QUESTIONS AND ANSWERS.
Common symptoms of a cystic fibrosis pt: - correct answer - - Large, bulky,
frothy, foul-smelling stools
- Barrel chest
- Life expectancy is 30-40's
- Cough
- Respiratory distress
- Thick secretions
Zoloft (Sertraline) - correct answer - - SSRI
- Side effects are agitation, sleep disturbances and dry mouth, constipation,
ortho hypotension, possible urinary retention, blurred vision
Clozapine (Clozaril) - correct answer - - Antipsychotic medication
- Want to watch for tachycardia and seizures
- May cause severe agranulocytosis (weekly blood draws)
Glucose Tolerance Test while pregnant - correct answer - - A result of 140 or
higher needs further evaluation
,When assessing extra ocular eye movement what cranial nerves are you
assessing? - correct answer - - 3,4 &6
Tension pneumothorax - correct answer - - Trachea shifts to opposite side
With Lithium - correct answer - - Hydrate, drinking 2-3 L of water/day
- Maintain sodium intake of 2-3g/day
- Toxic level is 2-3 (n/v, diarrhea, tremors)
Burns: - correct answer - 1st degree: Red and painful 2nd degree:
Blisters
3rd degree: No pain because of blocked and burned nerves
After a shunt placement, what is the bed position? - correct answer - - Flat (so
fluid doesn't reduce too rapidly)
- If you see signs of increasing ICP, then raise the HOB to 15-30 degrees.
Bence Jones - correct answer - - Specific protein in the urine that confirms
multiple myeloma
,Anectine - correct answer - - Is used for short-term neuromuscular blocking
agents for procedures like intubation and ECT
Glucagon increases the effects of what? - correct answer - - Oral anticoagulants
Intussusception - correct answer - - Common in kids with CF
- Obstruction may cause fecal emesis
- Currant jelly-like stools (blood and mucus)
- A barium enema may be used to hydrostatically reduce the
telescoping.
- Resolution is obvious with onset of bowel movements.
Positive for PKU - correct answer - - No phenylalanine (no meat, no diary, no
aspartame)
Antacids should be given ? - correct answer - - When mechanically
ventilated
- With an NG tube if the pH of the aspirate is <5.0. Aspirate should be
checked every 12 hrs.
Amniotic fluid is? - correct answer - - Alkaline, it will turn nitrazine paper
blue. Urine and normal vaginal discharge are acidic and turn it pink.
, Nitrazine paper - correct answer - - Blue is positive for amniotic fluid
Using crutches while going up stairs - correct answer - **GCB (Good leg,
crutches, Bad leg)**
- Good leg goes up first
- Crutches next
- Bad leg
Using crutches going down stairs - correct answer - ** CGB (Crutches, Good
leg, bad leg)**
- Crutches
- Good leg
- Bad leg
Steroids such as Prednisone can increase what? - correct answer
- - Increase glucose, so monitor blood sugar levels
A big cue with lithium toxicity is what? - correct answer - - If a pt complains of
metallic taste in mouth.