,\Hemolytic transfusion reaction manifestations - CORRECT ANSWERS-Chills, fever
Nausea, anxiety, impending sense of doom
Low-back pain, chest tightening or pain
Tachycardia, hypotension, tachypnea
Flushing
Hemoglobinuria
Macular degeneration manifestations - CORRECT ANSWERS-Lack of depth perception
Objects appear distorted
Blurred vision
Loss of central vision
Blindness
Cataracts manifestations - CORRECT ANSWERS-Decreased visual acuity (Rx
changes, reduced night vision, decreased color perception)
Blurred vision
Diplopia
Progressive and painless loss of vision
Visible opacity
Absent red reflex
Glaucoma: primary open angle manifestations - CORRECT ANSWERS-HA
Mild eye pain
loss of peripheral vision
decreased accommodation
Halos seen around lights
Elevated IOP (greater than 21 mm Hg: usually 22-32)
Glaucoma: primary angle-closure manifestations - CORRECT ANSWERS-Rapid onset
of elevated IOP (30 mm Hg or higher)
Decreased or blurred vision
Colored halos seen around lights
pupils nonreactive to light
Severe pain and nausea
Photophobia
Risk factors for pressure injuries - CORRECT ANSWERS-Diarrhea, incontinence
Low hemoglobin
Low albumin level
Recent weight loss
TPN education - CORRECT ANSWERS-- nutritional needs are greater than oral or
enteral can provide (burn injuries)
- POC BGL
, - provides vitamins, minerals w/ cals.
- for hyper metabolic states
- pt w/ egg allergy will be intolerant of lipid solutions.
fluid volume deficit manifestations - CORRECT ANSWERS-VS: hypothermia,
tachycardia, thready pulse, hypotension, orthostatic hypotension, decreased CVP,
tachypnea, hypoxia.
NM: dizziness, syncope, confusion, weakness, fatigue
GI: thirst, dry furrowed tongue, N/V, anorexia, acute weight loss.
Renal: oliguria.
Fluid volume excess manifestations - CORRECT ANSWERS-• Pitting edema, sacral
edema.
• Dyspnea, crackles, possible pulmonary edema.
• Bounding pulse, weight gain.
• Lethargy, dizziness, headache, confusion.
• Increased CVP, jugular vein distention.
• Increased blood pressure.
decreased BUN, visual disturbances, SOB
Early decelerations - CORRECT ANSWERS-*safe* Begin prior to peak of the
contraction and end by the end of it. they are caused by head compression.
no need for intervention if variability is within normal range (6-10) and the FHR is within
normal range.
Late decelerations - CORRECT ANSWERS-Bad (placental insufficiency)
LION: left side. Increase IV. Oxygenation.
umbilical cord prolapse - CORRECT ANSWERS-Initial action = elevate the presenting
fetal part to reduce compression on cord
-- can place in knee-chest or deep Trendelenburg position to further relieve
compression
vaso-occlusive crisis - CORRECT ANSWERS-Ischemia and pain caused by sickle-
shaped red blood cells that obstruct blood flow to a portion of the body.
visual disturbance, hematuria, painful swelling extremities, fever, tachy, PAIN
Safety for children - CORRECT ANSWERS--infant: lead poisoning, electrocution,
drowning, car seat - on ground.
-toddler: hotdog length wise, no skateboarding.
-school age: bike, sports, abductions
-adolescent: risky behavior, driving, sex, peer pressure
Nausea, anxiety, impending sense of doom
Low-back pain, chest tightening or pain
Tachycardia, hypotension, tachypnea
Flushing
Hemoglobinuria
Macular degeneration manifestations - CORRECT ANSWERS-Lack of depth perception
Objects appear distorted
Blurred vision
Loss of central vision
Blindness
Cataracts manifestations - CORRECT ANSWERS-Decreased visual acuity (Rx
changes, reduced night vision, decreased color perception)
Blurred vision
Diplopia
Progressive and painless loss of vision
Visible opacity
Absent red reflex
Glaucoma: primary open angle manifestations - CORRECT ANSWERS-HA
Mild eye pain
loss of peripheral vision
decreased accommodation
Halos seen around lights
Elevated IOP (greater than 21 mm Hg: usually 22-32)
Glaucoma: primary angle-closure manifestations - CORRECT ANSWERS-Rapid onset
of elevated IOP (30 mm Hg or higher)
Decreased or blurred vision
Colored halos seen around lights
pupils nonreactive to light
Severe pain and nausea
Photophobia
Risk factors for pressure injuries - CORRECT ANSWERS-Diarrhea, incontinence
Low hemoglobin
Low albumin level
Recent weight loss
TPN education - CORRECT ANSWERS-- nutritional needs are greater than oral or
enteral can provide (burn injuries)
- POC BGL
, - provides vitamins, minerals w/ cals.
- for hyper metabolic states
- pt w/ egg allergy will be intolerant of lipid solutions.
fluid volume deficit manifestations - CORRECT ANSWERS-VS: hypothermia,
tachycardia, thready pulse, hypotension, orthostatic hypotension, decreased CVP,
tachypnea, hypoxia.
NM: dizziness, syncope, confusion, weakness, fatigue
GI: thirst, dry furrowed tongue, N/V, anorexia, acute weight loss.
Renal: oliguria.
Fluid volume excess manifestations - CORRECT ANSWERS-• Pitting edema, sacral
edema.
• Dyspnea, crackles, possible pulmonary edema.
• Bounding pulse, weight gain.
• Lethargy, dizziness, headache, confusion.
• Increased CVP, jugular vein distention.
• Increased blood pressure.
decreased BUN, visual disturbances, SOB
Early decelerations - CORRECT ANSWERS-*safe* Begin prior to peak of the
contraction and end by the end of it. they are caused by head compression.
no need for intervention if variability is within normal range (6-10) and the FHR is within
normal range.
Late decelerations - CORRECT ANSWERS-Bad (placental insufficiency)
LION: left side. Increase IV. Oxygenation.
umbilical cord prolapse - CORRECT ANSWERS-Initial action = elevate the presenting
fetal part to reduce compression on cord
-- can place in knee-chest or deep Trendelenburg position to further relieve
compression
vaso-occlusive crisis - CORRECT ANSWERS-Ischemia and pain caused by sickle-
shaped red blood cells that obstruct blood flow to a portion of the body.
visual disturbance, hematuria, painful swelling extremities, fever, tachy, PAIN
Safety for children - CORRECT ANSWERS--infant: lead poisoning, electrocution,
drowning, car seat - on ground.
-toddler: hotdog length wise, no skateboarding.
-school age: bike, sports, abductions
-adolescent: risky behavior, driving, sex, peer pressure
