For cataract extraction surgical procedure, what are the protocols? - ANS-avoid taking
aspirin
-use cool compress on eye before calling MD if itchy
-keep away from bending on the waist b/c it is able to raise intraoccular strain (BEND AT
THE KNEES)
-don't carry anything over 10 lbs
If a patient 24 hours p/o refuses to ambulate, what need to you do first? - ANS-investigate
pain
-THEN you can teach, flip affected person, provide PRN analgesic
What happens in the course of real exertions? - ANS-cervix transitions to anterior function
-contractions felt in low ab and again
-increases w/ ambulation
-cervix thins
What are not unusual aspect outcomes of amitryptiline (antidepressant)? - ANS-dry mouth
and constipation (eat fiber and bite gum) and BLURRED VISION
-take a night time to decrease drowsiness
-loss of capability to sweat->avoid overheating
What have to you do for diabetes insipidus? - ANS-display growth urine output
(polyuria->over 4 L/day)
-reveal tachycardia
-orthostatic hypotension
-expanded BUN
-display for hyperthermia d/t dehydration
What ought to you do to limit danger of elevated ICP? - ANS-place customer in quiet
surroundings
-unfold out nursing activities for the duration of the day
-preserve head of mattress no more than 25 degrees
What ought to you do for a purchaser who currently got a stoma and can't afford it d/t loss of
coverage? - ANS-set up for social services
-confer with american cancer society
-consult with support corporations
-discuss with enterostomal therapist
-DO NOT put off discharge
What must you teach for myasthenia gravis sufferers? - ANS-reduce meals into small bites
and eat slowly (SEMI-SOLID)
-preserve HOB multiplied 30-60 mins after meal
,-weigh self every day
-take anticholinesterase meds forty five-60 mins earlier than food (NOT anticholinergics)
-pick out snacks high in calories
-ANNUAL FLU VACCINE->keep away from pulmonary issues b/c compromised resp muscle
groups
What need to you do for clients who've rheumatoid arthritis and are in pain? - ANS-permit
frequent rest durations for the duration of the day
-advocate warm showers, no longer baths to prevent falls
-follow ice to lessen irritation
-do not do morning ADLs till ache meds are given
-don't take more than 4 g of acetaminophen/day
-inspire excessive iron, protein and nutrients
What must you supply a toddler who has infectious gastroenteritis? - ANS-initiate oral
rehydration remedy
-DONT supply BRAT (bananas, rice, applesauce, toast) food regimen as it does not have
electrolytes
What should you do if the customer vomits on a reusable BP cuff? - ANS-ship it off in a
labeled bag for infection
-DONT throw it away
-rinse in cold water immediately after
-use chlorine bleach to clean blood spills
What does petechiae over the chest after a decrease leg damage imply? - ANS-at hazard for
fat embolism syndrome
-PRIORITY FINDING
What is crucial approximately new child protection? - ANS-set hot water heater temp at a
hundred and twenty degree F or underneath
-DONT sleep with blanket
-make certain crib slats are no extra than 2.Five in apart
-region baby's car seat rear dealing with till 2
What is in the LVN scope? Assistive employees? - ANS-LVN: insert NG tube
-AP scope: prepare mattress, gain stool pattern
What must you instruct the patron of a new child child concerning motor vehicle protection? -
ANS-vicinity child at forty five degree perspective
-rear dealing with till 2 yr vintage
-vicinity blanket over infant AFTER harness is set
-comfy retainer clip at degree of toddler's armpit
What about a physicial assessment is wrong? - ANS-SHOULDNT write special notes
What are the stairs of trach take care of a baby? - ANS1. Take out internal cannula
2. Remove dirty dressing
, three. Clean stoma
four. Replace collar
What is essential concerning NPH and ordinary insulin? - ANS-air into NPH, air into
everyday
-draw from everyday, draw from NPH
-roll NPH between arms
-use identical needle
What is care like for sufferers with DVT? - ANS-increase leg to lessen edema and enhance
blood flow
-inspire ambulation
-drink 2-3 L of fluid to decrease platelet aggreggation and prevent dehydration
-region heat compress on leg
For customers with uric acid formation urinary calculi, what meals can they devour? -
ANS-oranges
-AVOID meats, alcohol, bird
What is the first movement a nurse need to take while discharging a purchaser who became
abused? - ANS-broaden a protection/break out plan
-THEN offer info approximately social offerings and guide corporations
What is the concern for children with cystic fibrosis? - ANS-hemoptysis over 250 ml/24 hours
suggests threat for mind hemorrhage
What are predominant manifestations of vaso occlusive crisis? - ANS-hematuria (occlusion
of kidneys)
-swelling of palms and feet
-visible disturbances (NOT hearing disturbances)
What are manifestations of autonomic dysreflexia? - ANS-facial flushing
-nasal congestion
-headache
What is actual about methadone? - ANS-can keep taking while pregnant
-can develop dependency
-can motive sedation
-don't take multiple dose EVER
What are signs and symptoms of oxygen toxicity? - ANS-bradypnea d/t respiratory despair
-substernal chest ache (for increased paintings of breathing)
-crackles
What are manifestations of digoxin toxicity? - ANS-nausea
-anorexia
-belly pain
-bradycardia
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