Term
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Definition
| attributing one's thoughts or impulses to another (involved in phobias) |
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Term
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Definition
| shifting of emotion concerning person or object to another neutral or less dangerous person or object (involved in phobias) |
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Term
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Definition
| diversion of unacceptable drives into socially acceptable channels |
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Term
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Definition
| incorporation of someone else's opinion as one's own |
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Term
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Definition
| attempt to make behavior appear to be the result of logical thinking |
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Term
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Definition
| excessive reasoning or logic used to avoid experiencing disturbing feelings |
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Term
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Definition
| development of conscious attitudes and behavior patterns into opposite of what one really wants to do |
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Term
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Definition
| something represents something else (involved in phobias) |
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Term
| IVP (intravenous pyelogram) |
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Definition
x-ray of entire urinary tract taken
evaluates kidney function. Because of the need to visualize the abdominal area, cleansing enemas the evening before an IVP are usually ordered. |
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Term
| Glucose monitoring in the elderly |
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Definition
| the renal threshold for glucose is elevated in the elderly. The level at which glucose starts to appear in the urine increases, leading to false-negative readings; results in elevated glucose levels. |
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Term
| Symptoms indicative of an alcohol-related problem |
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Definition
| tremors, elevated temperature, nocturnal leg cramps, complaints of pain symptoms. |
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Term
| Assessment of a fractured hip prior to repair |
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Definition
| the leg appears to be shortened and is adducted and externally rotated |
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Term
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Definition
| attributing one's thoughts or impulses to another (involved in phobias) |
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Term
|
Definition
| shifting of emotion concerning person or object to another neutral or less dangerous person or object (involved in phobias) |
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Term
|
Definition
| diversion of unacceptable drives into socially acceptable channels |
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Term
|
Definition
| incorporation of someone else's opinion as one's own |
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Term
|
Definition
| attempt to make behavior appear to be the result of logical thinking |
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Term
|
Definition
| excessive reasoning or logic used to avoid experiencing disturbing feelings |
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Term
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Definition
| development of conscious attitudes and behavior patterns into opposite of what one really wants to do |
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Term
|
Definition
| something represents something else (involved in phobias) |
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Term
| IVP (intravenous pyelogram) |
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Definition
x-ray of entire urinary tract taken
evaluates kidney function |
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Term
| Glucose monitoring in the elderly |
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Definition
| the renal threshold for glucose is elevated in the elderly. The level at which glucose starts to appear in the urine increases, leading to false-negative readings; results in elevated glucose levels. |
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Term
| Symptoms indicative of an alcohol-related problem |
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Definition
| tremors, elevated temperature, nocturnal leg cramps, complaints of pain symptoms. |
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Term
| Assessment of a fractured hip prior to repair |
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Definition
| the leg appears to be shortened and is adducted and externally rotated |
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Term
| Results determined by amniocentesis |
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Definition
evaluation of baby's lungs (with lecithin/sphingomyelin ration)
problems with spinal cord
early problems with baby's blood |
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Term
| Pleur-evac: continuous bubbling in the water-seal chamber |
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Definition
| indicated air leak; need to check for location of leak; clamp tubing close to chest and check for bubbling, and then clamp tubing close to container and check for bubbling |
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Term
| purpose for SubQ insulin injections after surgery for a type II diabetic pt |
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Definition
| being NPO inhibits normal blood sugar control. |
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Term
| Symptoms of an allergic reaction from a blood transfusion |
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Definition
| wheezing, hives, facial flushing, itching |
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Term
| Cause of visual changes in a pt with Type I DM |
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Definition
| gradual deterioration of the retinal vessels |
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Term
| What classes (3) of medications should a pt with hypothyroidism avoid? |
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Definition
| Narcotic sedatives, barbiturates, and anesthetics |
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Term
| What food is important to give to a pt diagnosed with lead poisoning? |
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Definition
| Milk-- it contains calcium; calcium binds to lead and inhibits its absorption |
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Term
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Definition
| speech disturbance. Uncontrollable repetition of a particular response, such as a word, phrase, or gesture, despite the absence or cessation of a stimulus, usually caused by brain injury or other organic disorder. |
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Term
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Definition
| speech disturbance. disturbance of the comprehension and formulation of language caused by dysfunction in specific brain regions. |
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Term
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Definition
| speech disturbance. short term deminishment of long term memory |
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Term
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Definition
| loss of purposeful movement in the absence of motor or sensory impairment |
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Term
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Definition
| The stem of a vibrating tuning fork is held against the mastoid bone until the client indicates that he/she can no longer hear the sound. Then the tuning fork is moved in front of the auditory canal. Air conduction is better than bone conduction. |
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Term
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Definition
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Term
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Definition
| given at 2, 4, and 6 months. |
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Term
| Varicella vaccine for children |
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Definition
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Term
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Definition
| may be given at 2mo of age, the second given at around 4mo, and the third at 6mo |
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Term
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Definition
| fatigue, weakness, osteoporosis, muscle wasting, cramps, edema, increased BP, purple skin striations, hirsutism, emaciation, depression, decreased resistance to infection, moon face, buffalo hump, truncal obesity, mood swings, masculiniation in females, blood sugar imbalance, hypernatremia |
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Term
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Definition
| converting an emotion into a physical problem. Eg anxiety over a test into not being able to write |
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Term
| Meaning of compulsive behavior |
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Definition
| compulsive behavior is an unconscious attempt to control and/or relieve the tension and anxiety the client is experiencing |
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Term
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Definition
| a slowing early in the contraction, and is usually a normal finding. Occurs in response to compression of the fetal head; uniform shape corresponds to rise in intrauterine pressure as uterus contracts and does not indicate fetal distress |
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Term
| Positioning of a post-op prosthetic hip implant |
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Definition
side-lying with the affected hip in a position of abduction.
Positions to be avoided: flexion beyond 60 degrees, adduction and internal rotation |
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Term
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Definition
| best evaluates changes in a client's level of consciousness by evaluating eye-opening, motor, and verbal responses |
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Term
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Definition
| stroking outer sole of foot upward causes toes to hyperextend and fan and great toe to dorsiflex. Disappears after 1 year of age |
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Term
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Definition
| sudden jarring causes extension and abduction of extremities and fanning of fingers with index finger and thumb forming a C shape; disappears after 3 to 4 months |
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Term
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Definition
| when head is turned to the side, arm and leg extend on that side, and opposite arm and leg flex; disappears by age 3 to 4 months |
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Term
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Definition
| touching palms of hands or soles of feet causes flexion of hands and toes; palmar grasp disappears after 3 months of age, plantar grasp lessened by 8 months of age. |
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Term
| Prostate-specific antigen |
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Definition
| test valuable for screening for prostatic cancer. PSA test has replaced acid phosphotase test in screening for prostatic cancer; test must be drawn before digital rectal exam, as manipulation of the prostate will abnormally increase PSA value |
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Term
| Insulin needs during and after pregnancy for type 1 diabetes |
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Definition
| needs increase during pregnancy due to hormonal interference in glucose metabolism. Needs decrease after delivery |
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Term
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Definition
| headache, disrupted memory (short- and long-term), and a general confused state. |
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Term
| Dexamethasone Suppression test |
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Definition
| determine the presence of major depression |
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Term
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Definition
| test is used with a client who may have varicose veins |
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Term
| When should a three-way Foley be irrigated rapidly? |
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Definition
| When bright-red drainage or clots are present. Irrigation rate should be decreased to about 40 gtt/min when the drainage clears. |
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Term
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Definition
| mottling of the skin, acrocyanosis, irregular respirations |
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Term
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Definition
| a diagnostic procedure to assess the health of muscles and the nerve cells that control them. Motor neurons transmit electrical signals that cause muscles to contract. An EMG translates these signals into graphs, sounds or numerical values that a specialist interprets. |
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Term
| Compensatory mechanism for a high fever |
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Definition
| Increased respiratory rate and tachycardia. Hyperthermia increases O2 requirements, which results in faster breathing as well as an increase in the pulse rate. |
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Term
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Definition
| pattern of alternating diarrhea and constipation |
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Term
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Definition
| Classic symptoms include respiratory failure and flaccidity due to paralysis of the muscles and urinary retention due to loss of sensation. |
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Term
| Characteristic of an infected residual limb wound |
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Definition
| Persistent pain at the operative site. |
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Term
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Definition
| visualizes spinal column and subarachnoid space. The test involves a lumbar puncture with injection of contrast medium allowing for x-ray visualization of the vertebral canal |
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Term
| Abnormal Involuntary Movement Scale (AIMS) |
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Definition
| most widely accepted examination to test for the presence of tardive dyskinesia. |
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Term
| Modified Overt Aggression Scale (MOAS) |
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Definition
| Assessment tool for determining severity of aggression; usually utilized to determine nature, severity, and prevalence of aggression in an inpatient population |
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Term
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Definition
Confusion
Cold, clammy skin
Elevated Pulse
irritability
confusion
tremors
blurring of vision
coma
seizures
hypotension
diaphoresis |
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Term
| Symptoms of Hyperglycemia |
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Definition
headache, drowsiness, weakness, stupor, coma
Hypotension, tachycardia
Skin warm and dry, dry mucous membranes, elevated temp
polyuria progressing to oliguria, polydipsia, polyphagia
Kussmaul's respirations
Fruity odor to breath |
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Term
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Definition
c-section is usually indicated for pregnant women
Assessment: pain, swelling of joints during crisis, fever, jaundice, tachycardia, cardiac murmurs, hemoglobin 7-10g/dL
Promptly treat infection to prevent crisis
Encourage fluid intake as dehydration promotes crisis
provide analgesics during crisis |
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Term
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Definition
| should be closed by the third month |
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Term
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Definition
Assessment: first and second trimester spotting, third trimester bleeding that is sudden, bright-red and PAINLESS
the placenta is implanted in the lower uterine segment, usually near or over the cervical opening; placenta may partially or totally cover cervical os. |
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Term
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Definition
| large, orogastric tube designed for rapid lavage. Insertion often causes gagging and vomiting. Suction equipment must be immediately available to reduce the risk of aspiration. |
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Term
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Definition
characterized by either a sudden or gradual disruption in the inegrative functions of identity, memory, or consciousness
disruption may be transient or may become a well-established pattern
development of these disorders is often associated with exposure to a traumatic event. |
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Term
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Definition
low purine diet
should avoid red and organ meats, shellfish, oily fish with bones |
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Term
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Definition
| type of compartment syndrome caused by an obstruction of arterial blood flow to the forearm and hand; cannot straighten fingers, has severe pain, and there may be signs of diminished circulation |
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Term
| Symptoms of Metabolic Acidosis from Ketosis |
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Definition
fruity breath
complains of thirst |
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Term
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Definition
2nd intercostal space just right of sternum
[image] |
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Term
| Appropriate action for late deceleration FHR |
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Definition
| turn client (mother) to her left side, administer O2 and increase IV flow rate |
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Term
| Risk factors for prostate cancer |
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Definition
Age, race, and employment
commonly in men age 50 and over
African Americans are affected more than other ethnic groups
occupation and environment are other definite risk factors, particularly exposure to carcinogens found in urban areas and in occupations such as fertilizer, rubber, and textile industries, as well as in places with heavy metals such as cadmium. |
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Term
| Progress of labor for primigravidae |
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Definition
cervical effacement, followed by descent and dilation
normal progress of labor at 1-1.2cm per hour |
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Term
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Definition
fifth intercostal space at the lower left of the sternal border.
ascultate for S1
[image] |
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Term
Left Sacrum Anterior location
Where to assess FHR at maximum intensity |
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Definition
LSA indicates that the presenting part is the sacrum (breech) and the fetal back is on the mother's left side
because the infant is breech, FHT hear at or above the umbilicus
[image] |
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Term
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Definition
located in the second intercostal space just to the left of the sternum
ascultate for S2
[image] |
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Term
Left Occiput Anterior (LOA)
Point of maximum intensity of the Fetal Heart Tone |
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Definition
LOA intidcates vertex is the presenting part with fetal occiput on the mother's left side toward the front of her pelvis
because infant is vertex, FHT heard below the umbilicus
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Term
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Definition
Normal neonate reflex that disappears between 3-4mo of age
the tongue moving outward when the tongue is touched |
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Term
| Normal head circumference of a newborn |
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Definition
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Term
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Definition
| inserted to fuse spine to treat scoliosis |
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Term
| Symptom that puts a woman at the greatest risk for developing postpartum hemorrhage |
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Definition
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Term
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Definition
Two points given for:
-heart rate
-color
-muscle tone
-respiratory effort
-reflex irritability |
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Term
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Definition
indicates vertex presenting part with fetal occiput on the mother's right side toward the back of her pelvis
because infant is vertex, FHT is heard below the umbilicus
[image] |
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Term
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Definition
located in the third intercostal space just to the left of the sternum
both aortic and pulmonic murmurs may be ascultated at this point
[image] |
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Term
| How to count beats on an EKG |
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Definition
| To determine the heart rate for a regular rhythm, count the number of small boxes between two R waves, 1500 divided by the number of small boxes between two R waves equals the heart rate |
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Term
| Risk factors for developing a CVA |
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Definition
race (African American)
gender (male)
substance abuse (especially cocaine)
smoking
heavy alcohol use
diabetes
obesity
heart murmur
oral contraceptive use
sedentary lifestyle
migraines
hx of MI
elevated serum cholesterol |
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Term
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Definition
defined as a labor pattern which progresses quickly and ends less than 3 hours from when it began
multipara status, small fetus in a favorable position, and a hx of raipd labors are contributing factors to this rapid labor
precipitous labor is a risk factor for early postpartum hemorrhage and also amniotic fluid embolism |
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Term
| Uteroplacental deficiency |
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Definition
| insufficient blood flow to the placenta during pregnancy. The term is also sometimes used to designate late decelerations of fetal heart rate as measured by electronic monitoring, even if there is no other evidence of reduced blood flow to the placenta |
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Term
| Ateriosclerotic Heart Disease (ASHD) Diet |
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Definition
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Term
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Definition
| taking positive actions to help others |
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Term
| Signs of infection in elderly clients |
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Definition
tachycardia, tachypnea, and confusion
fever is absent in 25-30% of clients
more than 20% of elderly clients with infection may present without leukocytosis |
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Term
| Symptothermal method of birth control |
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Definition
nonprescription method of birth control
combines cervical mucus evaluation and basal body temperature evaluation |
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Term
| Presumptive sign of pregnancy |
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Definition
signs of pregnancy felt by the woman such as n/v, breast sensitivity, fatigue, quickening, urinary frequency
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Term
| Probable sign of pregnancy |
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Definition
observed by the examiner
uterine enlargement, souffle and contractions, positive urine pregnancy test, Hegar and Chadwick's sign |
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Term
| Symptoms of early withdrawal from alcohol |
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Definition
| Hyper-alert, startles easily, anorexia, increased pulse, anxiety, tremors, insomnia, and hallucinations |
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Term
| Symptoms of withdrawal from cannabis |
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Definition
| insomnia, hyperactivity, decreased appetite |
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Term
| Symptoms of narcotic withdrawal |
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Definition
| watery eyes, cramps, and tremors |
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Term
| Five digit system for gravidity and parity |
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Definition
1st number: number of times the uterus has been pregnant
2nd: the number of term deliveries
3rd: number of preterm deliveries
4th: number of abortions, either spontaneous or induced
5th: number of living children |
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Term
| Client position after a lumbar puncture |
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Definition
| Flat supine. Prevents headache and leaking of CSF at site |
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Term
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Definition
| a slow progressive contracture of the palmar fascia causing flexion of the fourth and fifth fingres; results from inherited autosomal dominant trait; occurs most often in men over 50 years of age, of Scandinavian or Celtic descent, and is associated with diabetes, gout, arthritis, and alcoholism; age and diagnosis are risk factors. |
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Term
| Pleu-Evac drainage system |
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Definition
Water in the suction control chamber should have a continuous but slow, steady bubbling.
Fluid in the water seal chamber should fluctuate with the respirations of the patient, rising with inspiration and falling with expiration
There should be air bubbles in the water seal chamber when the patient exhales and when coughing or sneezing. |
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Term
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Definition
| exercise carried out by the nurse without the help from the client |
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Term
| Active-assistive exercise |
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Definition
| nurse supports distal part while client actively takes the joint through ROM |
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Term
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Definition
| exercise is carried out by the client without help from the nursing staff; will increase muscle strength |
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Term
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Definition
| active exercise that is carried out independently by client; client works against resistance to increase muscle power |
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Term
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Definition
| characterized by abnormal facial and tongue movements |
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Term
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Definition
| characterized by tremors, rigidity, and shuffling gait; administer an anticholinergic agent |
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Term
|
Definition
| characterized by severe muscle contractions of the head and neck; administer Benadryl |
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Term
| Neuroleptic Malignant Syndrome |
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Definition
severe reaction to antipsychotic medication as a result of dopamine blockade in the hypothalamus
administer bromocriptine (Parlodel) to treat muscle rigidity and dantrolene (Dantrium) to reduce muscle spasms |
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