Should never have burning with uriantion! this indicates a UTI
Sexual intercourse does not have anything to do with this
PAtient with altered level of consciousness positioning? - ANS side lying position
septic shock symptoms - ANS Tachycardia, fever,hypotension (SYSTOLIC lower then
90), pallor, fatigued, cold, reduced urine output, SOB, Decreased LOC,N/V, sweating,
most reliable indicator of neurological status? - ANS level of consciousness
Herpes Zoster (Shingles) - ANS VZV virus
amyotrophic lateral sclerosis (ALS) - ANS Survival is 3-5 years
difficulty swallowing and breathing
inability to communicate
constipation
EVERYTHING is down
What should we implement immediately in a burn patient? - ANS ABCs!
Fluids almost always first due to hypovolemia from loss of fluid in tissue
Cushings triad - ANS Appears when a patient has an increased ICP for some time
Brdycardia, ^ systolic BP and wide pulse pressure, irregular respirations.
Assess patient for brain swelling
Ampule medication withdrawal - ANS use filter needle
do not touch filter needle to edge of ampule
receptive aphasia - ANS inability to understand spoken or written words
Hotspot injection site for Enoxaparin - ANS Right or left side of abdomen 2inch from
belly button
Abdominal wound healing - ANS docusate
nausea treatment
pillow to cough
,UWorld Test Bank
abdominal binder
monitor blood sugar
Isotonic fluids - ANS include NS 0.9% NaCl and LR
used for fluid resuscitation and hypovolemic shock and dehydration
Blind person walking technique - ANS walk slightly ahead and to the side of the client
with their hand on your elbow
How is medication measured for pediatric clients? - ANS oral syringe
How do you dress someone with a stroke? - ANS Affected side first
SLE s/s - ANS elevated ESR
+ANA
Decreased WBC count, thrombocytopenia and anemia are common
Monitor for kidney damage
Halo device - ANS Clean pin sites with sterile solution
Keep vest liner dry with cool blow dryer
Foam inserts under pressure points
Small pillow under head to reduce pressure
Have wrench available in emergencies
Lithotripsy - ANS increase fluid intake
expect some bruising on flank or back
Analgesics
Minor blood in urine for first 24 hours..after than is a problem
Report infection symptoms
Ambulate immediately after
Sprain treatment - ANS RICE
Analgesia
Exercise rehab program once healed
Pursed lip breathing - ANS Inhale for 2 seconds through the nose - moutn closed
Exhale for 4 seconds through pursed lips
Hip fracture - ANS externally rotates due to pulling of muscle
muscle spasm
,UWorld Test Bank
bruising at the site
shortening of the limb
pain with weight bearing
Cephalohematoma - ANS normal
Physiological Jaundice of the Newborn - ANS Hyperbilirubinemia
occurs after 24 hours and is likely due to dehydraiton and not breastfeeding enough
Magnesium sulfate? - ANS Tocolytics
Used in preeclampsia
Stops contractions
Causes hypermagnesemia
Monitor reflexes and breathing to ensure
Respirations are 12 or above
Reflexes +2
Oxytocin/Pitocin - ANS Can cause hyperstimulation of the uterus
Contractions >90 seconds or closer than 2 minutes
Betamethasone - ANS For fetal lung maturity in preterm labor
given to the mother, two IM injections 24 hours apart, before the baby is born (tocolytics
are being administered to slow labour)
Survanta (synthetic surfactant): - ANS given to the neonate after it is born, transtracheal
route (blow in through the trachea)
total weight gain for a normal pregnancy is? - ANS 28lb +/- 3 lbs
Methergine/ergometrine - ANS can cause HTN in mom
This is an oxytocic to strengthen labor
Terbutaline in pregnancy? - ANS Tocolytics
Causes maternal tachycardia
Relaxes uterus and stops preterm labor
pathological jaundice - ANS occurs before 24 hours and may indicate early hemolysis
caput succidaneum - ANS bruise that crosses sutures and is symmetrical
Normal
erythema toxicum neonatorum - ANS Benign papular rash
Only tranq/psych medication that can be given during pregnancy? - ANS Haldol
, UWorld Test Bank
Probably signs of pregnancy? - ANS Chadwicks, godels, and Hegars signs
In alphabetical order
Chawdwicks - vagina is purplish/blue
Godels - cervical softening
Hegars - uterine softening
Latent phase of labor? - ANS 0-4 dilation
Contraction 5-30 minutes # 15-30 seconds
Mild!
Pain medications in labor? - ANS do not give the mother a pain med right before the
baby is born - it will go straight to the infant
also give during contractions
Prolapsed cord? - ANS Push and position!
Variable decelerations - ANS VERY bad
Slow FHR
Prolapsed cord
Push and position!
Placenta? - ANS 3 vessels
2 arteries and 1 vein
make sure al there upon delivery or the mom will hemorrhage
What must the baby have before it leaves the delivery area? - ANS an ID band
immediately
Not sure what to answer on an OB question? - ANS Check FHR
Veal Chop - ANS Variable Cord compression
Early decels Head compression
Accelerations Ok
Late decels Placental insufficiency
If the FHR tracing starts with L its bad and you LION, if it doesnt, you document, and if
its variable this is horrible and push-position - ANS
Late decels on FHR? - ANS Bad
LION
High baseline variability? - ANS 6-25 point variability
This is good
Document it
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