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110 terms kandykat1012Preview NCLEX 689 term erv What is an expected response from the IV administration of contrast dye?flushing of the face. most patients experience a warm sensation throughout the body shortly after the dye infusion. this is more pronounced in the face and throat and moves to the pelvic area afterwards What are some tests that contrast dye is used in? CT scans, angiograms, melograms What are some unexpected findings during IV contrast dye administration?chest tightness - this may be experienced during a mild to severe hypersensitivity reaction and is NOT an expected response. Burning at the IV site is also not an expected response Why may a nurse avoid putting pressure on the back of a patients knees post-procedure?to prevent a pulmonary embolism what does absence of tidaling in the chest tube mean? either re-expansion of the clients lung or a potential kink or occlusion in the tubing What is an example assessing a family's system theory? asking about their involvement in school activities with their children Jehovah's Witnesses believe what in regards to a blood transfusion?they do not believe in it and often refuse them. the nurse should verify this information in the chart and with the patient Who is most at risk for developing Hep A?children above 1 but under 15 due to Hep A being transferred through fecal-oral contact What medicine that treats UTIs causes a reddish or orange tint to the urine?Phenazopyridine
What is the drug of choice for bradycardia with hypotension and shock?Epinephrine How often should epi be given?every 3-5 min until the bradycardia is resolved What mnemonic is used to remember the drugs that can be given through an ETT tube?
NAVEL N - naloxone A - atropine V - vasopressin E - epinephrine L - lidocaine What is the preferred diuretic used to decrease ICP and used most often in someone who has suffered a TBI?mannitol Why is mannitol the preferred drug for decreasing ICP? it does not cross the blood brain barrier. As a result, osmotic pressure increases in the plasma but not in the brain. A gradient is developed between plasma and brain cells, therefore causing a shift of fluids from the extracellular space into the blood vessels Adequate oral hygiene is beneficial to the client in what ways?promoting a client's sense of well-being and preventing deterioration of the oral cavity Diligent oral hygiene care can also improve oral health and limit the growth of pathogens in oropharyngeal secretions, decreasing the incidence of both aspiration pneumonia and ventilator associated pneumonia (VAP) Flumazenilantidote for benzodiazepines ketorolacToradol/NSAID, used to treat pain and fevers What are the isolation precautions for a patient that has lyme disease?standard. Lyme disease is not transferred human-to-human What is something that a client with preclampsia should be monitored closely for?seizures. the nurse should plan care involving seizure precautions at the bedside, including suction equipment, padded side rails, and oxygen how should a nurse test eye accommodationby darkening the room and asking the client to gaze at a distant object (the far wall) and then at a test object (finger or pencil) held approximately 4 inches from the bridge of the clients nose What tests for pupillary response?shining a light in the pupil What color cannister is used for carbon dioxide? gray what color cannister is used for oxygen?green/white what color cannister is used for air?yellow what color cannister is used for a combo of oxygen and helium?green and brown
what cannister is used for nitrous oxide?blue what cannister is used for ethylene?red what cannister is used for a mix of oxygen and carbon dioxide green and gray what may prevent or reduce the severity of chickenpox in high-risk clients and will typically be prescribed by the provider?varicella-zoster immune globulin (VZIG) how long does the VZIG vaccine provide immunity? up to 3 weeks should specimen tubes be prelabeled?no, never what is the process of open suctioning of a trach tube? requires aseptic technique. after setting up a sterile field and applying sterile gloves, the nurse would designate one hand as contaminated and ensure the other remains sterile. The contaminated hand should be used to connect/disconnect the catheter tubing, use the resuscitation bag, and operate the suction control. If preoxygenation is indicated, the nurse would use the contaminated hand to administer this what is an idiosyncratic reaction?an abnormal and unexpected response to a medication, other than an allergic reaction, that is peculiar to an individual Cullen's signa sign of pancreatitis discoloration of the abdomen and periumbilical area What are some signs of pancreatitis?elevated WBC, bilirubin, and urinary amylase levels, turner's sign and cullen's sign Turner's signbluish discoloration of the flanks, an indicator of pancreatitis What happens in terms of facial hair as people age? hormone levels drop, especially the androgen-estrogen ratio, causing an increase of facial hair in older adult. In women, estrogen decreases and the unopposed testosterone causes an increase in hair where men have it, especially on the face What kind of pain is consistent with cholecystitis? right upper quad pain radiating to the right shoulder MMR Vaccine factspeople born before 1957 are typically immune to it a known allergy to neomycin is contraindicated for the vaccine there is no danger in receiving this vaccination again if immunization status is unclear onychiainflammation of the nail folds paronychiaan infection of the proximal nail folds onychomycosisfungus infection of the nails that cause the nails to look thick, discolored, and crumbling
onychorrhexisbrittle nails that tend to break easily onychomadesisthe falling off and the separation of the nails from the bed What increases when foods and fluids are consumed at the same time?the speed of gastric emptying, thus increasing the likelihood of dumping syndrome PRBCs do what to blood levels?increase the hgb by 1g/dL and hct by 3% around 4-6 hours after completion What should a patient do when taking acyclovir? drink more fluids to decrease the risk of potential nephrotoxic effects since it is primarily excreted through the kidneys What can steroids do to blood sugar?steroids can make the liver less sensitive to insulin because they cause it to keep releasing sugar, even if the pancreas is also releasing insulin. The continued release of sugar triggers the pancreas to stop producing insulin What happens to the lungs when a near-drowning experience occurs?freshwater and saltwater wash out the alveolar surfactant when they enter the lungs. This leads to alveolar collapse, intrapulmonary shunting , decreased lung compliance, and hypoxemia which will eventually result in pulmonary edema Bacteria in the lungs caused by a near-drowning experience could potentially lead to what?pneumonia Aspiration precuationscollaborating with the dietician/speech therapist to determine what all would be appropriate supervised mealtimes, having the HOB elevated during the meal, thickening the liquids as directed, and coaching the client through swallowing if feeding a client on aspiration precautions, the foods consistencies should not be mixed and always have oral suction available Most people who die from fires die from what? smoke inhalation rather than burns More than ___% of people with severe burns and smoke inhalation die 50 About ____% of home fire deaths occur in a home without a smoke detector 60 Olanzapinean atypical antipsychotic drug
AE reactions include: neuroleptic malignant syndrome, which is manifested by
tachycardia, delirium, fever, and muscle rigidity older adults vision changesglare sensitivity is increased. As adults age, changes in the eye, such as smaller pupils and reduced light accommodation, can result in increase sensitivity to glare age-related changes in the ear also include a thickening of the tympanic membrane rather than increased flexibility