Milestone 2 retake info Exam

continuous bladder irrigation - Answer- 3 way lumen -inflating the balloon w 30ml -instillation -outflow continuous irrigation may be used w/ what? - Answer- TURP The amount of fluid recovered in the drainage bag must equal... - Answer- amount of fluid instilled (secondary hemorrhage may occur from over-distention) what should an RN do if pt c/o pain w/ continuous irrigation? - Answer- exam tubing. irrigate drainage system w/ fluid (50ml) if indicated: clear obstruction continuous bladder irrigation or bladder wash out is performed to help prevent... - Answer- Urinary obstruction -by flushing out small blood clots that may form after prostate or bladder surgery such as TURP or TURB what does instillation of hypertonic or hypotonic solution into a body cavity cause? - Answer- shift in cellular fluid why do we only use sterile saline for bladder irrigation after TURP? - Answer- irrigation must be isotonic to prevent fluid and electrolyte imbalance why do we test for STI when a pt comes in w/ UTI sx? - Answer- sx overlap each other risks of renal calculi. - Answer- infection urinary statsis periods of immobility polysistic kidney disease horseshoe kidneys chronic strictures IBD pt w/ an ileostomy antacid use vit D high aspirin doses laxatives immobile patients are prone to.. - Answer- formation of urinary calculi venous thrombosis what is given to patients experiencing calculi pain to prevent shock from pain? - Answer- opioids analgesics NSAIDS for pain also whats the contraindications of imitrex? - Answer- hx of hypersensitivity to this rx existing cerebrovascular or peripheral vascular syndromes what should the nurse ask the pt to distinguish the origin of the seizure? - Answer- if pt experiences aura prior tonic clonic seizure - Answer- tight and tense w/ convulsions, contractions, clicking whats absent seizures? - Answer- spaced out pt phases of a tonic clonic seizure? - Answer- LOC pt falls body stiff for 10-20 seconds extremities jerk for 30-40 seconds pt feels tired and sleepy triggers of seizures - Answer- 5 S's Stress Sleep deprived Strobe lights Stimulates Sodium(135)/ Sugar is low 70) graves disease - Answer- hyperthyroidism elevate TSH CM of graves - Answer- anxious restless fine tremors of hands tachycardiac/ palpation heat intolerance exophthalmos causes of hyperthyroidism / elevated TSH - Answer- childbirth CHF DKA infection PE trauma emotional distress primary nursing intervention of graves disease - Answer- adequate aeration maintain airway peripheral neuropathy - Answer- damage to nerves located outside the Brian and spinal cord CM of peripheral neuropathy - Answer- weak numb -hand and feet pain -hand and feet affect GI urination circulation what is particularly susceptible to break down in peripheral neuropathy pt? - Answer- heels loss of sensation assess skin for dryness, cracks, breakdown or redness assess for Temp tendon reflexes diabetes foot care - Answer- clean dry lotion elevated heels w pillow, heels hanging off pt sitting up: wt not on heels pt has ulcer on 1 foot: nurse provides preventive measure to other foot also MH - Answer- malignant hyperthermia rare inherited muscle disorder chemically induced by anesthesia triggers of MH - Answer- stress myopathies heatstroke strenuous exercise trauma post op pain - Answer- degree and severity of pain cary on pt tolerance end incision site, surgical procedure, trauma, anesthesia type, and route administering alalgestic meds are top priority besides ABC of course usually IV meds short acting what to assess when a pt on hydromorphone - Answer- bp rr hr prior to admin diluye w NS Narcan for overdose give w stool softener dx TB - Answer- culture chest xray sputum smear perforated bowel forst sign - Answer- severe abdominal pain elevated WBC fever NV noticeable blood loss hemodynamic instability WBC in diverticulitis - Answer- frequently elevated but can be WNL WBC is 11,000 and relative increase in the bands, pt has - Answer- bacterial infection pt teach of plaquenil - Answer- tx/prevent malaria caused by a mosquito bite swallow whole take w meals or milk to= lessen gi upset use for entire tx can induce renal toxicity who is at a heightened risk for having blood administration overload - Answer- previous transfusions rh negative woman who birthed rh positive kids sx of a febrile nonhemolyic transfusion reactions - Answer- chill s' fever most common or potentially severe transfusion related complications - Answer- febrile nonhemolytic reactions acute hemolytic reactions allergy bacterial contamination transfusion related acute lung injury delayed reactions what can occur if too much blood is infused to quickly - Answer- hypovolemia which disease has an increased chance of occurrence in a 60 year old postmenopausal patients? - Answer- osteoporosis risk factors for osteoporosis - Answer- female !!!POSTMENOPAUSAL caucasian or asian high caffeine intake smoker/ alcohol !!!!steroids -sone (prednisone) !!!1hyperparathyroidism !!!cushings diabetes whats the goal for an osteoporosis pt - Answer- increase knowledge tx regimen understanding relief of pain improved bowel elimination absence of additional fractures goals of osteoarthritis - Answer- decre