Ostomy
Food that create bad odor and gas include
pg 318
Corn, dried beans, onions, cabbage, spicy foods, fish
The American Cancer Society defines cancer as..
pg 105
a large group of diseases characterized by uncontrolled growth and spread of abnormal cells.
Define palliative surgery
relieve symptoms or improve function without correcting the basic problem
What are the 3 stages of shock?
pg 160
1. preshock
2. shock
3. end-organ dysfunction
Explain the rationale of using hypothermic devices-Thermo Suit
pg 165
Improves neurologic recovery
after cardiac arrest of cardiac origin
Volunteers that are trained to educate individuals about ostomies- (3 groups)
pg 310
American Cancer Society
United Ostomy Associations of America (UOAA)
Wound, Ostomy, Continence Nurse (WOC)
Cannabinoids and Benadryl are used for... caused by cancer (3)
pg 123
Nausea
Vomiting
Taste disorders
Dehiscence noted midline surgical wound. What is the nurses priority intervention?
What is this called when the organs protrude?
290
Cover wound with sterile dressing saturated with normal saline.
Evisceration
Typical assessment findings at end-organ dysfunction stage of shock
pg 162
Hypotension
Weak and thready pulse
Deep respirations
List 3 situations epinephrine is given
pg 164
1
anaphylactic shock
hypotension
bronchial constriction
...is caused by lack of thorough cleansing of fecal matter around stoma. (4 answers)
pg 321
Fungal, bacteria, yeast infections
odor
S/S hypercalcemia:(3)
pg 132
Fatigue
Weakness
Confusion
constipation, polyuria, hypertension, tachycardia, poor muscle tone
A complication of spinal anesthesia is ___ which is thought to be caused by ___
pg 287
postspinal headache
the leaking of cerebrospinal fluid at the puncture site
Situation~ you are at a baseball game and observe a man suddenly fall to the ground. Upon assessment, you determine he is not in cardiac arrest so there is no need for CPR. What is your next priority intervention?
Call for help
Continue monitoring pulse, respirations, mental status
Cervical spine injury with progressive hypotension signifies what type of shock?
Neurogenic shock
Signs of hypovolemia: (4)
pg 321
Tachycardia
Hypotension
Decreasing urine output
Dry mucous membranes
Food restrictions with antineoplastic drugs (tyramines)
list 3
pg 128
Foods that are spoiled, pickled, aged, smoked, fermented, marinated, avocados, bananas, figs, pineapple, red plums, caffeine, eggplants, raspberries, yogurt, Brazil nuts, coconuts, peanuts, liver, and alcohol.
Pt seems very nervous and fearful about surgery preoperative. What is the nurses priority intervention?
pg 280
Report behavior to surgeon or anesthesia personnel
Describe how the Intraaortic balloon pump works
165
A balloon-tipped catheter is inserted into the descending thoracic aorta. The balloon inflates during diastole and deflates just before systole.
Because brain cells begin to die within __ minutes without ___, a priority in the first-aid treatment of shock is to ___
4
oxygen
maintain blood flow to the brain
Signs of electrolyte imbalances: (6)
pg 321
Confusion
Anxiety
Twitching
Trembling
Muscle Weakness
Cardiac Dysrhythmias
Define the seven warning signs of cancer using the CAUTION pneumonic.
pg 109
C-change in bowel or bladder habits
A-sore throat that does not heal
U-unusual bleeding or discharge
T-thickening or lump in a breast or elsewhere
I-indigestion or difficulty swallowing
O-obvious change in a wart or a mole
N-nagging cough or hoarseness
Malignant hyperthermia is characterized by:
pg 288
increasing body temperature and metabolic rate, tachycardia, hypotension, cyanosis, and muscle rigidity
Shock itself results from failure of which system?
An LPN is assisting in developing a nursing care plan for a patient in shock. Which patient problem should be included?
Inadequate cardiac output vs Excess cardiac output?
Related to hypotension, hypovolemia, or hypertension?
Circulatory system
Inadequate cardiac output, related to hypovolemia
What is the drug vasopressin used for?
For fun~ describe the action of vasopressin
pg 164
Septic shock and cardiogenic shock
Vasoconstriction, retention of water by kidneys
Improved blood flow to heart and brain during cardiac arrest