Term
| What precaution does the nurse implement to ensure the safety of the pt who has seizures while in the hospital? |
|
Definition
| Have suction equipment at the bedside |
|
|
Term
| What medication will be used for status epilepitus? |
|
Definition
| Ativan, phenobarbital, valium, Dilantin |
|
|
Term
| What is the characteristic of status epilepitus? |
|
Definition
| Repeated seizures over 30 minutes |
|
|
Term
| What is the characteristic for regular seizures? |
|
Definition
Tonic-clonic, absence, tonic, partial
Can't speak |
|
|
Term
| What is a priority assessment for a pt with Alzheimer's? |
|
Definition
Psychosocial assessment
Reaction to change in environment |
|
|
Term
| What is a motor change that happens in Huntington's disease? |
|
Definition
|
|
Term
| What can Levadopa cause as a side effect? |
|
Definition
|
|
Term
| What is the pathophysiology for Parkinson's disease? |
|
Definition
|
|
Term
| What is a priority with a cervical spine injury? |
|
Definition
| Airway, breathing, respiratory |
|
|
Term
| What medication is used for multiple sclerosis? |
|
Definition
| Methylprednisolone for acute exacerbation |
|
|
Term
| What is a concern for the long term management of spinal cord injury? |
|
Definition
|
|
Term
| What could be anticipated for a patient with Guillian Barre's who is exhibiting shallow breathing and difficulty clearing secretions? |
|
Definition
| Patient needs to be intubated |
|
|
Term
| What is the purpose of plasmaphersesis in Guillian Barre's? |
|
Definition
| To remove circulating antibodies |
|
|
Term
| What is priority for trigeminal neuralgia? |
|
Definition
|
|
Term
| What is a clinical manifestation of trauma to the cerebrum? |
|
Definition
|
|
Term
| What is a manifestation of a frontal lobe injury? |
|
Definition
|
|
Term
| What is a priority intervention when a patient has a hypoactive response to deep tendon reflexes? |
|
Definition
|
|
Term
| What is the name of the posture when the patient's arms become flexed into the core? |
|
Definition
|
|
Term
| What is the name of the posture when the patient's arms are extended? |
|
Definition
|
|
Term
| What would cause a MRI to be canceled? |
|
Definition
| Patient has an insulin pump |
|
|
Term
| What would complicate a lumbar puncture? |
|
Definition
| Restlessness and agitation |
|
|
Term
| What is a priority intervention after a cerebral angiography on the right femoral artery? |
|
Definition
| Checking lower right leg pulses for circulation |
|
|
Term
| What is a normal finding of cerebral spinal fluid? |
|
Definition
|
|
Term
| What would cause a U wave on an ECG? |
|
Definition
|
|
Term
| What is the amount of blood pumped from the left ventricle in one minute? |
|
Definition
|
|
Term
| What is a test for a possible MI? |
|
Definition
|
|
Term
| What medication would be used for a patient with chronic atrial fibrillation? |
|
Definition
|
|
Term
| What does the P wave represent? |
|
Definition
| Depolarization of the atria |
|
|
Term
| What is the normal P-R interval? |
|
Definition
|
|
Term
| What would a nurse expect to see ordered for a complete 3rd degree heart block? |
|
Definition
|
|
Term
| What are the primary symptoms of left sided heart failure? |
|
Definition
|
|
Term
| What are the primary symptoms of right sided heart failure? |
|
Definition
|
|
Term
| What is an important lab value to monitor for a patient taking Lasix? |
|
Definition
|
|
Term
| Why must a patient be on blood thinners for life when they have a prosthetic valve replacement? |
|
Definition
| Blood clots form easier on prosthetic valves |
|
|
Term
| What is the treatment for cardiac tamponade? |
|
Definition
|
|
Term
| What is a concern when a patient has a cardiac dysrhythmia? |
|
Definition
| The heart cannot pump effectively throughout the body |
|
|
Term
| What rhythm needs defibrillation? |
|
Definition
|
|
Term
| What is one of the six Ps of arterial insufficiency? |
|
Definition
|
|
Term
| What is a priority intervention after a patient has a cardiac catheter? |
|
Definition
| The leg used must be kept straight to prevent bleeding |
|
|
Term
| Why should the insertion site be monitored after a cardiac catheter? |
|
Definition
|
|
Term
|
Definition
| Hardening of the arterial wall |
|
|
Term
|
Definition
| Plaque inside the arterial walls |
|
|
Term
| What might the nurse see with right sided heart failure? |
|
Definition
|
|
Term
| What might the nurse see with left sided heart failure? |
|
Definition
|
|
Term
| What is the normal response after a patient has received adenosine? |
|
Definition
A brief asytole
Given to stimulate regular rhythm |
|
|
Term
| What is the first action if a patient has a run of sustained ventricular tachycardia? |
|
Definition
Cardiovert patient with biphasic defibrillator
Check ABCs |
|
|
Term
| What is a concern with ventricular tachycardia? |
|
Definition
Fatal, shockable rhythm
No blood being pumped out of heart |
|
|
Term
| What will be ordered for a complete heart block? |
|
Definition
|
|
Term
| What are the symptoms of a woman having a MI? |
|
Definition
| nausea, vomiting, indigestion, right side or back pain |
|
|
Term
| What is the expected outcome for a beta-blocker? |
|
Definition
| Increased contractility and output |
|
|
Term
| What is a common finding for Lasix? |
|
Definition
|
|
Term
| What is a major concern for mean arterial pressure? |
|
Definition
| MAP must be above 60 for perfusion of major organs. |
|
|
Term
| What is the cardiac output? |
|
Definition
Stroke volume x heart rate for one minute
Amount of blood that exits the left ventricle per minute |
|
|
Term
| What is a priority teaching for a patient with Beurger's? |
|
Definition
| Do not smoke or have any type of nicotine |
|
|
Term
| What is the definition of hypertension? |
|
Definition
| Systolic above 160 and diastolic above 100 |
|
|
Term
| What is commonly assessed in peripheral vascular disease? |
|
Definition
| Intermittent claudication |
|
|
Term
| What follows the QRS complex? |
|
Definition
|
|
Term
| What is ventricular fibrillation? |
|
Definition
| Electrical chaos in the ventricles |
|
|
Term
|
Definition
|
|
Term
| What might alert a nurse of a possible cancer? |
|
Definition
| A patient with a mouth sore that does not heal |
|
|
Term
| What is the cause of cancer? |
|
Definition
| Damaged cells that replicate |
|
|
Term
| What is the most common type of cancer in women? |
|
Definition
|
|
Term
| What is the most common cause of cancer death? |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
| Cells growing larger - can be normal |
|
|
Term
|
Definition
Replacement of dead and damaged tissues
abnormal cells |
|
|
Term
| WHat is the characteristics of a benign tumor? |
|
Definition
| Firm, no migration, orderly, small nuclear to cytoplasm ratio |
|
|
Term
| What are some examples of benign neoplasia? |
|
Definition
| Endometriosis, skin tags, fibroid tumors |
|
|
Term
| What does anaplasia look like? |
|
Definition
| Does not look like parent cell |
|
|
Term
|
Definition
|
|
Term
| What is the first stage of cancer development |
|
Definition
| initiation - results from intense or prolonged exposure to external agent |
|
|
Term
| What medication is given before chemotherapy? |
|
Definition
| Antiemetic such as Zofran, compazine |
|
|
Term
| Why is the patient wrong if they state they have 2 cancers after metastasis? |
|
Definition
| After cancer has metastasized, it is still the primary cancer cell type |
|
|
Term
| What can a normal cell do to grow? |
|
Definition
| Hypertrophy and hyperplasia |
|
|
Term
| What happens to a cancer in the female reproductive if a woman is given estrogen? |
|
Definition
|
|
Term
| Why would a man get estrogen (hormonal treatment)? |
|
Definition
Testosterone promotes growth of cancer in male reproductive
Estrogen slows growth in men - testosterone slows growth in female |
|
|
Term
| What is the difference between G1 and G4? |
|
Definition
| G1 is well-differentiated and G4 is poorly differentiated |
|
|
Term
| What might happen if a cancer is left untreated? |
|
Definition
Reduced immunity and blood producing
altered GI structure/function
Motor and sensory deficits
decreased respiratory function |
|
|
Term
| What is the purpose of palliative care? |
|
Definition
|
|
Term
| What is the purpose of radiation therapy? |
|
Definition
| Kill cancer cells with limited exposure/effects on normal cells |
|
|
Term
| What are side effects of radiation therapy? |
|
Definition
| Fatigue, local/permanent hair loss, altered taste sensation, tissue fibrosis, scars |
|
|
Term
| What are important teaching for patient receiving radiation therapy? |
|
Definition
| Provide accurate, objective information, tell patient not to remove ink markings until all radiation is complete, only use lotion as prescribed, avoid sun exposure for one year |
|
|
Term
| What is an important intervention for cancer patients? |
|
Definition
| oral care - no alcohol based rinses |
|
|
Term
| What is a major complication of IV cancer treatment? |
|
Definition
|
|
Term
| What is the purpose of pallative surgery? |
|
Definition
| relieve symptomatic effects of disease |
|
|
Term
| What shows treatment is effective when a patient has superior vena cava syndrome? |
|
Definition
|
|
Term
| What is tumor lysis syndrome? |
|
Definition
| Cancer cells are killed so quickly that their waste products build up in the blood |
|
|
Term
| What is radiation therapy and primary side effect? |
|
Definition
Localized treatment of cancer
Fatigue is primary side effect |
|
|
Term
| What are the nursing priorities when a patient is receiving chemo-therapy? |
|
Definition
| Cell-targeted, IV, invasive procedure, give antiemetics before treatment |
|
|
Term
|
Definition
| interferes with cell's metabolism |
|
|
Term
| What does antimiotic agents do? |
|
Definition
|
|
Term
| What does antitumor agents do? |
|
Definition
|
|
Term
|
Definition
| Damaging to skin and tissue destroying |
|
|
Term
| What is priority intervention when a patient is complaining of nausea and vomiting? |
|
Definition
Give antiemetics IVPB before chemo
Zofran, Compazine, Kytril |
|
|
Term
| What is mucositis and what teaching is needed? |
|
Definition
Sore in the mouth
Rinse with saline every hour and use a soft bristle brush |
|
|
Term
| What are some side effects of chemo-therapy? |
|
Definition
| Alopecia and peripheral neuropathy |
|
|
Term
| What is a side effect of hormonal manipulation? |
|
Definition
| Risk for deep vein thrombosis |
|
|
Term
|
Definition
| Cytokines and other BRM work together to stimulate the body's immune system to recognize cancer cells and take action to destroy them |
|
|
Term
| What are side effects of interleukins and interferon? |
|
Definition
| Neuropathy, skin inflammation, rashes |
|
|
Term
| What is targeted therapy? |
|
Definition
Combination of gene therapy and immunotherapy
- Binding of receptor prevents division
Multikinase inhibitor |
|
|
Term
| What are some oncologic emergencies? |
|
Definition
Sepsis
Disseminated intravascular coagulation
- Treat with anticoagulant (especially heparin)
syndrome of inappropriate diuretic hormone
|
|
|
Term
| If a patient is dying and experiencing dyspnea, pain, and anxiety, give? |
|
Definition
|
|
Term
| If the family is concerned about the patient's breathing because of the wet sound, the nurse should? |
|
Definition
|
|
Term
| A therapeutic response to a family member about death? |
|
Definition
| Does not bring up spirituality - not fit with culture or religious belief |
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