Questions and Answers
What are the symptoms of BPH?
What is the preferred positioning for a patient with altered level of consciousness?
Side lying position
What are the symptoms of septic shock?
Tachycardia, fever, hypotension, pallor, fatigue, cold, reduced urine output, shortness of breath, decreased level of consciousness, nausea/vomiting, sweating
What is the most reliable indicator of neurological status?
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What virus is responsible for Herpes Zoster?
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What is the survival rate for a patient with amyotrophic lateral sclerosis (ALS)?
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What is the first action to implement in a burn patient?
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What are Cushing's triad symptoms?
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What should be used to withdraw medication from an ampule?
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What is receptive aphasia?
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Where is the hotspot injection site for Enoxaparin?
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What should be monitored for abdominal wound healing?
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What are isotonic fluids used for?
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How should a blind person be assisted while walking?
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How is medication measured for pediatric clients?
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What is the technique for dressing someone with a stroke?
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What are the signs and symptoms of Systemic Lupus Erythematosus (SLE)?
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What should be done to care for a halo device?
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What should be increased in lithotripsy?
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What is the RICE method for sprain treatment?
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What is the technique for pursed lip breathing?
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What are the symptoms of a hip fracture?
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What is cephalohematoma?
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What is physiological jaundice of the newborn?
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What class of drugs does magnesium sulfate belong to?
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What is the indication for Betamethasone?
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What should be the total weight gain during a normal pregnancy?
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What are the effects of Methergine/ergometrine?
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What is the action of terbutaline in pregnancy?
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What is pathological jaundice?
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What is caput succedaneum?
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What does erythema toxicum neonatorum look like?
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Which tranquilizer/psych medication is safe during pregnancy?
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What are probably signs of pregnancy?
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What is the latent phase of labor?
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What is important to remember about pain medications in labor?
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What should you do with a prolapsed cord?
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What do variable decelerations indicate?
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What is significant about the placenta's vessels?
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What must a baby have before leaving the delivery area?
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What should you check if unsure on an OB question?
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What is the VEAL CHOP mnemonic used for?
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What should be done if the FHR tracing starts with L?
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What are late decelerations on FHR indicative of?
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What is high baseline variability?
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What does low baseline variability on FHR mean?
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What is high fetal heart rate (FHR)?
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What does low fetal heart rate on monitor indicate?
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Study Notes
BPH Assessment
- Symptoms include voiding difficulty, urgency, incomplete emptying, straining to void, and nocturia.
- Urinary burning indicates a UTI, unrelated to sexual intercourse.
- A score above 50 highlights assessment concerns.
Altered Level of Consciousness Positioning
- Position patients with altered consciousness in a side-lying position to maintain airway safety.
Septic Shock Symptoms
- Detect tachycardia, fever, hypotension (systolic <90), pallor, fatigue, cold skin, reduced urine output, shortness of breath, decreased level of consciousness, nausea/vomiting, and sweating.
Neurological Status Indicator
- The most reliable indicator of neurological status is the level of consciousness.
Herpes Zoster
- Caused by the Varicella-Zoster virus (VZV).
Amyotrophic Lateral Sclerosis (ALS)
- Average survival is 3-5 years.
- Symptoms include difficulty swallowing, breathing issues, inability to communicate, constipation, with overall decline.
Immediate Burn Patient Care
- Prioritize ABCs and initiate fluid replacement due to hypovolemia from fluid loss.
Cushing's Triad
- Indicators of increased intracranial pressure include bradycardia, elevated systolic blood pressure with wide pulse pressure, and irregular respirations.
Ampule Medication Withdrawal
- Use a filter needle; avoid contact of the filter needle with the ampule edge to prevent contamination.
Receptive Aphasia
- Defined as the inability to understand spoken or written language.
Enoxaparin Injection Site
- Administer in the right or left abdomen, 2 inches from the belly button.
Abdominal Wound Healing
- Implement docusate for stool softening, manage nausea, use a pillow for coughing, employ an abdominal binder, and monitor blood sugar levels.
Isotonic Fluids
- Include Normal Saline (0.9% NaCl) and Lactated Ringer’s (LR), utilized for fluid resuscitation in hypovolemic shock and dehydration.
Blind Person Walking Technique
- Guide slightly ahead and to the side, allowing the individual to touch your elbow.
Pediatric Medication Measurement
- Use an oral syringe for accurate dosing in children.
Dressing a Stroke Patient
- Dress the affected side first to accommodate mobility limitations.
Systemic Lupus Erythematosus (SLE) Symptoms
- Present elevated ESR and positive ANA test results, with potential decreased WBC count, thrombocytopenia, and anemia.
- Monitor for kidney damage.
Halo Device Care
- Clean pin sites with sterile solution, keep the vest liner dry with a cool blow dryer, and place foam under pressure points.
Lithotripsy Care
- Encourage increased fluid intake, expect minor bruising, and report any signs of infection post-procedure.
Sprain Treatment
- Follow RICE protocol (Rest, Ice, Compression, Elevation) and introduce rehabilitation once healed.
Pursed Lip Breathing Technique
- Inhale for 2 seconds through the nose; exhale for 4 seconds through pursed lips.
Hip Fracture Indicators
- Symptoms include external rotation, muscle spasms, site bruising, limb shortening, and pain with weight bearing.
Cephalohematoma
- Considered a normal condition, characterized by a collection of blood between skull bone and periosteum.
Physiological Jaundice of the Newborn
- Develops after 24 hours, often due to dehydration or insufficient breastfeeding.
Magnesium Sulfate
- Used as a tocolytic in preeclampsia, halting contractions, while monitoring for hypermagnesemia.
Oxytocin (Pitocin)
- Can lead to uterine hyperstimulation with contractions lasting over 90 seconds or occurring less than 2 minutes apart.
Betamethasone
- Administered for fetal lung maturity in preterm labor, given as two IM injections 24 hours apart.
Survanta (Synthetic Surfactant)
- Administered to neonates via transtracheal route immediately following birth.
Normal Pregnancy Weight Gain
- Typical total gain is about 28 lbs, with a variability of +/- 3 lbs.
Methergine (Ergometrine)
- An oxytocic that can raise maternal blood pressure, used to enhance labor strength.
Terbutaline in Pregnancy
- Acts as a tocolytic, may cause maternal tachycardia while relaxing the uterus to prevent preterm labor.
Pathological Jaundice
- Occurs before 24 hours of life, signifying possible early hemolysis.
Caput Succedaneum
- A symmetrical bruise crossing sutures, recognized as a normal condition.
Erythema Toxicum Neonatorum
- Benign, papular rash commonly seen in newborns.
Safe Psych Medications in Pregnancy
- Haldol is the only tranquilizer indicated for use during pregnancy.
Probable Signs of Pregnancy
- Chadwick’s, Godel’s, and Hegar’s signs denote early pregnancy indicators, characterized by changes in the vagina, cervix, and uterus, respectively.
Latent Phase of Labor
- Dilation ranges from 0-4 cm with contractions occurring every 5-30 minutes lasting 15-30 seconds, generally mild in intensity.
Pain Medications in Labor
- Avoid administering pain medication just before delivery due to potential effects on the infant; provide during contractions for safety.
Prolapsed Cord Management
- Push and position effectively to manage complications.
Variable Decelerations
- Indicates a critical situation with slow fetal heart rate due to cord prolapse; requires intervention to reposition.
Placental Structure
- Consists of 3 vessels: 2 arteries and 1 vein; ensure all vessels are delivered to prevent maternal hemorrhage.
Baby Identification Protocol
- An ID band is required for every newborn before leaving the delivery area.
Addressing Uncertainty in OB Questions
- Assess fetal heart rate (FHR) for guidance in decision-making.
FHR Patterns
- "Veal Chop" mnemonic:
- Variable decelerations indicate cord compression.
- Early decelerations indicate head compression.
- Accelerations are normal.
- Late decelerations indicate placental insufficiency.
FHR Tracing Guidelines
- If FHR tracing begins with "L," assess and perform LION (Lie, Oxygen, IV fluids, Notify physician). Document normal tracings; respond aggressively to variable decelerations.
Late Decelerations Assessment
- Recognized as bad; follow LION protocol immediately.
FHR Variability
- High baseline variability (6-25 points) is indicative of well-being; ensure documentation.
- Low baseline variability shows stable FHR, necessitating intervention (LION).
High and Low FHR Values
- High FHR (>160) is usually not concerning unless linked to maternal fever.
- Low FHR requires prompt evaluation and response.
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Description
Test your knowledge on various nursing assessments including BPH, patient positioning, and septic shock symptoms. This quiz includes flashcards designed to reinforce essential information for nursing practice. Ensure you're prepared for clinical scenarios with these key concepts.