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when to give an amniocentesis - CORRECT ANSWER-16-20 weeks gestation Amniocentesis teaching points - CORRECT ANSWER--written consent -empty bladder before test -ultrasound to locate uterus -vital signs and FHR Q15
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when to give an amniocentesis - CORRECT ANSWER- 16 - 20 weeks gestation Amniocentesis teaching points - CORRECT ANSWER--written consent
28 - 36 weeks - CORRECT ANSWER-2 times a month visits/ Q2 weeks 28 weeks - CORRECT ANSWER-Alveoli and surfactant develops 36 - 42 weeks - CORRECT ANSWER-Weekly doctor visits 36 weeks gestation - CORRECT ANSWER-Rapid fat production occurs lightening - CORRECT ANSWER-The movement of the fetus down into the pelvis late in pregnancy. Gravidity - CORRECT ANSWER-number of pregnancies Parity - CORRECT ANSWER-Number of term pregnancies amniocentesis - CORRECT ANSWER-Fetal lung maturity and overall well being NST teach mother - CORRECT ANSWER--To eat or drink before test to help monitor baby's movement Morning sickness - CORRECT ANSWER--Due to hypoglycemia
LION - CORRECT ANSWER-Left side, IV fluids, Oxygen by face mask, Notify provider Variable FHR - CORRECT ANSWER-Cord compression
HIV mother - CORRECT ANSWER-No breast feeding, no live vaccinations until 18 months fetal alcohol syndrome - CORRECT ANSWER--low birth weight
Skin Breakdown - CORRECT ANSWER--nutrition monitor albumin 3.4-5.
Pureed - CORRECT ANSWER-Small babies, dysphagia
EC - CORRECT ANSWER-coated medication ER - CORRECT ANSWER-extended release Ear medication - CORRECT ANSWER-Adult: pinna back and up Child: back and down Barrium - CORRECT ANSWER-White chalky mixture to drink before procedure Sodium polystyrene sodium - CORRECT ANSWER-Kayexalate, decreases potassium Gastric tube - CORRECT ANSWER-check placement with an x-ray
Substitute for TPN - CORRECT ANSWER-10% dextrose How often to change tubing for TPN - CORRECT ANSWER-24 hours PCA pump - CORRECT ANSWER-deliver pain medication when the patient wants, use for cancer and post op patients. Family can't push button, only patient. Substance abuse - CORRECT ANSWER-continued use of a substance to alter a patients mood emotion or state of consciousness Alcoholism - CORRECT ANSWER-Denial and rationalize the abuse
WBC value - CORRECT ANSWER--5,000-10, K purpose - CORRECT ANSWER-potassium is a mineral that is important for cardiac function K value - CORRECT ANSWER-3.5-5. Na purpose - CORRECT ANSWER-sodium maintains the fluid levels, nerve and muscle NA value - CORRECT ANSWER- 135 - 145 Ca purpose - CORRECT ANSWER-calcium is a mineral that is important for bone and teeth CA value - CORRECT ANSWER- 8 - 6 - 10 Mg purpose - CORRECT ANSWER-important for the nerves and muslce MG value - CORRECT ANSWER-1.6-2. CL purpose - CORRECT ANSWER-chloride keeps fluid balance in check, digested in the intestines CL value - CORRECT ANSWER- 95 - 105 CO2 purpose - CORRECT ANSWER-waste product for the respiratory system CO2 value - CORRECT ANSWER- 22 - 32 BUN purpose - CORRECT ANSWER-measures the level of urea in the blood from protein. Kidney function BUN value - CORRECT ANSWER- 8 - 25 Creatnine purpose - CORRECT ANSWER-Main test for kidney function. High creatnine meals renal failure Creatnine value - CORRECT ANSWER-0.6-1. Glucose purpose - CORRECT ANSWER-amount of sugar in the blood Glucose value - CORRECT ANSWER- 70 - 110 PTT purpose - CORRECT ANSWER-bodys ability to form a blood clot
PTT value - CORRECT ANSWER- 60 - 70 seconds aPTT purpose - CORRECT ANSWER-clients response to heparin, blood clotting with additive aPTT value - CORRECT ANSWER- 30 - 40 seconds INR purpose - CORRECT ANSWER-clotting time when a patient is on Warfarin or another anticoagulant INR value - CORRECT ANSWER- 1 - 2 Urine Specific Gravity purpose - CORRECT ANSWER-test kidney function and look at the particles in the urine Urine specific gravity value - CORRECT ANSWER-1.016-1. Platelets purpose - CORRECT ANSWER-smallest of the 3 major types of blood cells. Prevent bleeding Platelets value - CORRECT ANSWER-150,000-400, Potassium hyper signs - CORRECT ANSWER-Everything goes up except heart rate and urine Potassium hyper treatment - CORRECT ANSWER-Regular insulin, Kayexalate and loop diuretic Potassium hypo signs - CORRECT ANSWER-Down except heart rate and urine, weak, constipated, tachy. Fatigue High potassium food - CORRECT ANSWER-Bananas, potatoes, spinach Calcium hyper treatment - CORRECT ANSWER-Calcitonin What glands help absorb calcium - CORRECT ANSWER-Parathyroid gland 3 T for hyper calcium - CORRECT ANSWER-Tetany, twitches, trousseau Calcium hyper treatment - CORRECT ANSWER-Oral calcium 30 minutes before meal Magnesium hyper signs - CORRECT ANSWER-Hypotension, drowsiness, decreased respiration's, bradycardia Hyper magnesium treatment - CORRECT ANSWER-Stop magnesium and antacids
Red Disaster - CORRECT ANSWER-Life threatening. Yellow disaster - CORRECT ANSWER-Bodily injuries but stable green disaster - CORRECT ANSWER-Minor injuries stable walking Black disaster - CORRECT ANSWER-Death Who goes home abc - CORRECT ANSWER-Ambulatory, bedridden, critical care St. John wort action - CORRECT ANSWER-Reduce anxiety and depression St. John wort teaching - CORRECT ANSWER-Photosensitive and do not give to SSRI Garlic: Action - CORRECT ANSWER-Lowering blood pressure and cholesterol Garlic teaching - CORRECT ANSWER-Do not use with anticoagulant Ginkgo biloba - CORRECT ANSWER-Helps memory Ginkgo biloba teaching - CORRECT ANSWER-Do not use with anticoagulant Echinacea: Action - CORRECT ANSWER-Improve immune system, seasonal flu Echinacea teaching - CORRECT ANSWER-HIV, liver toxicity Ginger action - CORRECT ANSWER-Reduces nausea and vomiting Ginger teaching - CORRECT ANSWER-At risk for bleeding Black Cohosh: Action - CORRECT ANSWER-Alleviate menopausal symptoms, hot flash, sweats Black cohosh teaching - CORRECT ANSWER-Premature labor Kava Kava action - CORRECT ANSWER-Anxiety, insomnia, muscle pain Kava kava treatment - CORRECT ANSWER-Hepatotoxic and lowers Parkinson's medication Saw palmetto: Action - CORRECT ANSWER-Benign prostate hypertrophy, headache Saw Palmetto teaching - CORRECT ANSWER-Cause erectile dysfunction R.o.m.e - CORRECT ANSWER-Respiratory Opposite Metabolic Equal
respiratory alkalosis breathing - CORRECT ANSWER-Breathing too fast respiratory acidosis breathing - CORRECT ANSWER-Breathing too slow Metabolic alkalosis sign - CORRECT ANSWER-Vomiting, suction Metabolic acidosis - CORRECT ANSWER-Everything besides vomiting and suction chest tube - CORRECT ANSWER-One way to drain fluid our air that has escaped the plural space Negative pressure - CORRECT ANSWER-Normal breathing tension pneumothorax - CORRECT ANSWER-Air between the lung and chest wall Trachea deviation - CORRECT ANSWER-Lowers blood pressure, lung expansion is down on affected side, oxygenation is down and jugular veins distended Tx of tension pneumothorax - CORRECT ANSWER-Needle decompression into second intercostal space Collection chamber - CORRECT ANSWER-Collect fluid, should not have bright Read fluid or more than 100 ML water seal chamber - CORRECT ANSWER-2 cm of water allow air to exist from plural space, prevent air to enter during inhalation. Bubbling equals bad. Intermittent equals good suction control chamber - CORRECT ANSWER-Amount of suction applied, bubbling is great intermittent is bad that suction isn't working Care for chest tube and the client - CORRECT ANSWER-Respiratory distress, breath sounds, stable vitals. Chest tube should be placed below chest level. Daily x-rays. Occlusive dressing. Chest tube nclex - CORRECT ANSWER-Water seal is broken place distal end in 2 cm of water Pulled the chest tube out - CORRECT ANSWER-Use a gloved hand cover the opening within occlusive dressing tape on 3 sides Patient won't comply complains of pain - CORRECT ANSWER-Medicate client, teach cough deep breath What kind of lung sounds will you here with a chest tube - CORRECT ANSWER- Crackles diminished
After angiogram - CORRECT ANSWER-Assess for bleeding, bed for 4-6 hours What does cholesterol do - CORRECT ANSWER-matters for hormones, food intake and protecting the cells LDL - CORRECT ANSWER-less than 100 HDL - CORRECT ANSWER-more than 60 Total cholesterol - CORRECT ANSWER-less than 200 Triglycerides - CORRECT ANSWER-less than 150 Statin medication - CORRECT ANSWER-works for cholesterol lowering SS of statin medication - CORRECT ANSWER-weak, tired, muscle aches B3 niacin - CORRECT ANSWER-better than statin medication raises HDL SS of niacin - CORRECT ANSWER-fluishing face, give aspirin 30 minutes before Dyslipidemia - CORRECT ANSWER-check for rhabdomyolysis - death of muscles Damage from free flowing muscle - CORRECT ANSWER-kidneys Goal for loweing cholesterol - CORRECT ANSWER-avoid high fat foods, avocados are good Menieres disease - CORRECT ANSWER-in the inner ear that results in too much fluid meniere disease affects - CORRECT ANSWER-only one side meniere symptoms - CORRECT ANSWER-vertigo, tinnitus, loss of hearing unilateral meniere patient - CORRECT ANSWER-complains of nausea, balance and fullness in the ear Diagnosis of meniere's disease - CORRECT ANSWER-MRI, dehydration test Meniere treatment - CORRECT ANSWER-antiemetic, aminoglycoside, diuretic, sedatives SS of diabetes - CORRECT ANSWER-Polyuria, polydipsia, polyphasia. Can't see can't spit, cant pee cant shit
Hyperglycemia - CORRECT ANSWER-IV fluid and iv regular insulin 0. Hypoglycemia - CORRECT ANSWER-eat carbs, IV dextorose Rapid insulin - CORRECT ANSWER-with meals, 1 hour peak and 3 hour duration Short acting insulin - CORRECT ANSWER-1 hour, before meals, 2 hour peak and 4 hour duration intermediate acting insulin - CORRECT ANSWER-2 hour onset, 6 hour peak and 14 hour duration Long action insulin - CORRECT ANSWER-1 hour onset, peakless, give medication at bedtime, 70/30 insulin - CORRECT ANSWER-30 minutes onset, 2 hour peak and 12 hour duration Metformin - CORRECT ANSWER-B12 deficiency, nausea, GI distress Metformin education - CORRECT ANSWER-can take pregnant, use for pcos, decrease sugar by the liver Sulfonylureas (tolbutamide, glyburide, glipizide, glimepiride) - CORRECT ANSWER- weight gain and rash Sulfonylurea client education - CORRECT ANSWER-stimulate insulin beta cell, multiple dosage may be needed, can be mixed with metformin Insulin injection - CORRECT ANSWER-90 degree angle Akastasia - CORRECT ANSWER-Inability to sit still