ATI Nursing Facts Flashcards

Questions and Answers

Levothyroxine increases the effects of which medication?

Acetaminophen

Aspirin

Ibuprofen

Warfarin (correct)

Never give potassium IM, sub q, IV push.

True

What condition is characterized by enlarged joints?

Osteoarthritis

Obese individuals are at a higher risk for which joint condition?

Osteoarthritis Signup and view all the answers

Metoprolol masks the effects of hypoglycemia.

True Signup and view all the answers

Cardiovascular disease is a risk factor for gout.

True Signup and view all the answers

Why is vomiting not induced during intoxication?

To prevent aspiration Signup and view all the answers

What is the method for opening an airway in a client without suspected spinal cord injury?

Head tilt chin lift Signup and view all the answers

What method should be used for a client suspected of spinal cord injury?

Jaw thrust method Signup and view all the answers

An epidural blood patch is used if the puncture site for lumbar puncture doesn't seal.

True Signup and view all the answers

Clients should be NPO 4-6 hours prior to a cerebral angiogram.

True Signup and view all the answers

What should be done with hair before an EEG?

Wash hair the day of to remove oils Signup and view all the answers

What are common side effects of opioids?

Constipation, orthostatic hypotension, urinary retention, nausea, vomiting, sedation, respiratory depression Signup and view all the answers

What does a positive Brudzinski and Kernig's sign indicate?

Meningitis Signup and view all the answers

What are the steps for the Brudzinski test?

Client should be supine, place hands behind head, flex the client's neck Signup and view all the answers

What is the priority after a seizure?

Keep client in side lying position to prevent aspiration Signup and view all the answers

What teaching point is important for phenytoin?

Decreases the effects of oral contraceptives Signup and view all the answers

Privacy should be provided during a seizure.

True Signup and view all the answers

Which one triggers a seizure?

Hyperventilation Signup and view all the answers

How should a client with Parkinson's be positioned for eating?

Completely upright Signup and view all the answers

What should be monitored weekly for clients with Parkinson's?

Weight Signup and view all the answers

Bromocriptine can cause orthostatic hypotension.

True Signup and view all the answers

What color should urine turn with COMT inhibitors?

Dark colored Signup and view all the answers

Expect skin discoloration with the antiviral medication amantadine.

True Signup and view all the answers

What theory is linked to the development of Alzheimer's?

Decreased level of acetylcholine Signup and view all the answers

What medication is used to improve function in Alzheimer's patients?

Donepezil Signup and view all the answers

Difficulty with ambulation is present in early and middle stages of Alzheimer's.

False Signup and view all the answers

What are the risk factors for Alzheimer's?

Age, genetics, toxic waste exposure, herpes virus exposure, head injury, female, African American Signup and view all the answers

Hydrocephalus is a potential complication after craniotomy.

True Signup and view all the answers

Opioids should be given to patients post-op craniotomy.

False Signup and view all the answers

What changes are common with increased intracranial pressure?

Restlessness, irritability, change in behavior Signup and view all the answers

What does the Romberg's test assess?

Ability to balance Signup and view all the answers

Loss of cognition can occur with multiple sclerosis.

True Signup and view all the answers

Baclofen can cause jaundice of the skin.

False Signup and view all the answers

Foods containing tyramine can cause what?

Headaches Signup and view all the answers

What is abortive therapy used for?

To treat headache pain during onset Signup and view all the answers

Triptan drugs are used for treating severe migraines.

True Signup and view all the answers

What are common side effects of zolmitriptan?

Flushing, tingling, warmth Signup and view all the answers

Nasal congestion can occur with cluster headaches.

True Signup and view all the answers

What type of pain is associated with cluster headaches?

Unilateral, non-throbbing pain that can radiate Signup and view all the answers

Artificial sweeteners contain tyramine and can trigger a headache.

True Signup and view all the answers

Open-angle glaucoma is characterized by what?

Gradual loss of peripheral vision Signup and view all the answers

What should be limited after cataract replacement?

Activities that can increase intracranial pressure Signup and view all the answers

What are the risk factors for glaucoma?

Increased age, genetics, hypertension, diabetes Signup and view all the answers

When does graft vs host disease typically occur?

10 days after transplant Signup and view all the answers

What is the biggest concern immediately post-op transplant?

Infection Signup and view all the answers

Bone marrow is transfused through a central IV line.

True Signup and view all the answers

Clients who are immunosuppressed from bone marrow transplant can go in public areas.

False Signup and view all the answers

What is intravesical therapy?

Cancer therapy where interferon is administered into the bladder Signup and view all the answers

How often should a patient be turned during intravesical therapy?

Every 15 minutes Signup and view all the answers

Patients should not ambulate for 6 hours after peritoneal dialysis.

True Signup and view all the answers

What do casts in the urine indicate?

Damage or infection in the kidney Signup and view all the answers

What are the signs of a ruptured bladder?

Hematuria, oliguria, pelvic pain Signup and view all the answers

What position is used for cystoscopy?

Lithotomy position Signup and view all the answers

Pink-tinged urine and burning during urination are expected after cystoscopy.

True Signup and view all the answers

Testing PSA should occur after a digital rectal exam.

False Signup and view all the answers

Hypertension is a common adverse effect of Epoetin infusion.

True Signup and view all the answers

Unstable angina lasts longer than 15 minutes.

True Signup and view all the answers

Why is it important to medicate with antihypertensive medications with an abdominal aneurysm?

To prevent bursting Signup and view all the answers

What is pulses paradoxus?

Decreased systolic BP by 10 mm during expiration due to fluid compressing against aorta Signup and view all the answers

Pulses paradoxus is a common finding with cardiac tamponade.

True Signup and view all the answers

Hypotension is associated with cardiac tamponade.

True Signup and view all the answers

Hiccups after pacemaker insertion can indicate that the pacemaker is pacing the diaphragm.

True Signup and view all the answers

What is hemophilia?

Bleeding disorder due to lack of a clotting factor Signup and view all the answers

Pain with inspiration is common with pericarditis.

True Signup and view all the answers

Dyspnea and hiccups are manifestations of pericarditis.

True Signup and view all the answers

Pain with pericarditis lessens when the client sits upright.

True Signup and view all the answers

Hematuria is a manifestation of bladder trauma.

True Signup and view all the answers

What is silver sulfadiazine used for?

Antibiotic cream used to treat burns Signup and view all the answers

Transient leukopenia can result from silver sulfadiazine use.

True Signup and view all the answers

What is a heterograft?

Graft received from another type of animal Signup and view all the answers

What are the signs of melanoma growth?

Increasing size of mole, ulceration, exudation, bleeding, darkening, reddening Signup and view all the answers

What should be done if a snakebite occurs?

Immobilize the leg at the level of the heart Signup and view all the answers

What is the first intervention for chest pain and difficulty with inspiration?

Supply oxygen Signup and view all the answers

What should be applied when withdrawing the tracheostomy catheter?

Suctioning Signup and view all the answers

What protective equipment should be used during a thoracentesis?

Goggles and mask Signup and view all the answers

When transfusing blood, the first action is to check the type and units of blood.

True Signup and view all the answers

What symptoms are associated with a left side stroke?

Aphasia, feelings of guilt, anxiety Signup and view all the answers

What behavior is common in a right-side stroke?

Impulsive behavior Signup and view all the answers

Salt substitutes contain potassium.

True Signup and view all the answers

Pancreatitis can cause paralytic ileus.

True Signup and view all the answers

What are the signs and symptoms of multiple sclerosis?

Paresthesia, involuntary eye movement, ataxia Signup and view all the answers

What effect can Baclofen have on urine?

Can turn urine yellow Signup and view all the answers

Migraine headaches can be triggered by tyramine-containing foods.

True Signup and view all the answers

Zolmitriptan is used for abortive therapy for migraines.

True Signup and view all the answers

What are characteristics of cluster headaches?

Unilateral pain, altered sleep-wake cycles, occurs at the same time every day, non-throbbing, intense, nasal congestion, profuse facial sweating Signup and view all the answers

Artificial sweeteners can cause migraines.

True Signup and view all the answers

Migraine headaches can be predicted if there is a family history.

True Signup and view all the answers

What should be avoided post-op cataract surgery?

Activities that increase intraocular pressure Signup and view all the answers

What is the role of the retina?

Connects to the optic nerve and sends the image from the eye to the brain Signup and view all the answers

Eye pain is common with glaucoma.

True Signup and view all the answers

Floating spots are common with retinal detachment.

True Signup and view all the answers

Blurred vision and white pupils are common with cataracts.

True Signup and view all the answers

Red reflexes are normal with eyes.

True Signup and view all the answers

Dry macular degeneration results from lack of blood flow to the macula.

True Signup and view all the answers

Wet macular degeneration is caused by popped blood vessels in the macula.

True Signup and view all the answers

What should not be done to help heal macular degeneration?

Encourage foods low in carotene Signup and view all the answers

Eye drops are used for glaucoma treatment.

True Signup and view all the answers

Furosemide can cause ototoxicity and hearing loss.

True Signup and view all the answers

What happens to the tympanic membrane during an ear infection?

Inflamed and makes the ear difficult to visualize, no light reflex Signup and view all the answers

Study Notes

Medication Interactions and Effects

Levothyroxine enhances the anticoagulant effects of warfarin.
Potassium should only be administered IVPB or PO; never by IM, subcutaneous, or IV push.
Metoprolol can hide symptoms of hypoglycemia in patients, making monitoring critical.

Osteoarthritis Considerations

Osteoarthritis often presents with enlarged joints, affecting mobility and quality of life.
Obesity significantly increases the risk and severity of osteoarthritis.

Seizures and Neurological Assessments

Vomiting should not be induced during intoxication to avoid aspiration; ipecac is contraindicated.
Post-seizure care includes positioning the client on their side to prevent aspiration.
Brudzinski and Kernig's signs indicate possible meningitis; assessments should include client positioning and neck flexion.

Airway Management

The head tilt-chin lift technique is suitable for clients not suspected of a spinal cord injury when opening the airway.
The jaw thrust method is preferred for clients suspected of spinal cord injuries.

Diagnostic Procedures

Clients must remain NPO for 4-6 hours before a cerebral angiogram to minimize aspiration risks.
EEG preparations include washing hair to remove oils and staying awake the night before to stress the brain.

Pain Management and Side Effects

Opioids can induce side effects like constipation, respiratory depression, and sedation, necessitating careful monitoring.
Baclofen, an anti-spasmodic for conditions like MS, can cause jaundice and yellow urine.

Alzheimer's Disease

Alzeheimer's is theorized to result from decreased acetylcholine levels, manifesting in cognitive impairments.
Risk factors include age, genetics, toxic exposure, and notable demographics such as being female or African American.

Headaches and Migraines

Foods containing tyramine trigger migraines; common sources include nuts and artificial sweeteners.
Symptoms of migraines include unilateral pain, nausea, and sensitivity to light; these can be managed with triptans or abortive therapy.

Cardiovascular and Respiratory Health

Gout is associated with cardiovascular disease as a critical risk factor.
Comfort breathing is crucial in conditions such as pericarditis and cardiac tamponade, with positional management often alleviating pain.

Surgical and Post-operative Care

After cataract surgery, patients must avoid activities that increase intraocular pressure and maintain eye hygiene.
Clients receiving bone marrow transplants must limit public exposure due to immunosuppression.

Renal and Urinary Concerns

Casts in urine indicate potential kidney damage or infection, while signs of a ruptured bladder include hematuria and oliguria.
Cytoscopy procedures require clients to be positioned in lithotomy, with expected symptoms including pink-tinged urine post-procedure.

Eye and Vision Health

Open-angle glaucoma causes a progressive loss of peripheral vision; regular screenings are essential.
Macular degeneration types reflect different etiologies: dry due to lack of blood flow and wet due to ruptured blood vessels.

Miscellaneous Topics

Intravesical therapy treats bladder issues with interferon for chemotherapy purposes, requiring patient positioning for effective drug distribution.
Silver sulfadiazine used for burns can cause transient leukopenia as a side effect.

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Description

This quiz features key ATI nursing facts that every nursing student should know. It covers important drug interactions, clinical considerations, and common health conditions. Test your knowledge and enhance your nursing insights with these flashcards.