Part 1/ Questions & Answers Latest
Update
Prolapsed cord - CORRECT ANSWERS -Knee to chest or Trendelenburg
oxygen 8 to 10 L
Cleft Lip - CORRECT ANSWERS -position on back or in infant seat to prevent trauma
to the suture line. while feeding hold in upright position.
To prevent dumping syndrome - CORRECT ANSWERS -(post operative ulcer/stomach
surgeries) eat in reclining position. Lie down after meals for 20-30 min. also restrict
fluids during meals, low CHO and fiber diet. small, frequent meals.
AKA (above knee amputation) - CORRECT ANSWERS -elevate for first 24 hours on
pillow. position prone daily to maintain hip extension.
BKA (below knee amputation) - CORRECT ANSWERS -foot of bed elevated for first 24
hours. position prone to provide hip extension.
detached retina - CORRECT ANSWERS -area of detachment should be in the
dependent position
dependent position - CORRECT ANSWERS -supported
administration of enema - CORRECT ANSWERS -pt should be left side lying (Sim's)
with knee flexed.
supratentorial - CORRECT ANSWERS -(incision behind hairline on forhead) e
After supratentorial surgery - CORRECT ANSWERS -elevate HOB 30-40 degrees
HOB - CORRECT ANSWERS -head of bed
infratentorial - CORRECT ANSWERS -(incision at the nape of neck)
After infratentorial surgery - CORRECT ANSWERS -position pt flat and lateral on either
side.
During internal radiation - CORRECT ANSWERS -on bed rest while implant in place
, Autonomic Dysreflexia/Hyperreflexia - CORRECT ANSWERS -S/S pounding headache,
profuse sweating, nasal congestion, chills, bradycardia, hypertension. Place client in
sitting position (elevate HOB) FIRST!
Shock - CORRECT ANSWERS -bedrest with extremities elevated 20 degrees. knees
straight, head slightly elevated (modified Trendelenberg)
Head Injury - CORRECT ANSWERS -elevate HOB 30 degrees to decrease ICP
Peritoneal Dialysis (when outflow is inadequate) - CORRECT ANSWERS -turn pt from
side to side BEFORE checking for kinks in tubing
Lumbar Puncture - CORRECT ANSWERS -After the procedure, the pt should be supine
for 4-12 hours as prescribed.
Myesthenia Gravis - CORRECT ANSWERS -worsens with exercise and improves with
rest
Myesthenia Gravis - CORRECT ANSWERS -a positive reaction to Tensilon---will
improve symptoms
Cholinergic Crisis - CORRECT ANSWERS -Caused by excessive medication ---stop
giving Tensilon...will make it worse.
Liver biopsy (prior) - CORRECT ANSWERS -must have lab results for prothrombin time
Myxedema/ hypothyroidism - CORRECT ANSWERS -slowed physical and mental
function, sensitivity to cold, dry skin and hair.
Grave's Disease/ hyperthyroidism - CORRECT ANSWERS -accelerated physical and
mental function. Sensitivity to heat. Fine/soft hair.
Thyroid storm - CORRECT ANSWERS -increased temp, pulse and HTN
Post-Thyroidectomy - CORRECT ANSWERS -semi-fowler's. Prevent neck
flexion/hyperextension. Trach at bedside
Hypo-parathyroid - CORRECT ANSWERS -CATS---Convulsions, Arrhythmias, Tetany,
Spasms, Stridor. (decreased calcium) give high calcium, low phosphorus diet
Hyper-parathyroid - CORRECT ANSWERS -fatigue, muscle weakness, renal calculi,
back and joint pain (increased calcium) give a low calcium high phosphorous diet
Hypovolemia - CORRECT ANSWERS -increased temp, rapid/weak pulse, increase
respiration, hypotension, anxiety. Urine specific gravity >1.030