What's the Broca's Area control? - ✔✔ Speech
located in a convolution adjoining the middle cerebral artery.
for control of the combinations of
... [Show More] muscular movements needed to speak each word.
What are the Chemo Side Effects? - ✔✔ Nausea
Vomiting
Myelosuppression
SIADH
Cardiac Toxicity
sterility.
Chemotherapy-induced neurotoxicity
Chemo Brain
Fatigue
What is Expressive Aphasia? - ✔✔ Inability to express oneself
What's the first step of a pt is Dx with Meningitis? - ✔✔ Broad Spectrum Antibiotics
What are the sx of - ✔✔ (may not seek health care until he or she experiences blurred vision or "halos")
Blurred vision
Halos
difficulty focusing
difficulty adjusting eyes in low lighting
loss of peripheral vision
aching or discomfort around the eyes
headache.
What Assessments should an RN conduct for Guillain Barre syndrome? - ✔✔ monitored for life-threatening complications (respiratory failure, cardiac dysrhythmias, VTE [including DVT or PE])
assess the patient's and family's ability to cope
Maintain respiratory function
Enhancing physical mobility
Promote adequate nutrition
Improving communication
Decreasing fear and anxiety
Managing potential complications
How does Multiple Sclerosis relate to Urinary Retention? - ✔✔ A neurogenic bladder results in urinary retention or leakage.
The patient may describe a sensation of bladder fullness or incomplete bladder emptying. The pharmacological treatment of urinary retention is administration of a cholinergic agonist
Traction & Assessment
(Blueprint- Fractured Femer Dim Pulses) - ✔✔ After skin traction is applied, the nurse assesses circulation of the foot within 15 to 30 minutes and then every 1 to 2 hours. Circulatory assessment consists of:
Peripheral pulses, color, capillary refill, and temperature of the fingers or toes.
Manifestations of deep vein thrombosis (DVT), which include unilateral calf tenderness, warmth, redness, and swelling.
How is Compartment Syndrome diagnosed - ✔✔ 6 P's pain
poikilothermia
pallor
paresthesia
pulselessness
paralysis
Describe a Normal Sinus Rhythm - ✔✔ begins in the SA node
· rate: 60 to 100 bpm
· rhythm: Regular
· QRS shape and duration: Usually normal, but may be regularly abnormal
· P wave: Normal and consistent shape; always in front of the QRS
· PR interval: Consistent interval between 0.12 and 0.20 seconds
· P:QRS ratio: 1:1
What should an rn teach a pt who is undergoing a Valve Replacement? - ✔✔ VS are assessed every 5 to 15 minutes / PRN
After the patient has recovered from anesthesia and sedation, is hemodynamically stable without IV medications, and has stable physical assessment parameters, he or she usually is transferred to a telemetry unit, typically within 24 to 72 hours of surgery.
educates the patient about anticoagulant therapy, explaining the need for frequent follow-up appointments and blood laboratory studies.
What teaching should a nurse conduct to a mother who was just diagnosed w Engorgement? - ✔✔ sandwich technique :grasp her breast by making a "C" with her thumb and index finger. The thumb stabilizes the top of the breast while the remaining four fingers support her breast from below.
Massage or pumping the breast may soften and extend the nipple for easier infant latch-on.
What should a nurse do if her patient Refuses RhoGam? - ✔✔ Consider culture
Nurses need to respect whatever the mother's decision is.
What is 24 Hour Jaundice? What should be taught to mothers who baby's have jaundice? - ✔✔ Physiologic jaundice is very common in newborns, with the majority demonstrating yellowish skin, mucous membranes, and sclera within the first 3 days of life.
Advise mothers to nurse their infants at least eight to 12 times per day for the first several days
What are Variable Decelerations? What does it mean? How do we resolve it? - ✔✔ visually apparent abrupt decreases in FHR below baseline and have an unpredictable shape on the FHR baseline, possibly demonstrating no consistent relationship to uterine contractions.
Variable decelerations are associated with cord compression
Turn the client on her left or right lateral, knee-chest, or hands and knees to increase placental perfusion or relieve cord compression.
What is the Normal Fetal Heart Rate? - ✔✔ 110-160 bpm
What is IUGR? & What are NST Results? - ✔✔ intrauterine growth restriction
Currently, an NST is recommended twice weekly (after 28 weeks' gestation) for clients with diabetes and other high-risk conditions,
A nonreactive test has been correlated with a higher incidence of fetal distress during labor, fetal mortality, and IUGR.
Additional testing, such as a biophysical profile, should be considered
What's the class of Methadone? What's methadone for? - ✔✔ opioid
Symptoms of opioid withdrawal
Onset could be 2 to 4 days, and the symptoms may take 2 weeks to subside.
treat addiction & withdrawl
Methadone can be used as a replacement for opioids, and the dosage is then decreased over 2 weeks. Substitution of methadone during detoxification reduces symptoms to no worse than a mild case of flu
What are the signs a Client is in their Termination Phase? - ✔✔ Abandons old needs
Aspires to new goals
Becomes independent of helping person
Applies new problem-solving skills
Maintains changes in style of communication and interaction
Shows positive changes in view of self
Integrates illness
Exhibits ability to stand alone
What's the role of a Nurse during Termination Phase? - ✔✔ Sustains relationship as long as client feels necessary
Promotes family interaction to assist with goal planning
Teaches preventive measures
Uses community agencies
Teaches self-care
Terminates nurse-client relationship
Maslow - ✔✔ The most basic needs— met first.
safety and security needs - 2nd level
Love and belonging needs - 3rd
esteem needs - 4th
self-actualization - 5th highest level
Why are Gout patients prescribed Allupurinol - ✔✔ Allopurinol is used to decrease the about of serum uric acid levels
It is necessary to administer allopurinol after meals to ensure absorption.
What's the overall goal of Osteoarthritis pts? How does this relate to Exercise? - ✔✔ decrease pain and stiffness and to maintain or, mprove joint mobility.
Exercise, especially in the form of cardiovascular aerobic exercise and lower extremity strength training, has been found to prevent OA progression and decrease symptoms of OA
Hypertonic Fluids - ✔✔ When normal saline solution or lactated Ringer solution contains 5% dextrose, the total osmolality exceeds that of the ECF
Saline 3% or 5%
What should the Rn suspect to be prescribed for Treatment of Rheumatoid Arthritis Pain? - ✔✔ NSAIDs (ibuprofen (Motrin) and naproxen (Naprosyn))
COX-2 . [Show Less]