Study guides, Class notes & Summaries

An adult client in the clinic complains of a cough, fever, nausea, and vomiting for three days. Examination reveals dry tongue and oral mucosa and concentrated urine. The client also reports feeling weak and dizzy. Which vital sign measurement would provide the best indicator of current fluid status? A. Temperature B. Respiratory rate and depth C. BP and pulse in lying and standing position D. Pulse oximetry reading at rest correct answers C. BP and pulse in lying and standing position ...

What do you do for a patient recovering from surgery or procedures like an EGD? correct answers Monitor for aspiration Monitor vital signs Assess for respiratory distress Assess swallowing Assess range of motion Assess level of consciousness How do you take care of an infant with GERD? correct answers Elevate head while feeding Keep baby sitting up Do not occlude airway Tummy time What complications could develop from GERD in an adult? correct answers Barrett's esophagus Dyspepsi...

Extension of the big toe with stimulation of the plantar surface of the foot correct answers Babinski sign Babinski signs in normal in infants because... correct answers the corticospinal pathways are not fully myelinated at this age Ecchymosis behind the ear associated with basilar skull fractures correct answers Battle sign Hard, non-tender nodules on the dorsolateral aspects of the *proximal* interphalangeal joints associated with osteoarthritis correct answers Bouchard's nodes F...

Name the types of fractures correct answers 1. closed (simple) 2. open (compound) 3. complete 4. incomplete 5. comminuted 6. oblique 7. spiral 8. impacted 9. greenstick a __________ fracture does not break through the skin surface correct answers closed (simple) an _______________ fracture breaks the skin and causes a risk of infection correct answers open (compound) a ________________ fracture goes through the entire bone correct answers complete an ______________ fr...

metabolic alkalosis correct answers pH higher than 7.45 HCO3 higher than 26 - prolonged V/D - NG suction - Thiazide Diuretics - Laxative overuse - Cushing syndrome - Hyperaldosteronism Metabolic acidosis correct answers decrease in pH HCO3 lower than 22 - DKA - Starvation - Lactic acidosis (heavy exercise) - excessive alcohol use - liver failure - kidney failure respiratory alkalosis correct answers high pH CO2 lower than 35 "hyperventilation" - first stage of ast...

Chronic Hypertension correct answers History > BP 140/90 prior to pregnancy, during, & after pregnancy Meds: labetalol - BETA blocker (slows HR and force) nifedipine - antianginal calcium channel blocker slows down calcium ions that slow the heart down methyldopa - alpha-2 agonist releases/relaxes blood vessels to make blood pass easier a client will not be on meds unless it reaches that dangerous threshold Gestational Hypertension correct answers > BP in pregnancy (140/90 mm...

When is the greatest potential for abnormalities with prenatal substance abuse correct answers During first trimester What factors does this include for prenatal substance abuse correct answers Specific type of teratogen, dose, stage of embryonic development, genetic sensitivity of the mother and fetus What substance are commonly abused during pregnancy correct answers Caffeine Alcohol Cocaine/crack Marijuana PCP MDMA (ecstasy) Heroin Methadone Tobacco What does alcohol do dur...

Passage Way (birth canal) Passenger (fetus & placenta) Position (relation between passage, fetus) Power (physiological forces of labor) Psychological & Psychosocial considerations correct answers Five factors important for process of labor, birth cervical edema correct answers Bearing down can cause ------ if the cervix isn't fully dilated? Frequency, duration, intensity correct answers How are contractions measured? oxytocin correct answers what hormone is stimulated by contractio...

Normal electrolyte levels? correct answers Sodium (Na+) 135-145 Potassium (K+) 3.5-5.0 Calcium (Ca+) 8.5-10.5 Phosphorous 3.0-4.5 Magnesium (Mg) 1.3-2.1 Chloride (Cl-) 95-105 Who is apart of the peri operative team? correct answers Pre-operative nurse Circulating nurse- manage everything in the OR setting Post-operative nurse-Manages everything in OR; doesn't scrub in Anesthesia personnel-manages airway Radiology personnel- Does diagnostic test Referral for specialty advance pro...

chlamydia causes correct answers chlamydia trachomatis chlamydia s/s correct answers - women may be asymptomatic - vaginal or urethra discharge - dysuria - pelvic pain - irregular bleeding - Men - urethritis (dysuria, frequent urination, mucoid dc) Chlamydia screening/Dx correct answers - all sexually active adolescents - all 20 - 25 years old - > 2 r/f for chlamydia - preg @ 1st prenatal visit - 36w if previously postive - Dx - sampling cells with a swab - Dx - by t...