ATI CBC Level 2 Test Solved 100%

macular degeneration - Answer "central vision loss". Nursing: speak to pt when entering room, safety measures, orient pt to new surroundings, when walking offer pt an arm to lead- do not take their arm, leader walks a little in front. *Lack of depth perception *Carotene and Vitamin E *gradual blockage in retinal arteries macula becomes ischemic Cataracts - Answer opaque spots on the lens of the eye How do you prevent cataracts? - Answer wear sunglasses cataracts s/s - Answer report poor night vision, a yellowing or fading of colors, or loss of brightness of color, double vision, blurred vision often first sign glaucoma - Answer disturbed optic nerve (closed requires immediate intervention) Loss of peripheral vision, halos seen around lights, pupils non-responsive to light, pain Otoscope Technique - Answer pull up and back on three and older pull down and back on under three What should the tympanic membrane look like? - Answer pearly grey with cone of light at 5 (right ear) and 7 (left ear) Which medications are ototoxic? - Answer gentamicin, erthromycin, furosemide, ethacrynic acid, NSAID, ASA, ciplatin Meniere's disease - Answer Abnormal condition within the labyrinth of the inner ear that can lead to a progressive loss of hearing. The symptoms are dizziness or vertigo, hearing loss, and tinnitus (ringing in the ears). Hearing aids are more useful in sensory or conductive hearing loss? - Answer Sensory nursing instructions for hearing aids - Answer put in with hearing aids off Airborne precautions - Answer tb measles, chickenpox (varicella) Herpes zoster/shingles TB Droplet precautions - Answer sepsis, scarlet fever, streptococcal pharyngitis, parvovirus, pneumonia, pertussis, influenza, diptheria, epiglottitis, rubella, mumps, meningitis, mycoplasma or meningeal pneumonia, adeNovirus (Private room and mask) Contact precautions - Answer c diff, rotavirus, norvovirus right side heart failure s/s - Answer ascites, enlarged spleen and liver, edema, fatigue, jugular distention (fluid backs up in body), polyuria left side heart failure - Answer cough, orthopnea, cyanosis, dyspnea with exertion, fatigue, pulmonary edema Retinal detachment - Answer floaters (floating spots) and flashes of light. curtain vision when do you hear S3 gallop? - Answer Left side heart failure which cardiac drugs cause dry cough? - Answer ACE inhibitors (not ARBS) what do you worry about with ace inhibitors "pril" - Answer Dry cough, angioedema, loss of sense of taste, and rash When do cardiac enzymes leave blood? - Answer myoglobin after 24 (not specific to cardiac muscle) Creatine kinasse after 3 day (peak 24 h) Troponin I 7-10 day Troponin T 10-12 d fear of being alone - Answer monophobia fear of animals - Answer zoophobia fear of heights - Answer acrophobia fear of open spaces - Answer agoraphobia arthralgia - Answer joint pain grief in toddlers - Answer mirror parents, can regress grief in preschool - Answer egocentric thinking, magical thinking believe thoughts can cause death, interpret seperation from parents as punishments, dying is temporary, and have attributes of living Grief for school-age children - Answer respond to logical or factual explanations, 9-12 adult concept of death, experience fear, uncooperative behavior, curious about funeral and body after death Adolescents grief - Answer adult like, busy with puberty, related with peers or shun peers and talk to parents, can experience guilt and shame Physical manifestations of death - Answer ● Sensation of heat when the body feels cool ● Decreased sensation and movement in lower extremities ● Loss of senses (hearing is the last to be lost) ● Confusion or loss of consciousness ● Decreased appetite and thirst ● Swallowing difficulties ● Loss of bowel and bladder control ● Bradycardia, hypotension ● Cheyne-Stokes respirations