Test Bank For Nursing Interventions & Clinical Skills, 7th
Edition, By Anne G. Perry, Patricia A. Potter & Wendy R.
Ostendorf|
Decreasing risk for atelectasis - ANSWER Deep
inspiration, supine position with elevated head end of
bed, change position every 2 hours, encourage coughing,
use incentive spirometry
Infective endocarditis (IE) - ANSWER Fever, cardiac
murmurs, night sweats, petechiae, nonproductive cough;
do an echo to see vegetation
Pulmonary tuberculosis - ANSWER Fever, night
sweats, productive cough with blood (hemoptysis)
Ejection fraction - ANSWER An EF less than 40%
indicates systolic heart failure; EF of at least 55% is
normal
Central lines - ANSWER Change dressing every 7 days
unless soiled, more changes increase infection risk;
includes ports, PICC, tunneled central lines
,Prostate hyperplasia - ANSWER Obstructed urinary
tract, enlarged prostate gland; symptoms include
straining, weak stream, hesitancy, dribbling
HIV - ANSWER Virus causing decreased immunity,
increased infection susceptibility; transmission via blood,
bodily fluids; targets CD4 under 500, leading to
immunodeficiency, neurologic dysfunction
AIDS - ANSWER Kaposi sarcoma, TB, pneumonia
A.R.T. - ANSWER Antiretroviral therapy for life;
includes pre-exposure prophylaxis (P.R.E.P)
PEEP - ANSWER Prescribed for acute respiratory
distress syndrome; prevents alveolar collapse, improves
gas exchange; complications include decreased cardiac
output, preload, MAP
Enoxaparin - ANSWER Low molecular weight heparin;
adverse event is heparin-induced thrombocytopenia;
monitor platelet count
, Easily mistaken nonverbal communication between
cultures - ANSWER Includes silence, eye contact,
body posture, touch
Clear liquid diet - ANSWER Includes bouillon, gelatin,
clear hard candy, tea, apple juice
LITHIUM - ANSWER Takes 1-2 weeks to start working;
drink water to prevent toxicity, fine hand tremors are
normal, coarse tremors indicate toxicity; GI upset is a
common side effect
TOILET TRAINING - ANSWER Occurs between 18-24
months; signs of readiness include waking up dry,
indicating need to go, staying dry for 2 hours; high fiber
diet supports training
Low Molecular Weight Heparin (LMWH) for PREGNANCY
- ANSWER Anticoagulant of choice during pregnancy;
does not cross placenta; switch to warfarin post-partum;
both safe for breastfeeding
Polyethylene glycol 3350 - ANSWER Osmotic laxative
used before colonoscopy
Edition, By Anne G. Perry, Patricia A. Potter & Wendy R.
Ostendorf|
Decreasing risk for atelectasis - ANSWER Deep
inspiration, supine position with elevated head end of
bed, change position every 2 hours, encourage coughing,
use incentive spirometry
Infective endocarditis (IE) - ANSWER Fever, cardiac
murmurs, night sweats, petechiae, nonproductive cough;
do an echo to see vegetation
Pulmonary tuberculosis - ANSWER Fever, night
sweats, productive cough with blood (hemoptysis)
Ejection fraction - ANSWER An EF less than 40%
indicates systolic heart failure; EF of at least 55% is
normal
Central lines - ANSWER Change dressing every 7 days
unless soiled, more changes increase infection risk;
includes ports, PICC, tunneled central lines
,Prostate hyperplasia - ANSWER Obstructed urinary
tract, enlarged prostate gland; symptoms include
straining, weak stream, hesitancy, dribbling
HIV - ANSWER Virus causing decreased immunity,
increased infection susceptibility; transmission via blood,
bodily fluids; targets CD4 under 500, leading to
immunodeficiency, neurologic dysfunction
AIDS - ANSWER Kaposi sarcoma, TB, pneumonia
A.R.T. - ANSWER Antiretroviral therapy for life;
includes pre-exposure prophylaxis (P.R.E.P)
PEEP - ANSWER Prescribed for acute respiratory
distress syndrome; prevents alveolar collapse, improves
gas exchange; complications include decreased cardiac
output, preload, MAP
Enoxaparin - ANSWER Low molecular weight heparin;
adverse event is heparin-induced thrombocytopenia;
monitor platelet count
, Easily mistaken nonverbal communication between
cultures - ANSWER Includes silence, eye contact,
body posture, touch
Clear liquid diet - ANSWER Includes bouillon, gelatin,
clear hard candy, tea, apple juice
LITHIUM - ANSWER Takes 1-2 weeks to start working;
drink water to prevent toxicity, fine hand tremors are
normal, coarse tremors indicate toxicity; GI upset is a
common side effect
TOILET TRAINING - ANSWER Occurs between 18-24
months; signs of readiness include waking up dry,
indicating need to go, staying dry for 2 hours; high fiber
diet supports training
Low Molecular Weight Heparin (LMWH) for PREGNANCY
- ANSWER Anticoagulant of choice during pregnancy;
does not cross placenta; switch to warfarin post-partum;
both safe for breastfeeding
Polyethylene glycol 3350 - ANSWER Osmotic laxative
used before colonoscopy
