that is helpful NOW and 1 nursing intervention.
What is COPD?
What is Albuterol (SABA)?
What is administer O2?
Your client is hit in the eye with a baseball and is at risk of developing a retinal detachment.
Explain what the client would experience if this happens.
What is a sudden onset of curtain effect moving across the client's vision?
***This eye condition often caused by DM will require life-long eye drops to treat.
Name the eye condition and the kind of vision loss do they experience.
What is glaucoma?
What is peripheral vision loss?
You are at a concert venue and your friend just started eating a cookie when she states that her mouth is tingling, her chest and throat feels tight. You start rummaging through her purse - what are you looking for? (and it's not a phone).
What is she experiencing and what are you looking for?
What is Anaphylaxis?
What is an Epinephrine pen injector?
***Your patient is talking to you and you notice her EKG monitor is showing 'Wide Complex Ventricular Tachycardia' with a rate of 140.
You know that this assessment is the BEST indicator of her cardiovascular status.
What is BP (>90mmHg)?
Your client c/o a gradual, painless decrease in vision in his eyes and you recognize he probably has this condition.
Name the condition and 2 possible causes.
What are cataracts?
What are aging, trauma, medications, UV exposure, systemic illnesses?
If a client does not manage these two chronic conditions well, it will lead to this chronic condition.
Name all 3 conditions.
What is chronic kidney disease caused by HTN and DM?
Your client asks how you can tell if he is suffering from vertigo versus lightheadedness.
What is 'room spinning'?
***ABG result for a patient with a glucose of 556.
pH 7.3
PCO2 37
HCO3 19
PaO2 93
Name this ABG and the condition that your patient is possibly experiencing.
Metabolic Acidosis
DKA
You assess your client who just returned from OR for a hip replacement. He flutters his eye lids when you perform a sternal rub but does not answer you. His RR is 6 and irregular. You call for help and begin this intervention.
Name the intervention.
What is using the BVM (Bag-valve-mask/ Ambu bag) administering 1 breath every 6 seconds?
Your client has a CBI in place and c/o suprapubic pain. You assess him and palpate suprapubic distention. You next assess this based on the above information and determine that this has occurred.
What is low/no urine output in foley?
What is a blood clot?
These two chronic conditions can lead to damage to the client's eyes and this microvascular damage.
Name the 2 chronic conditions.
Name the microvascular damage.
What are diabetes and HTN?
What is diabetic retinopathy and hypertensive retinopathy?
Your friend is concerned about her recent risky sexual behavior and asks you informtation about HIV.
You tell her:
Name the symptoms (at least 2) that arise when initially infected.
Name the test that a clinic can do to determine if she is HIV+.
Name the class of medications she will be prescribed if she is HIV+.
Fatigue, fever, sore throat, enlarged lymph nodes.
Rapid HIV test.
ART (antiretroviral medications).
You are in pre-op and your client states that he competed in the 1952 Olympics Alpine Skiing. He states that this is the reason that he is here for this surgery.
Name the surgery.
What is the best intervention post-operatively that will help him 'get back on his feet' the quickest.
What is knee arthroplasty?
What is PT (with pre-medication)?
Your client complains of feeling sluggish, cold all the time, thinning hair, gaining weight and feeling depressed. You palpate a bradycardic pulse.
Name the condition your client is experiencing.
What is hypothryoidism?
🧪TSH ↑ High/🧪Free T4: ↓ = Primary hypothyroidism (thyroid gland issue)
TSH↓ Low/Free T4: ↓ = Secondary hypothyroidism (pituitary/hypothalamic issue)
***Your client with chronic kidney disease c/o fatigue and SOB and she appears pale. You review her medication list and see a medication she is receiving that will eventually help with these symptoms.
Name the medication.
What is erythropoietin?
***This 'hair-band' from the 80s was my favorite teen band when I was growing up.
Name this band.
What is Def Leppard?
Name how you could differentiate Herpes Zoster from another rash.
What is the burning pain that accompanies the rash and the nerve pain that continues after the rash is gone?
Your patient's left lower extremity has a pulse you can't palpate but you can auscultate w a doppler. Her leg is hairless and toenails are thick.
Name the condition.
Name a nursing intervention.
What is Peripheral Arterial disease?
ACE inhibitors → improve walking distance & reduce cardiovascular events
Antiplatelet agents → cornerstone therapy; prevent clot formation and lower risk of heart attack or stroke
Promote vasodilation
Reduce blood viscosity
Overall goal: increase walking distance and decrease leg pain
A patient wants to know how you will evaluate if the TB drugs he is taking are working. You tell him that we will test this to find out.
What is sputum?
Your client is diagnosed with Chronic Venous Insufficiency.
Name at least 2 clinical manifestations.
Name at least 1 nursing intervention.
What is Leathery, brawny skin, Persistent edema, Painful venous ulcers, Pain worsens with a dependent leg position?
What is compression therapy and wound care and good nutrition?
***Your client returns from Hemodialysis. After completing your assessment, you determine that your client has developed this 'H condition' and you need to immediately begin this intervention or his condition will deteriorate.
Name the 'H condition'.
Name the intervention.
What is 'Hypovolemia'?
What is administer Isotonic NS solution 0.9%?
Name the at least 3 of the 5 characteristics of melanoma.
What is the ABCDE rule?
a. Asymmetry
b. Border irregularity
c. Color variation
d. Diameter > 6 mm
e. Evolving (changes over time)