GI
Risk factors for oral cancer (Name at least 3)
What is HPV, tobacco/alcohol use, sun exposure to lips, textile workers, plumbers, coal/metal workers, prolonged exposure to PAH's, people with periodontal (gum) disease?
This disease process requires an analysis of CSF by lumbar puncture to diagnose; the CSF is analyzed for cell count, protein
What is Meningitis?
Name everything that happens in an Interoperative Time Out
What is RN calls time out loudly, everyone stops and three identifications are completed: Correct patient, Correct surgery site, Correct procedure to be completed?
Nonmodifiable risk factors for primary osteoporosis
(Name 4)
Initial daily dose for warfarin (coumadin)
What is 2-5 mg per day initially?
Foods that should be eliminated for patients with GERD (Name at least 4)
What is peppermint, chocolate, fatty foods (especially fried), caffeine, carbonated beverages, spicy/acidic foods (orange juice, tomatoes)?
Characteristics of a tonic-clonic seizure
What is lasts 2-5 minutes, begins with stiffening or muscle rigidity, immediate loss of consciousness, clonic follows, incontinence?
Name at least 3 preoperative patient preperations
What is remove most clothing, provide gown, leave valuables with caregiver or locked up, ensure patient is wearing ID band, apply allergy band if indicated, follow agency policy regarding: dentures, eyeglasses, prosthetic devices, fingernail polish, empty bladder, hat applied to patient?
Complications of fractures
(Name at least 4)
What is VTE, DVT, PE, bone infection, Acute Compartment Syndrome (ACS), Fat Embolism Syndrome (FES), Complex Regional Pain Syndrome (CRPS)?
Critical medication given to prevent VTE and pulmonary embolisms; given to many patient post-op due to mobility issues
What is heparin?
This diseases is identified as episodic or vague upper abdominal pain or discomfort that can radiate to the right shoulder, can be triggered by a high-fat or high-volume meal, feeling of "abdominal fullness"
What is cholecystitis?
Abortive therapy medications for severe migraines
(Name at least 2)
Preoperative medications
(Name at least 4)
What is Zofran, Reglan, Pepcid, Fentanyl, Versed, and antibiotics?
Laboratory assessments for patient with Rheumatoid Arthritis
What is rheumatoid factor test, anti-CCP test, antinuclear antibody (ANA) test?
This critical medication drops blood pressure, lasts six hours, and excretes electrolytes
What is Lasix (furosemide)?
Drugs for overweight and obese patients
(and some nursing implications for each)
What is
Liraglutide: Monitor ALT/AST, do not take Insulin
Naltrexone-bupropion: Patients on bupropion, or with uncontrolled hypertension, seizures, anorexia, or withdrawing from drugs/alcohol should not take; monitor for suicidal ideations
Orlistat: Monitor liver enzymes, take a multivitamin daily, teach that loose stools, abdominal cramps, nd nausea can occur
Phentermine-topiramate: Patients with glaucoma or hyperthyroidism should not take, medication can cause birth defects
Management for status epilepticus
What is ESTABLISH AN AIRWAY, MD/RRT, IV diazepam/lorazepam, loading dose phenytoin and then oral, check drug levels 6-12 hours after oral started, medic alert bracelet?
Laboratory tests in the preoperative phase
(Name all)
What is Urinalysis, Blood type and screen, CBC or hematocrit/hemoglobin levels, Metabolic panel, and Pregnancy test?
Characteristics of chronic osteomyelitis
What is foot ulcer(s) or bone surgery, sinus tract formation, localized pain, drainage from the affected area (usually due to bone abscess)?
Prior to giving Digoxin (Lanoxin), the nurse should monitor
What is check apical pulse x 1 minute, check digoxin levels, and electrolyte levels?
Medications given to patients with diverticulitis
What is broad-spectrum antimicrobial drugs (metronidazole in conjunction with trimethoprim/sulfamethoxazole or ciprofloxacin) for inflammation, analgesics for pain?
Characteristics for both Complex and Simple seizures
Complex: decreased LOC, may cause loss of consciousness 1-3 minutes, patient is unaware of environment and may wander at onset of seizure, amnesia period after, most common in older adults
Simple: aware of event, conscious throughout, reports an aura before seizure occurs, deja vu, change in HR, skin flushing, epigastric discomfort?
Reasons for urgent surgery
(Name 4)
What is requires prompt intervention; may be life threatening if delayed more than 24-48 hours; intestinal obstruction, bladder obstruction, kidney/ureteral stones, bone fracture, eye injury, acute cholecystitis?
Nonpharmacologic interventions for patients with osteoarthritis
Reasons Digoxin (lanoxin) is given
What is heart failure, A-fib?