QB 13 (Not my best!)

cdunbar4's version from 2017-09-29 16:22

Section 1

Question Answer
Pulse oximeter probe carealarm should be set at 95%SaO2 and never expose probe to direct sunlight or strong light bc it will give inaccurate results. If you have to, cover with dry washcloths; rotate probe site q4h
Appropriate care of infant and bilirubin lightsfrequent, greenish stools & increased UO reflect increased excretion of bilirubin and are possible SEs; Ok to turn off lights & remove eye patches when mother wants to feed; turn off lights when drawing blood to get an accurate bilirubin level
gabapentin informationtreats neuropathic pain and postherpetic neuralgia (shingles pain); may cause drowsiness; was originally an antiseizure medication; taken 3x/day usually (unless it is extended release)
pancreatitis symptomsacute abdominal pain and nausea; usually males mid 40s who drink
basal carcinomaskin cancer; stay out of sun dumb butt
Symptoms you would see if burns over 75% of body and is potentially developing hypovolemic shockcool, clammy skin and tachypnea (body responds to early hypovolemic shock by adrenergic stimulation; vasoconstriction compensates for loss of fluid)
petechiae on abd and forearms after hydrocodone administrationallergic reaction to med, NOT expected in relation to the medication
CKD and proteinEXCESS protein should be avoided in diet
detached retina symptomssudden black dots and flashes of light, states it feels as if a CURTAIN is being closed over the right eye
What to do for detached retina?tell client not to get out of bed; lie on affected side to prevent further detachment; also place eye patch on affected eye
infant post op actions neededthey need stimuli and comfort, allow parents to stroke infant to prevent failure to thrive, they need TACTILE stimulation

Section 2

Question Answer
Which med class if combined with aminophylline, may decrease metabolism and lead to toxicity?beta blockers (propranolol)
Expected symptoms seen with ALS (amyotrophic lateral sclerosis)dysphagia & aspiration; other early symptoms include fatigue while talking, tongue atrophy & weakness of hands & arms
ALSprogressive muscular weakness, usually starts in upper extremities (distal first)
Cause of death with ALS, usually?respiratory insufficiency. Usually does NOT cause changes to mental state or cognitive function
Pain history PQRSTPrecipitating factors, Quality, Region/radiation, Severity, Timing
Licorice effect on digoxincan potentiate action of digoxin by promoting K loss
Cuffed trach tube 90% displaced from stoma (2 hours after placement), what should nurse do first?use a hemostat to dilate the opening of stoma; some swelling is expected due to recent surgical procedure
Weight loss per week for client with goutif overweight, 0.5-1lb/week; excessive weight loss (too much too fast) can actually precipitate gout
Flail chest plan/implementationsMonitor VS for shock (treat hypovolemia stat); pain mgmt at regular intervals (blunt chest trauma hurts!); encourage client to turn, cough and breathe deep (promotes lung expansion); monitor ABGs (assess for hypoxemia & hypercapnia); humidified O2 (stabilized by positive pressure ventilation, NOT surgery)
Child diagnosed with hemophillia is at risk forrepeated bleeding episodes cause changes in bones and muscles (most frequent site of bleeding is into muscles & joints)
Risk factors for cholelithiasis?multipara, women, obesity, sedentary lifestyle, >40 years old, pregnancy, client who is fasting, hypothyroidism, increased serum cholesterol, familial tendency
PET scancan take 2 hours so have client void beforehand. When the radioisotope is administered, patient waits 30-45 minutes on table so the substance can circulate to the brain.
PET scan precautionsjewelry is ok so long as it is not in hair; warm sensation may be felt when dye is injected; metallic taste in mouth may occur as well
Right sided heart failure symptomsperipheral edema & anorexia; congestion of venous system & gastric veins causes anorexia and ascites
strep a infection causesacute glomerulonephritis
pain and tenderness at incision site after CABG lasts for about how long?minimal pain/tenderness for about 6-12 weeks
Expected outcomes after CABGsome swelling/edema in leg used for donor graft when client goes home (because client is usually more active); small amount of serosanguineous drainage may occur from incision
Chlorprozamine medication administration instructions for client with shizophreniabrush teeth (good oral hygiene required since DRY MOUTH is adverse effect); can take at least 6 weeks before improvement is noticed; do not drink etoh; avoid driving until dose is stabilized; urine can turn pink; there is a risk of leukopenia in 1st 3 months

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