NP3 Cramsheet - Astig Nurse PDF

NP3 CRAMSHEET - ASTIG NURSE ASTIG NURSE #RN2023 22. For plasma, platelets, cryoprecipitate, 44. H. Pylori testing: - urea breath testing 1. BLOOD TRANSFUSION FIRST ACTION transfuse quickly (20 of H. Pylori in patie...

NP3 CRAMSHEET - ASTIG NURSE ASTIG NURSE #RN2023 22. For plasma, platelets, cryoprecipitate, 44. H. Pylori testing: - urea breath testing 1. BLOOD TRANSFUSION FIRST ACTION transfuse quickly (20 of H. Pylori in patient breath — Verify doctor’s order. minutes) clotting factor can easily be 45. Proton Pump Inhibitors - PPIs- Very 2. WHO will you inform FIRST — destroyed. effective, faster pain relief with more PATIENT: Inform the client and explain healing the purpose of the procedure. 23. From the time a unit of blood is spiked, 46. Sucralfate- forming a protective barrier 3. PRIORITY Check for cross matching the infusion should take agains acid, bile, and pepsin. and bloodtyping. To ensure a maximum of 4 hours. Bismuth- stimulate mucosal compatibility 24. Each unit of plasma or platelets bicarbonate and prostaglandins 4. ALWAYS ensure patency of IV line should be administered over 30-60 production to promote healing, prior to obtaining blood from the lab. minutes. 47. Misoprostol - promote ulcer healing by 5. Obtain blood product from the blood 25. In addition, the tubing/administration stimulating mucus and bicarbonate bank. set should be changed with each unit secretions. 6. Visually inspect the blood for clots, of blood, or at the end of 4 48. PUD Nutrition Bland diet, AVOID MILK sediment, or bubbles. hours. This reduces the risk for 49. 6 small feedings a day, avoid bedtime 7. Confirm the patient’s ID with two bacterial contamination. snacks identifiers (2 RN) and ensure that the 26. Peptic Ulcer Disease (PUD) — Rich 50. PUD Nursing Diagnoses: Acute Pain--- consent is signed. man ulcer Report manageable pain 8. Perform hand hygiene and put on 27. Duodenal ulcers- most common, COPYRIGHT: ANAQUE REVIEW CENTER CLEAN gloves. develop between age 30-55, more MITRAL VALVE PROLAPSE 9. Obtain baseline vital signs. Pre- common in MEN 51. EARLY sign of mitral valve prolapse existing fever should be reported to 28. Poor man ulcer — Gastric Ulcers- during your physical assessment — the provider prior to proceeding with affect older pts more between ages 55- SYSTOLIC CLICK of the valve leaflet transfusion. 70, more common in smokers and as a result of the ballooning of the left 10. Two RNs must confirm the who are chronic users of NSAIDS. atrium following on the blood unit, lab 29. Alcohol and dietary intake DOES NOT 52. The patient with mitral valve prolapse paperwork, and the blood ID band at CAUSE PUD. remain to be asymptomatic for — six the bedside: blood unit ID number or 30. Heliobactor Pylori infection causes months serial number, blood ABO and Rh type, ULCER 53. Signs and symptoms expect to unit expiration date, unit unique 31. ADA, NSAIDS major risk factor, ASA manifest in mitral valve prolapse — identifier or lot number, and patient’s most ulcerogenic. Fatigue, Palpitation, shortness of name and birthdate confirmed with the 32. Cigarette smoking significant risk breath, Dizziness, Anxiety (all of these) ID band. factor, doubling risk for PUD 54. BEST approach in assessing the 11. For JEHOVAS WITNESS refusing BT, 33. Stress causes ulcer like in BURN EARLY sign of Mitral valve prolapse is respect decision — AUTONOMY injury, CURLINGS ulcer through— Auscultation 12. Y set tubing is needed 34. DOUDENAL ULCER — Mid to upper 55. MVP should AVOID the following 13. UNIVERSAL standard for BT gauge is epigastrium radiating to back EXCEPT: — Light exercises 18 as FIRST CHOICE (18 or 19) 35. DOUDENAL PAIN ATTACKE WHEN — 56. “Excess volume R/T decrease cardiac 14. Hang 0.9 % NS. Note: Only isotonic Empty Stomach, occurs 2-3 hrs after output secondary to valvular disease”. electrolyte solutions are approved meals and in middle of night, which is Which of the following is the from blood administration. reduced by eating. "pain food relief" POTENTIAL outcome if medical and 15. NEVER USE Dextrose it will cause pattern. nursing interventions have been hemolysis and the calcium in Lactated - Gnawing or burning effectively implemented? Ringers will cause CLOTTING. - Mid-epigastrium pain or back 1. Adequate fluid volume is maintained. 16. Begin the transfusion slowly, rate of 2 36. PUD Complication: Hemorrhage: 2. Vital signs within normal limits. mL/minute for the first 15 minutes (100 occult or obvious blood in stool 3. Clear lung sounds mL/hour). 37. CBQ- MELENA - upper GI bleeding 4. Pulmonary congestion absent 17. Stay with the patient for the first 15 38. Watch out for : Perforation: severe (All of these) minutes upper abd pain with rigid boardlike 18. Most severe reactions occur in the abd. (PERITONITIS) GASTRIC SURGERIES first 15 minutes or 50 mL of the 39. Zollinger- Ellison syndrome Is a peptic 57. GASTRODUODENOSTOMY (Billroth I) transfusion. ulcer disease caused by a gastrinoma, — anastomoses of stomach to 19. Backache, or flank pain, fever, chills — or gastrin-secreting tumor of the duodenom sign of transfusion reaction (FIRST pancreas, stomach, or intestines. 58. GASTROJEJUNOSTOMY (Billroth II) – ACTION STOP INFUSION, then open IV ( 60% are malignant.) CBQ — anastomosis is created NSS line to flush, then call doctor, 40. Gastrin is a hormone that stimulates between the stomach and the proximal administer oxygen when DOB is the secretion of pepsin and HCL acid. loop of the jejunum. present) 41. Diagnostics test — Upper GI series: 59. Complications of gastric surgery — 20. itching, hives, dyspnea and flushing use barium as contrast medium can Dumping Syndrome, Postprandial — sign of Anaphylaxis or allergic detect 80-90% of peptic ulcers. hypoglycemia, and Bile reflux gastritis transfusion reaction (FIRST ACTION Chosen first, less costly. 60. DUMPING SYNDROME — most STOP INFUSION, then open IV NSS 42. Endoscopy- allows visualization of common complication of gastrectomy line to flush, then call doctor, esophageal, gastric, and duodenal 61. Pernicious anemia can occur also due administer antihistamine or mucosa and direct inspection of to loss of intrinsic factor for B12 epinephrine if anaphylactic reaction) ulcers. vitamin Absorption. 21. Administer BT for 4 hours (whole 43. Esophagogastroduodenoscopy 62. Dumping syndrome (rapid gastric blood, packed RBC). ( EGD)- most definitive test emptying, NP3 CRAMSHEET - ASTIG NURSE 63. Common symptoms of Early Dumping 84. How do you rest your pancreas? NPO : 109. Brown stones (associated with biliary Syndrome — (15-30 minutes after TPN+ NG tube to prevent enzyme tract infection) eating. Symptoms include nausea, production 110. Pain w/ deep inspiration during right vomiting, bloating, cramping, diarrhea, 85. While on TPN: monitor for subcostal palpation: Murphy’s Sign dizziness and fatigue. HYPERGLYCEMIA, check blood 111. Intense pain: inc HR, pallor, 64. Late Dumping Syndrome — happens 1 glucose diaphoresis—w/ n/v after ingestion of to 3 hours after eating. Symptoms 86. What COMFORT MEASURES should high fat food caused by biliary colic include weakness, sweating, and be taken if your patient has acute 112. Blumberg’s sign — Rebound dizziness. pancreatitis? Pain management! tenderness: performed by provider 65. Dumping Syndrome most common 87. Meperidine or Demerol — analgesic of 113. Abdominal x-ray or CT scan: visualize after which surgery — Billroth II choic calcified gallstones and an enlarged surgery - CBQ (common board 88. Knee-to-chest positioning for PAIN gallbladder question) 89. What are your nursing diagnosis for 114. MORPHINE is ALLEGEDLY CAUSING COPYRIGHT: ANAQUE REVIEW acute pancreatitis? Fluid volume SPASM OF SPHINCTER OF ODDI’– CENTER deficit d/t loss of fluid in the peritoneal CBQ ACUTE PANCREATITIS cavity 115. Jackson Pratt drain placed in 66. ALCOHOL — most common cause of 90. MORPHINE — has an alleged effect to gallbladder bed or a T tube in the Acute pancreatitis cause spasm of sphincter of Oddi common bile duct 67. Which of the following laboratory COPYRIGHT: ANAQUE REVIEW 116. After laparoscopy— Avoid lifting for 4- examinations do you expect the CENTER 6 wks physician to order for the patient — GALL BLADDER / CHOLELITHIASIS 117. Color of stools should return to brown Serum lipase and Amylase 91. Cholelithiasis — Gallstone in in about a week, Diarrhea is common 68. most specific enzyme test for acute gallbladder 118. Diet: low fat diet: reduce dairy, avoid pancreatitis is: LIPASE 92. Risk factors — 5 F : female, fair skin, fried foods/chocolate/nuts/gravies 69. priority for the client diagnosed with 40, fat, fertile 119. Avoid gas forming foods: beans, acute pancreatitis — ALTERATION IN 93. What makes it painful — Deep cabbage, cauliflower, broccoli COMFORT breathing make it worst 120. Dietary restriction to prevent 70. assessment data you will MOST likely 94. APPROPRIATE to ask patient with recurrence — FAT RESTRICTED DIET, NOT to find on patient — Cramping Biliary colic is — When do you feel the AVOID Whole milk, butter, cheese and pains before intake of heavy meals. pain, Is it after a heavy meal? fried meat 71. MOST useful diagnostic test to 95. Most likely to find in Obstructive validate pancreatitis — Endoscopic jaundice — clay colored stool INFLAMMATORY BOWEL DISEASE Retrograde 96. What S/S can you see for 121. CORRECT about chron’s and CholangioPancreatography cholelithiasis? — Fever, Leukocytosis, Ulcerative colitis — D. Course of the 72. Acute Pancreatitis the first PRIORITY Jaundice, Nausea & vomiting, disease: Crohn’s disease is prolonged is to— administer IV fluids to replace Abdominal pain at RUQ, Feeling of and variable, Ulcerative colitis has a electrolytes lost fullness and bloating remission and exacerbation 73. One of the SAFETY alerts that the 97. STOOL — STEATORRHEA (Fats in 122. Preventing recurrence of Crohn’s and Nurse-on-duty (NOD) will have to feces, fatty greasy bulky and foul) ulcerative colitis, what specific watch for patient with Acute 98. T tube use after cholecystectomy — to therapeutic regimen is effective to Pancreatitis is — Respiratory distress decrease bile from liver both conditions — 74. Pancreatitis – pain is sudden, radiates 99. open cholecystectomy — general COSTICOSTEROIDS to back, L flank or L shoulder, intense anesthesia, 123. Systematic complication of Chron’s pain and boring, and continuous, 100. After open cholecystectomy increase disease — Small bowel obstruction worse when lying down risks of — PNEUMONIA 124. Diagnostic test is usually ordered to 75. Cullen’s sign- gray-blue discoloration 101. T-tube should drain approximately 300 patients with ulcerative colitis in order of ABDOMEN and periumbilical area to 500 mL in the first 24 hours — T- to distinguish this condition from 76. Turner’s sign – gray-blue discoloration tube should drain approximately 300 other disease of the colon? — of FLANKS to 500 mL in the first 24 hours — COLONOSCOPY 77. What is the most common cause of Assess the tube for any obstruction 125. Rectum and sigmoid – most common acute pancreatitis in men? Alcohol (if lower than normal) site of ULCERATIVE COLITIS ingestion 102. Treatment for cholecystitis consists 126. Severe diarrhea and severe bleeding 78. What lab value is indicated of severe of IV hydration, administration of in ulcerative colitis acute pancreatitis (necrosis) — antibiotics 127. The pain in Ulcerative colitis is LEFT DECREASED calcium 103. Pain control with meperidine as first LOWER QUADRANT  choice or morphine. 128. Crohn’s disease: spread throughout (hypocalcemia) l/t tetany 104. nonsurgical removal of stone — entire GI tract. 79. What fluids should be given to patient endoscopic retrograde 129. Chron’s affects Ascending colon with acute pancreatitis? LACTATED cholangiopancreatography (ERCP) 130. The pain in Chron’s is located in RINGERS 105. MOST COMMON STONE in RIGHT LOWER QUADRANT 80. Important electrolyte to assess in gallbladder is — CHOLESTEROL 131. Irritable bowel syndrome: alternating acute pancreatitis? Calcium 106. Diagnosis to detect cholelithiasis — bouts of diarrhea and constipation. 81. What are signs that are indicative of Abdominal Ultrasound 132. Diverticulitis – LLQ pain hypocalcemia or TETANY — + 107. The most common type of gall stones 133. In diverticulitis the diet is low fiber diet chvostek & trousseaus among Filipinos — Pigment stones without seeds. Diet : avoid fruits and 82. positive chvostek: hyper excitability 108. Black stones (contain calcium vegetables high in fiber and no seeds 83. positive trousseaus: hyperreflexion bilirubinate) NP3 CRAMSHEET - ASTIG NURSE RHEUMATOID ARTHRITIS 160. OA is DEGENERATIVE, chronic, NOT 185. SIGNS and symptoms — excessive 134. RA is a chronic systemic autoimmune systemic fatigue, HAND TREMORS, WEIGHT disorder. 161. OA has stiffness in morning, after LOSS, DIARRHEA, DIAPHORESIS, 135. RA causes inflammation to - exercise TACHYCARDIA AND HYPERTENSION CONNECTIVE TISSUE, primarily in 162. pain/stiffness inc w/activity dec w/rest 186. DRUG OF CHOICE — PTU or joints 163. obesity (knees) disability in lower prophylthiuracil 136. Cause of RA- UNKNOWN extremities due to effects on weight 187. Pregnant — PTU 137. RA normal antibodies become- bearing joints 188. THYOID STORM — INCREASE IN V/S autoantibodies and attack host tissue 164. Pain- Worse with use (b/c these are HYPERTENSIVE CRISIS AND 138. RA affects more - women weight bearing joints) as day INCREASE TEMP. 139. onset of RA occurs most frequently progresses 189. THYROIDECTOMY — check bleeding at between the ages- 40-60 165. HOW IS OA DIAGNOSED? -x ray back of neck 140. Onset- insidious showing OSTEOPHYTES and dec joint 190. Priority after THYROIDECTOMY is 141. Course- generally progressive, space AIRWAY characterized by periods of 166. WHAT IS A COMMON REGIMEN USED 191. Transient whispery voice or remissions and exacerbation TO TREAT OA? -Low impact Exercise- hoarseness of voice — laryngeal nerve 142. PAIN AND STIFFNESS- predominant regular, stimulates cartilage growth, damage on arising in early morning, protects joints, weight bearing creates 192. Tetany — sign of hypocalcemia due to LASTING > 1HOUR occurs after support damage or trauma of parathyroid. prolonged inactivity 167. Weight loss is a major factor in 143. Affected Joints- appear red hot relieving pain from osteoarthritis. Hypoparathyroidism: Hypocalcemia. swollen, boggy, tender to palpation 168. Exercise is a big part of the lifestyle 144. multiple joints affected in change that’s necessary to deal with 193. Causes: surgery, autoimmune, SYMMETRICAL pattern in proximal OA DiGeorge interphalangeal , metacarpophalangeal, 169. Exercises like aquatics swimming, 194. Findings: tetany — positive trosseus wrists, knees, ankles, toes cycling, and walking can build and chvostek 145. the pattern of joint involvement is strength 195. Lab: hypocalcemia, typically -POLYARTICULAR (involving 170. **HEAT OR WARM COMPRESS CAN hyperphosphatemia, decreased PTH. multiple joints) and symmetric RELAX MUSCLES AND HELP 196. Primary hyperparathyroidism — LUBRICATE JOINTS. HEAT THERAPY Common cause of hypercalcemia. 146. Juvenile Rheumatoid Arthritis — MAY BE USED TO RELIEVE MUSCLE chronic inflammatory autoimmune AND JOINT STIFFNESs, help warm up CUSHINGS DISEASE disorder diagnosed in children that is joints before activity, or ease a muscle characterized by joint inflammation spasm. 197. What is Cushing’s Disease — resulting in decreased mobility, 171. FIRST : A patient may be encouraged to Hypercortisolism; endogenous swelling, and pain use heat therapy to warm up a joint(s) hypersecretion by ADRENAL CORTEX 147. PAUCIARTICULAR: affects knees, before physical therapy exercise and to OF CORTISOL (excess stimulation by ankles, elbows use cold therapy after exercise. ACTH) 148. systemic: affects males and females 172. Alternating warm and cold compress is 198. HYPERCORTISOLISM; chronic use of equally, high fever, polyarthritis, ideal exogenous corticosteroids rheumatoid rash 173. TYLENOL for OA 199. Cushing disease the focal structure 149. Polyarticular MEANS it involves — 5+ 174. Acetaminophen: first line (toxicity – affected is the — pituitary gland joints give acetylcysteine) 200. NOT be a complaint from CUSHINGS 150. Goals of RA — RELIEVE PAIN and 175. Opioids for severe pain- OPIOIDS condition? — Absence of growth in reduce inflammation toxicity give Narcan or Naloxone Drug the pubic area 151. What will elevate in RA that will 176. In OA it affects the LARGE JOINTS 201. What are the manifestations of suggest inflammation— ESR Cushing’s? — MOON FACE, BUFFALO 152. What will happen to WBC of RA — HUMP, MUSCLE WASTING, poor WBC up to 25,000/u HYPOTHYROIDIDM: wound healing, PURPLE OR PINK 153. Methotrexate treatment of choice STRIAE , acne, HIRSUTISM, emotional 154. MANAGEMENT to early morning 177. Causes: Hashimoto’s thyroiditis, lability, ELEVATED BLOOD SUGAR, stiffness — MOIST HEAT COMPRESS cretinism. HTN, pathologic fractures, decreased or warm shower is most effective 178. MANIFESTATIONS: Weight gain, immune function, altered sleep 155. Swan-neck deformity occurs at the fatigue, cold intolerance, constipation, patterns proximal interphalangeal joint. hypotension, bradycardia 202. What lab values are altered by 156. NEVER MASSAGE INFLAMED JOINTS 179. Lab findings: Decreased T3 AND T4, Cushing’s? because massage can aggravate increased TSH Increase Blood glucose inc, Decrease inflammation. 180. Treatment: Levothyroxine. — empty WBC, Increase SODIUM, DECREASE IN 157. Patients are advised to AVOID stomach before breakfast POTASSIUMAND CALCIUM REPETITIOUS MOVEMENTS. 181. Graves’ disease — Hyperthyroidism 203. HYPOKALEMIA AND HYPOCALCEMIA 158. SITTING DURING HOUSEHOLD and thyrotoxicosis WITH HYPERNATREMIA are common CHORES IS RECOMMENDED to 182. Findings: Exophthalmos, pretibial in Cushings decrease stress on joints. myxedema 204. What diet is appropriate for Cushing’s? 183. Avoid Goitrogens (eg., cabbage, — High calorie, with calcium and cassava, broccoli and cauli flower) vitamin D OSTEOARTHRITIS 184. Hyperthyroid TYPICAL signs and 205. Surgery — ADRENALECTOMY symptoms — HEAT INTOLERANCE 159. OA – is the Most common arthritis Addison’s Disease? NP3 CRAMSHEET - ASTIG NURSE 206. What is Addison’s Disease? — 227. Z-Track Injection adult, the most b. Painful hepatomegaly. Hyposecretion of adrenal cortex commonly used needles are 1’(inch)or c. Pitting edema and ascites. hormones (cortisol and aldosterone). 1/2, Answer: 22 to 25 gauge thick 249. Iron-overload disorders: 207. What lab values are altered by 228. hallmark of Ulcerative colitis Hemochromatosis and hemosiderosis. Addison’s? — Hypoglycemic, is Answer: bloody diarrhea / rectal Answer: Give desferal or Hyperkalemic, Hyponatremic, bleeding. deferoxamine. Hypovolemic, Acidotic, BUN is 229. Recurrent Ulcerative collitis treat 250. Z TRACK IRON – Answer : 10 mins increased with Answer: sulfasalazine hold 208. What are the s/s of Addison’s? — 230. Gastroesophageal reflux disease: 251. diagnosed with Diabetes - Answer : Anorexia, postural hypotension, GERD or chalasia: relaxation of above 5.5 mmol/mol lethargy, dehydration, nausea/vomiting, cardiac sphincter 252. Obese- Endomorph body salt cravings, hyperpigmentation, 231. Colorectal cancer – primary diagnostic 253. For ID injection: needle size is ¼ -1/2 mood swings, and dysrhythmias, test is Answer: colonoscopy inch26-27 gauge BRONZE SKIN 232. Pheochromocytoma is the formation 254. Generic Name of Dilantin? Answer: 209. What is an appropriate diet for of a benign tumor in adrenal medulla Phenytoin Addison’s? causing hypertensive crisis. 255. Condom catheter How to apply it: — High salt, low potassium, encourage 233. Pheochromocytima DOC Answer: spirally around the shaft of penis fluid Phentolamine Mesylate (Regitine) 256. A teenage girl was raped. But she 210. What is given for ADDISON ? — 234. In otitis media, the tympanic wants to keep it from her parents. – Prednisone (Deltasone) membrane is bright red and lacks its disclosed the information or divulge 211. Side effects of corticosteroid therapy? characteristic light reflex (cone of and tell to the parents —— osteoporosis, GI upset or PUD light). 257. Affordable Rich in calcium – (take with food), blood sugar elevation, COPYRIGHT: ANAQUE REVIEW Anchovies weight gain, edema, hypertension CENTER 258. Pink eye disease - Viral conjunctivitis 212. What are the s/s of corticosteroid 235. Drug of choice for shock. Answer: 259. BON powers- to issue and, after due toxicity? — Fluid retention, ROUND Dopamine investigation, suspend or revoke FACE, BUFFALO HUMP 236. Abdominal aortic aneurysm: AORTA is certificates of registration 213. What PRECIPITATES AN ADDISONIAN located at the Answer: EPIGASTRIC 260. What is the best position when CRISIS? REGION suctioning the client with — Stress, infection, trauma, surgery, 237. hiatus hernia most common hiatus tracheostomy? decreased salt intake (HYPONATREMIA), hernia, in which the stomach passes, - Semi-Fowler’s Position cold exposure, or over exertion partly or completely, into the chest 261. What is incorrect when suctioning the 214. What interventions should be cavity through the hole for patient? implemented for an Addisonian Crisis? the oesophagus - Apply suction when inserting suction IV Solu-Cortef initially 238. Answer: impossible to return to their catheter 215. What will be GIVEN TO CORRECT normal state (irreducible). 262. Apply suction intermittently for how ELECTROLYTE IMBALANCES DURING 239. swollen and fixed within their sac long? AN ADDISONIAN CRISIS? — (incarcerated). - 5 – 10 seconds KAYEXALATE, INSULIN AND 5% 240. cut-off from their blood supply, 263. Before suctioning the client with DEXTROSE, and calcium becoming painful and eventually tracheostomy administer how many % 216. Kayexalate to treat Hyperkalemia gangrenous (strangulated). of oxygen? - 100% 217. Hyperkalemia — tall tented or peaked T 241. the best position for inguinal hernia 264. What is the main goal after the patient WAVE IN ECG the client must be in a Answer: has under gone tracheostomy? - standing position Maintain patent airway 242. Surgical repair of an inguinal hernia is 265. When cleaning the non-disposable INTEGRATED NP3 CONCEPTS recommended Answer: to prevent inner cannula you use? - Sterile 218. Drug of choice of BRADYCARDIA — strangulation of the bowel, which Gloves ATROPINE could result in intestinal obstruction 266. What is the recommended mm Hg of 219. Atropine Answer: increases heart rate. and necrosis the cuff pressure? - 18 mm Hg 220. After a patient undergoes a femoral- 243. Myasthenia gravis: 267. What is the incorrect use of a Cuffed popliteal bypass graft, Answer: the Confirmation:Tensilon (edrophonium) Tracheostomy Tube? - Don’t use nurse must closely monitor the test. positive pressure ventilation peripheral pulses distal to the 244. Hypokalemia: muscle weakness, U 268. Patients who need emergency operative site and circulation. waves on ECG, polyuria, treatments should not hesitate and 221. Osteoarthritis is also known as rhabdomyolysis. immediately call an ambulance. This Degenerative Joint Disease. It 245. Hyperkalemia: ventricular arrhythmias, corresponds to these cases except: commonly affects the Answer: weight- peaked T waves on ECG, muscle - A CLIENT IS NOT SPEAKING bearing joints (spine, hips and knees). weakness. CLEARLY. 222. Answer: Colonoscopy - is the 246. Congestive Heart Failure: "screening" for colorectal cancer. 247. Left-sided HF: COUGH AND 269. Why is it so that we need to do 223. Biopsy is the confirmatory. CRACKLES Cardiopulmonary Resuscitation as 224. Answer: Veracity: habitual a. Pulmonary edema. soon as possible? observance of truth in speech or b. Difficulty breathing. - BECAUSE IT ONLY TAKES 3 TO 4 statement; TRUTHFULNESS. c. Left-sided S3 sound. MINUTES FOR THE PATIENT TO 225. The closest predisposition to Type 2 d. Paroxysmal nocturnal dyspnea. BECOME BRAIN DEAD BECAUSE OF DM (NIDDM) is Answer: obesity. 248. Right-sided HF: Prominent jugular A LACK OF OXYGEN. 226. GERD is also known as Answer: veins 270. When you are emotionally angry to the chalasia. a. Right-sided S3 sound. patient because he is a gay; you are NP3 CRAMSHEET - ASTIG NURSE exhibiting: 284. he patient undergoes 304. What urine test is performed to - COUNTER TRANSFERENCE Cholecystectomy. Which of the diagnose pheochromocytoma? — 24 271. Which of the following is not a cause following is TRUE statement among hour collection of urine and of Hemorrhoids? list of choices? vanillylmandelic acid (VMA). - INFECTION. B. REPORT CLAY-COLORED STOOLS 305. What are other names for BUERGER'S COPYRIGHT: ANAQUE REVIEW TO PHYSICIAN. DISEASE? — THROMBOANGITIS CENTER OBLITERANS 285. A client taking levodopa should be INTERMITTENT CLAUDICATION 272. The patient was then transferred to taught about the signs of Levodopa CHILLBLAIN Room of Choice After toxicity. 306. ETIOLOGY of Buerger's disease is Hemorrhoidectomy. As a nurse, you - TWITCHING. unknown. positioned the patient prone. The 307. The disease occurs exclusively in rationale for this nursing action would 286. Selegilline (Eldepryl) is prescribed for smokers probably be: a client with Parkinson’s disease 308. Buerger's disease affects males only. - TO PREVENT BLEEDING. Levodopa therapy. 309. Age of start of Buerger disease - 20- 273. To mitigate patient’s pain, which of the - IF A SEVERE HEADACHE OCCURS, 40 years following nursing actions will you IT SHOULD BE REPORTED TO THE 310. Which extremities are affected by it? really not do? PHYSICIAN IMMEDIATELY. Lower extremities only - APPLY VASELINE TO THE ANAL- 311. Inflammation is thought to occur in the RECTAL AREA. 287. among males aging 50 years old and 2 layers coating arteries + arterioles. 274. To promote good bowel movement, above. 312. Upon walking the patient with which of the following contingent 288. The normal drainage after Buerger's experiences - Intermittent nursing intervention will the patient or Transurethral Resection of Prostate Claudication health care expected for you to carry within 24 hours is:- REDDISH PINK 313. What is intermittent claudication? - out? WITH SMALL TO MEDIUM SIZED Pain in calf upon walking GIVE CASTOR OIL AS ORDERED. BLOOD CLOTS. 314. Obstructive arterial disorder caused 275. The Gastro Esophageal Reflux is a 289. The nurse is aware that the signs and by segmented recurring precipitous of what disorder? symptoms of hypothyroidism include: INFLAMMATION IN THE - - ARTERIES - HIATAL HERNIA d. Weight gain AND VEINS 276. Which of the following foods can be a 290. Among which is the Priority for public 315. Major cause of Buerger's Disease- cause of GERD? health care? Community MODERATE TO HEAVY SMOKING - ENERGY DRINKS. 291. What is the medication for moderate 316. Patho of Buerger's Disease- 277. The patient prescribes Maalox for the pain? Answer: codeine.. Inflammation develops in small and patient with GERD. Which of the 292. Thrombolytic answer: dissolve clot medium arteries and veins of feet and following diagnosis will you inform to 293. Drug to dissolve clot — ALTEPLASE hands, also wrists and lower legs the Doctor of choice by the patient? 294. Position for ICP? 30-40 degree 317. Most common symptom of Buerger's BATHE PATIENT HAD 295. A nurse is caring for a client who is disease-PAIN: CLAUDICATION OF UROLITHIASIS. experiencing status epilepticus. Which ARCH OF FOOT OR LOWER CALF 278. Lemon who was hooked to Chest tube of the following medications should 318. What are the SYMPTOM'S of after 4 hours, it is removed the nurse anticipate administering BUERGER'S DISEASE? REST PAIN is accidentally. Which of the following immediately?B. Lorazepam an early feature , Peripheral pulses are reminders about caring of Mr. is 296. The LIVER is the LARGESTVGLAND in often Absent untrue?. body 319. #1 medical management of disease : THE NURSE SHOULD COVER THE 297. PITUITARY GLAND IS the master MUST QUIT SMOKING REMOVED AREA WITH WET STERILE gland 320. Raynaud's Disease causes vasospasm DRESSING. 298. HYPOTHALAMUS is thermoregulatory which restricts blood flow to certain 279. Which of the following information center areas of the body. provided is absolute true about 299. The largest arterial branch to the right 321. Most often the fingers, toes, tip of the angioplasty? adrenal gland is usually from the - nose and ears - THIS PROCEDURE CAN BE DONE IN Renal artery 322. Idiopathic- the origin is unknown CARDIAC CATHETERIZATION LAB 300. Prior to resecting the right adrenal 323. Symptoms : cold fingers and toes in WITH MEDICATIONS. gland, this maneuver allows easier response to cold temperatures or 280. What is the positioned of the patient access to the posterior IVC- stress with a numb, prickly or stinging for the first 8 hours post PTCA? Laparoscopically releasing the feeling. - FLAT ON BED. retroperitoneal attachments to the 324. Sequence of color changes White to 281. Streptokinase was given as liver Blue to Red. anticoagulant. What should you 301. What does the ADRENAL MEDULLA 325. - Primary Raynaud's disease- most remember about important action prior PRODUCE? — Epinephrine and common form and is NOT associated giving the medication? Norepinephrine with an underlying disease or DO NOT SHAKE VIAL WHEN 302. What agent in foods can cause a condition. RECONSTITUTING. hypertensive crisis = Tyramine found Gender- Mostly occurs in women in aged cheese, and red wine, avocado, Age- 15 to 30 years 282. Which of the following is the cause of tuna Climate- More common in cold Lung cancer? Smoking 303. What are the 5 H's of climates. 283. To breathe properly, which of the pheochromocytoma? — Hypertension, following position will the nurse Headache, Hyperhydrosis, expect? — Hypermetabolism, Hyperglycemia ORTHOPNEA/ORTHOPNEIC NP3 CRAMSHEET - ASTIG NURSE 326. Non-Drug Treatment- Keep the hands 346. Coronary angiography is one of the 366. 4 Common infections for Guillian and feet warm by wearing thick gloves main uses for Cardiac Cath Barre’ and socks. — Campylobacter, parainfluenzae, 327. Avoid touching cold objects. 347. Coronary angiography - liquid contrast mycoplasma, and mono 328. Avoid smoking and second-hand agent is introduced through the 367. The most prominent signs of Guillian smoke. coronary arteries Barre’ - Paresthesia and dysthesia 329. Avoid sudden changes in temperature, 348. Cardiac Catheterization - to evaluate 368. two signs that come from apnea in GB such as going from warm air to air cardiac output and congenital defects - cyanosis and hypoxemia conditioning such as shunts or AV malformations 330. Wear a coat, mittens and hat in cold 349. Balloon valvuloplasty to widened Myasthenia Gravis weather (gloves allow cold air to narrowed mitral valve 369. An immune system disease caused by surround fingers) 350. The major advantage to Cardiac Cath IgG antibodies disrupting chemical 331. Nursing Education (gold standard for CAD) transmission of ACH neuromuscular a. -Wear loose, warm clothing 351. The left heart cath is approached via - junction -Wear gloves when using the percutaneous femoral artery or 370. Causes of Myasthenia Gravis - family refrigerator or freezer Brachial Artery with a PIGTAIL history of autoimmune diseases -At all time, pt should avoid CATHETER 6 signs of myasthenia gravis extreme temp. 352. Right heart cath is approached via- 371. Cyanosis (severe), weakness, -Immersing hands in warm percutaneous femoral vein with a Respiratory failure, ptosis, diplopia, water to decrease the SWAN GANZ CATHETER and hypoxemia vasospasm 372. breath sounds for both diseases - -STOP using all TOBACCO 353. HEART BLOCK diminished, crackles, coarse/ ronchi products and avoid caffeine 354. What is heart block? - SA node has 373. Test that checks for paralysis of the and vasoconstrictive drugs. trouble conducting to the ventricle — diaphragm — X-Ray outcome 332. First line drug: Heart block may be delayed or blocked 374. CSF test in Guillian Barre- > Calcium channel blockers (diltiazem in the AV node INCREASED PROTEIN (Cardizem). it relax smooth muscles of 355. Causes of temporary heart block 375. Guillian Barre’ is rapid onset — IgM the arterioles Myocardial ISCHEMIA level increased Surgery: SYMPATHECOMY cut the 356. Causes of permanent heart block 376. Myathenia Gravis – is slow nerves in the area only in advance Myocardial INFARCTION progression and progressive fatigue case — IgG level is increased 333. main risk factors or predispositions 357. 1st degree heart block 377. Ice pack test - a test used in the for DM Type 2? OBESITY a. All beats conducted, but presence of ptosis for Myathenia 334. What is the normal blood glucose level? delayed Gravis patients, in order to prove the — normally maintained at 5mmol/l Not a true block disease Range 3.5mmol/l - 8mmol/l PRI will be constant, but is 378. TensiLon test- A test that uses 335. In type 1 diabetes, fat breakdown greater than 0.20 seconds acetylcholine esterace occurs and results in - diabetic b. Every QRS has a p wave inhibitors(mestinon) ketoacidosis (DKA) Causes: Athletes and Digitalis 379. Edrophonium- An acetylcholine 336. What are s & s of diabetic ketoacidosis 358. esterace inhibitor used for the tension DKA? test. Improves muscle function for 337. abdominal pain, nausea, vomiting, 359. 2nd degree Heart Block about 10 min. hyperventilation, a fruity breath odor, a. Some beats conducted 380. exercise modalities for Myasthenia and if left untreated, altered LOC, Intermittent block, some gravis coma and death impulses will pass to the — walking overground, stationary 338. What is DKA? - A diabetic coma ventricles but not all bike, weight training, swimming 339. What is the treatment for DKA? Normal P waves, but some shallow water. 340. insulin, fluid & electrolytes as needed QRS's dropped 341. Cardiac Catheterization- invasive BLOOD TRANSFUSION procedure in which a long, thin, 360. 2 types of 2nd degree Heart Block flexible tube a. Type I (Wenckebach, Mobitz I) 381. Which blood group type is the (catheter) is inserted into blood Type II (Mobitz II) universal donor? vessels and/ or into the heart for = Type O negative cardiovascular diagnosis, treatment 361. 382. Which blood group type is the and monitoring 362. 3rd degree Heart Block universal receiver? 342. What must a patient always do when Complete heart block = Type AB positive having a cardiac cath done? = sign a Normal SA node function but no 383. Patient can donate 1 to 5 units of their consent form impulses get to ventricles own blood up to = 5 weeks before 343. catheter insertion site is in the = NO BEATS CONDUCTED surgery. FEMORAL ARTERY at groin area 363. Treatment for Heart Block 384. For how long should whole blood 344. Patient will be NPO --- after midnight ATROPINE transfuse? 345. Swan-Ganz catheter is - a catheter that Consider Epinephrine or Dopamine over = 3-4 hours monitors capillary wedge, pulmonary 385. For how long should packed blood artery, right atrial and central venous GBS and MG transfuse? pressures after introduction through 364. Guillian Barre’- An immune disease over = 2 hours the jugular vein or subclavian vein that demylenates nerves. 386. What is the volume of 1 unit of whole 365. what kind of paralysis does Guillian blood? Barre’ have?- Ascending paralysis = 500 mL NP3 CRAMSHEET - ASTIG NURSE 387. What is the volume of 1 unit of packed - First, stop the transfusion & maintain blood? IV access to FLUSH PNSS = 300 mL 388. What must be OBTAINED PRIOR to administering blood products? = Informed consent 389. Observe AUTONOMY PRINCIPLE Bioethical Principles in patient care: especially if client refuse treatment 405. An individual's right of self- procedure determination and freedom of decision 390. Who will administer blood products? making. PHYSICIAN Autonomy 391. What needle gauges may be used for 406. Doing good for clients and providing blood transfusion? benefit balanced against risk. = 18 or 19 gauge needle is preferred. Beneficence = 22 or 23 gauge may be used FOR 407. Doing no harm to clients. CHILDREN or an adult w/ inaccessible Nonmaleficence veins. 408. Being fair to all and giving equal treatment, including distributing 392. For blood transfusions, what should benefits, risks, and costs equally. the tubing have? Justice = an in-line filter 409. Being loyal and faithful to 393. What should be done at the beginning commitments and accountable for and end of the blood transfusion? responsibilities. - Start and end the blood transfusion Fidelity with 410. Telling the truth and not intentionally *Normal Saline to prevent RBC deceiving or misleading clients. hemolysis Veracity 394. What is important about priming the tubing for a blood transfusion? = Prime with Normal Saline (PNSS) 395. What is important to remember about adding medications during a blood transfusion? = never add medications to the line UNLESS flushed with Normal Saline first 396. Prior to administration, blood products must be checked by: = 2 RN's (or an RN and a doctor, etc.) 397. How soon should a blood transfusion begin? = Begin within 15-30 minutes after receiving blood from the lab 398. What should the nurse do when he sees gas bubbles in the blood product bag? = return the bag to the blood bank 399. How soon must blood be transfused after spiking? = within 4 hours of spiking 400. During the first 15 minutes, the blood product must be administered at what type of rate? = At slow rate, 10-24 mL should infuse in adult. = Can also go by 10-15 drops/minute for 1st 10 minutes 401. How often do you monitor vitals during a blood transfusion? = Get vitals before starting 402. What can you dispose the bag and tubing in? = biohazard waste container 403. sharp needles disposal- RED color coded bin 404. Your patient develops a transfusion reaction reaction during the infusion. What do you do?