QB 12 Review

cdunbar4's version from 2017-09-27 22:38

Section 1

Question Answer
fluorescein angiographyseries of photographs that detail the circulation in the retina; eyes are dilated with mydriatic eyedrops before the exam; after the exam, client should avoid direct sunlight until eyes have returned to normal
fluoresceina dye administered IV causes temporary staining of skin (yellow); increased fluids to help remove dye after test
test that measures pressure in eyetonometry
What part of the chest tube drainage system is it OK for constant bubbling to occur?Suction control chamber. Should be continuous gentle, slow but steady bubbling in the suction control chamber
Fluid in the WATER SEAL chamber should be doing what?fluctuating with respirations of the client, rising with inspiration and falling with expiration.
Absence of fluctuation in water seal chamber indicates?Either lung has rexpanded or that there is an obstruction of the chest drainage tubes. Most common cause is client is laying on tubing or it is kinked, has dependent loops, clots or fibrin.
Food group allowed with CKDprotein of high biological value
Foods high in which electrolyte NOT allowed with CKDpotassium (orange juice)
Type of leadership that is best for crisis managementautocratic or directive (one person in charge) where leader maintains strong control and issues commands rather than makes suggestions or seeks input is appropriate in a crisis or ER situation
Meds contraindicated for clients with dementia divalproex sodium, risperidone, lorazepam
Pt. plan of care for meningitis dim lights and minimize environmental stimuli; assess neuro frequently for increased ICP/shock; may be on fluid restriction; DROPLET precautions until 24 hours after antibiotics have started
allopurinol NCgive with meals; encourage fluids; check I/O, COB, renal function tests, alkaline urine helps prevent
gout patient teachingavoid caffeine (increases uric acid, decaffeinated coffee is OK); avoid/limit dairy products, refined sugar and meat;
pruritic or painful rash on palms and soles of feet, client reports itching (4 weeks after organ transplant)graft vs. host disease starts with this
expected Temp, pulse, respirations and BP of an elderly client with HTN and cardiac involvementtemp. 96.8 (usually lower dt decrease in BMR), pulse 80, resp. 20, BP 160/90 (increased with hx of HTN)
black cohoshherb used in mgmt of menopausal symptoms; may cause hypoTN when used in combo with antihypertensive drugs
Onset of labordecreased fetal movements; gush of fluid SROM; bloody show; low backache
cardiac glycosides: digoxin, outcome of effective medication therapy?increased UO from improvement of CO
valsartanARBs; decrease pulmonary congestion and improve CO, which should reduce client's fatigue/dyspnea
BB's MOAslow HR and reduce BP. These do NOT treat dysrhythmias
potential complications of thoracentesis vs. paracentesisthoracentesis you'd watch out for pneumothorax and paracentesis things like acute abd pain and hematuria you'd be watching for

Section 2

Question Answer
Best position for a client admitted with shockelevate lower extremities to improve circulation to brain and vital organs
Vegans usually deficient in which nutrientscalcium, vit b12, Iron, vit D
Where to inspect for jaundice with Asian client?hard palate, their skin is already a yellowish hue.
IBS symptomsepigastric pain relieved by food, anorexia, n/v and periods of both constipation and diarrhea.
If several GI diagnostic tests are needed, which gets done first and why?Lower GI series since barium is used. If UGI was done first, the barium would trickle down and affect the LGI results
Upper limit serum bilirubin for breast fed infant15; phototherapy would then be considered
drug used for cardioversion midazolam, for sedation; instruct client the med may cause dizziness or drowsiness; avoid driving for 24 hours after administration; w/hold digoxin for 2 days prior to procedure to prevent vfib after cardioversion
sulfonamides are used to treat IBD (decreases bowel inflammation, administer after meals or with food); increase fluids to prevent crystallization in kidney tubules, may turn urine orange-red color temporarily, does NOT discolor stool;

Section 3