NUR 105 : Final (2) exam review

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Medicine - Surgery

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user_lira_cofre Created by 9 mon ago

Cards in this deck(100)
Decreased carbohydrate intake and increased exercise
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Prevent blood clots in lower extremities
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reduced blood flow to the legs due to narrowed arteries, often as a result of peripheral artery disease (PAD) caused by atherosclerosis.
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leg pain, cramping, or weakness during physical activity (such as walking), which resolves with rest.
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Poor diet
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Place concentrated glucose between the cheek and the gum and allow it to absorb.
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swelling, pain, coolness, blanching or pallor, and leakage of fluid around the insertion site.
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135-145 mol/L
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8.5-10.5 mg/dL
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3.5-5.0 mmol/L
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3.0-4.5 mg/dL
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4,500-11,000 cells/mm?
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4.2-5.4 million cells/mm? (male), 3.6-5.0 million cells/mm? (female)
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13.5-17.5 g/dL (male), 12.0-15.5 g/dL (female)
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38.8-50.0% (male), 34.9-44.5% (female)
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Baked chicken and carrots
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Non-starchy vegetables: such as leafy greens, broccoli, cauliflower, and peppers. Lean proteins: such as chicken, turkey, fish, tofu, and lean cuts of beef or pork. Whole grains: such as quinoa, barley, bulgur, and brown rice (in moderation). Legumes: such as beans, lentils, and chickpeas. Healthy fats: such as avocados, nuts, seeds, and olive oil. Low fat dairy: such as Greek yogurt, cottage cheese, and skim milk (in moderation). Fresh fruits: such as berries, apples, oranges, and pears (in
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reduce the risk of aspiration,
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a serious complication of diabetes characterized by extremely high blood sugar levels, dehydration, and high blood osmolality, leading to altered mental status, neurological symptoms, and potential life-threatening complications.
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fluid replacement, insulin therapy to lower blood sugar levels, correction of electrolyte imbalances, and close monitoring of vital signs and neurological status.
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to assess for signs of neurovascular compromise, including circulation, sensation, and movement distal to the injury.
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nausea, vomiting, diarrhea, visual disturbances (such as blurred or yellow vision), confusion, dizziness, and arrhythmias.
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monitor for signs of intracranial bleeding
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confusion, dizziness, headache, and visual disturbances, which can progress to seizures, respiratory depression, and cardiac arrhythmias.
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Renal damage
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the best position after eating meals is typically sitting upright or reclining slightly -Lying down for 20 to 30 minutes after meals
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Sitting upright for 20-30 minutes after meals
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Calcium
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Metabolic alkalosis
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Surgeon
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Hypovolemia
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Hydration, loose clothing, no strenuous exercise, take pain meds, apply heat to painful areas. etc
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shortness of breath, fatigue, swelling in the legs, ankles, or abdomen (edema), rapid or irregular heartbeat, persistent cough or wheezing, and sudden weight gain.
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Patient in proper alignment in the bed
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persistent cough, chest pain, fatigue, weight loss, fever, night sweats, and coughing up blood (hemoptysis).
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TB is primarily transmitted through the air when an infected person coughs or sneezes, releasing Mycobacterium tuberculosis bacteria into the air, which can then be inhaled by others.
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TB precautions in healthcare facilities include respiratory precautions, airborne precautions, personal protective equipment, engineering controls, administrative controls, education and training, environmental cleaning, and patient education.
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Transport TB patients within the hospital using appropriate infection control measures, including respiratory precautions, such as N95 respirators, and personal protective equipment (PPE) like gloves, gowns, and eye protection, while adhering to airborne precautions.
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Sit the patient forward and upright
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telemetry first
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re-orient as often as needed
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Pepcid
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30 minutes
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apply warm blankets
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assess respiration, ventilation and oxygenation.
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fatigue, weakness, pale skin, shortness of breath, dizziness, headache, and cold hands and feet.
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Dehydration can lead to an increase in hematocrit and hemoglobin levels due to hemoconcentration, as the loss of fluid results in a higher concentration of red blood cells in the blood.
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Normal pH: 7.35-7.45; Abnormal: pH < 7.35, HCO3- < 22 mEq/L
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Normal pH: 7.35-7.45; Abnormal: pH > 7.45, HCO3- > 26 mEq/L
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Normal pH: 7.35-7.45; Abnormal: pH < 7.35, PaC02 > 45 mmHg
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Normal pH: 7.35-7.45; Abnormal: pH > 7.45, PaC02 < 35 mmHg
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Metabolic acidosis
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Hemoptysis, Green sputum Laryngeal stridor,
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New onset of fever
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increased arterial blood bicarbonate
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Small meals 5-6 times daily, food that is not difficult to chew
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check 02 sat
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Carry a fast acting sugar and a complex carb with you at all time. ex:100% juice and peanut butter crackers
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avoid others with infections, wash hands often
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Shortness of breath, coughing, wheezing, crackling sound in lungs, fatigue, fluid retention (edema), and rapid or irregular heartbeat.
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frequent urination, excessive thirst, unexplained weight loss, fatigue, blurred vision, slow wound healing, and tingling or numbness in hands or feet.
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high blood sugar levels, excessive thirst, frequent urination, nausea or vomiting, abdominal pain, fruity breath odor, rapid breathing, and confusion.
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Crossing of legs
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Possible CFS, test with glucometer
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Check if tube is kinked, check patency
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Chiils, itching , fever, hives,
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stop infusion, aspirate IV line, flush line, notify physician, treat symptoms. Don't leave pt.
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emergency
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-SOB with exercise -heart can no longer meet oxygen needs of the body
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assess cap refill, pulse, neurological status
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Provide temporary form of splinting device.... Book, cardboard box, etc.
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Check glucose
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No more than10- 15 seconds suctioning is performed when catheter is pulled out
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teach pt to splint chest with pillow.
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Assess airway, breathing, ventilation.
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muscle cramps, twitching, numbness or tingling in the extremities, confusion, and seizures.
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IV site infiltration, then kink in tubing
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Parathyroid hormone deficiency, also known as hypoparathyroidism, is a condition characterized by insufficient production or secretion of parathyroid hormone (PTH) by the parathyroid glands. This hormone plays a crucial role in regulating calcium and phosphate levels in the blood. Hypoparathyroidism can lead to ****low levels of calcium in the blood (hypocalcemia) and high levels of phosphate,***** resulting in symptoms such as muscle cramps, spasms, tingling sensations, and potentially life-threatening complications if left untreated.
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Phosphorus
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to increase the strength and efficiency of heart contractions, thereby improving cardiac output and reducing symptoms of heart failure.
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vitamin B6 daily to prevent peripheral nerve damage.
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Hypertension High cholesterol levels Diabetes Smoking Obesity Sedentary lifestyle Family history of heart disease Age Gender
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sudden severe abdominal pain, abdominal tenderness, rigid abdomen, vomiting blood (hematemesis), and signs of shock such as rapid heartbeat and low blood pressure.
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hypoactive bowel sounds
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Stop the infusion
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1 hr prior to surgery
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Assessment of readiness, education on proper techniques, assistance from a caregiver, slow progression, use of assistive devices, adherence to precautions, continuous monitoring, ensuring a safe environment, and providing encouragement and support.
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Elevated glucose
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High calcium foods like dairy, leafy greens, and fish. Vitamin D sources such as fortified foods and sunlight. Protein-rich foods like lean meats and legumes. Vitamin C sources like citrus fruits and peppers. Omega-3 fatty acids from fish and seeds. Stay hydrated and limit sodium and caffeine intake for optimal healing
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Rapid-acting insulins Short-acting insulins Intermediate-acting insulins Long-acting insulins
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insulin lispro (Humalog), insulin aspart (NovoLog),
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15 minutes
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1-3 hrs
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3-5 hrs
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15 minutes feels like an hour during 3 rapid responses
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Humulin R, Novolin R
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30 minutes
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2-4 hrs
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4-8 hrs
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Short staffed nurses went from 30 patients to (2) 8 patients
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