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1. Testing for TB - A Mantoux skin test is the most accurate and valuable screening tool
available for TB. A positive result means only that the client has been
exposed to TB; it does not meant that the client has active TB.
2. Testing for TB continue - A sputum culture for acid fast bacillus (AFB) is used to confirm the
diagnosis of pulmonary TB after a screening test and chest x-ray come
back positive.
3. Teaching instructions for (1) The cane is moved forward about 12 inches.
the use of a cane: (2) Then, the weak leg is moved even with the cane.
(3) Finally, the strong leg is brought forward and ahead of the cane
and weak leg.
- Cane is held on stronger side.
- The gripper of the cane should be level with the trochanter of the
femur.
4. Meningococcal vaccine - Recommended that this vaccine be given to children who are 11
through 12 years of age and then given a booster dose at age 16.
5. When should the single - To adults 60 years or older whether or not they report a previous
dose of Herpes zoster episode of herpes zoster.
vaccine be given?
6. Rotavirus should be giv- - During the child's first year of life.
en at what age?
7. Alendronate (Fosamax) - This medication is used to prevent and treat postmenopausal osteo-
porosis and Paget's Disease.
- Alendronate-taken in morning on an empty stomach.
- The patient must be instructed to wait at least 30 minutes after taking
Alendronate before eating, drinking, or taking other medications.
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8. What to expect with a pa- - Continuous gentle bubbling in the suction control chamber.
tient having a chest tube? - Crepitus (with a pneumothorax, this will persist for several hours
depending)
- Oscillations-tidaling in the water seal chamber upon respiration are
expected.
9. What is a potential com- - Hypocalcemia: numbness and tingling in the hands, soles of the feet
plication of a thyroidecto- and around the lips.
my?
10. What is Chvostek's sign? Tap on the pt's face at a point just anterior to the ear and just below
And how is it done? the zygomatic bone. A positive response would be twitching of the ip-
silateral (same side only) facial muscles, suggestive of neuromuscular
excitability caused by hypocalcemia.
11. Brudzinski's sign - Is an indication of meningeal irritation, which may be positive in
patient's with meningitis.
- To perform this, the client needs to be supine. The nurse: -places
one hand behind patient's head.
-places the other hand on the client's chest.
12. Kernig's sign - Is an indication of meningeal irritation. The maneuver is usually
performed with the client supine with hips and knees in flexion.
Extension of the knees is attempted and the inability to extend the
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clients knee beyond 135 degrees w/out causing pain constitutes a
positive test.
13. Babinski sign - This is used to test for brain damage or upper motor neuron
damage. It is considered positive if the toes flare up upon stroking
the plantar aspect of the foot.
14. Cataract surgery dis- - Do not lift anything heavier than 10lbs for at least one week
charge instructions - Sleep on your back or unaffected side to lessen the pressure.
- Need to report any pain, decrease in vision or increase in discharge
in the eye.
15. Cataract continue - It is normal to feel itching and mild discomfort after surgery, but the
pt should be instructed not to rub or place pressure on the eye.
16. Exposure or possible ex- - Administer an antibiotic prophylaxis to all pt's newly exposed
posure to anthrax
**Those exposed to anthrax do not require decontamination and are
not considered contagious**
17. Botulism treatment - Give an antitoxin
18.
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Why would lidocaine (Xy- - Lidocaine is an antiarrhythmic med that is commonly used to restore
locaine) be given to a regular heartbeat in a client who has arrhythmia. This effect is pro-
someone following car- duced by delaying abnormal nerve pulses to the heart and reducing
diac arrest? irritability of the heart tissue.
19. What diagnostic test - Erythrocyte sedimentation rate (ESR)
would help the nurse
monitor and evaluate the ** RA is a chronic inflammatory disease. ESR is useful in detecting and
effectiveness of the as- monitoring tissue inflammation in clients with RA.**
pirin medication for an
Rhematoid arthritis pa-
tient?
20. Antinuclear antibody - ANAs are frequently present in pts who have autoimmune disorders
(ANA) such as systemic lupus erythematosus, RA, and scleroderma
21. Rheumatoid factor (RF) Helpful in diagnosing RA, but the levels do not always correlate with
diagnostic test the severity of the disease
22. Cheyne-Stokes Respira- - Is characterized by a rhythmic increase (to the point of hyperventi-
tions lation) and decrease (to the point of apnea) in the rate and depth of
respirations.
- It is commonly seen in pts who are unconscious, comatose or
moribund (approaching death).
23. Cryoprecipitate - Clients with hemophilia (deficiency of clotting factor), are given cry-
oprecipitate to replace the deficient factor as a prophylactic measure
before any invasive procedure, surgery or when actively bleeding.
24. Cryoprecipitate continue - Cryoprecipitate provides therapeutic amounts of Facto 8, Factor 13,
von Willebrand factor and fibrinogen. These concentrates are made
with recombinant DNA technology and are the treatment of choice
with hemophilic A and von Willebrands disease.