Nursing Review Notes 2

Nursing Bullets

101-200 1. Intermittent claudication  Cramp-like pain that occurs with exercise and is relieved by rest 2. Cardiac tamponade  tachycardia  distant or muffled heart sounds  jugular vein distention  falling blood pressure accompanied by pulsus paradoxus 3. Thrombophlebitis or deep vein thrombosis (DVT)  redness and/or warmth of the affected leg  tenderness at the sit  possible dilated veins (if superficial)  low grade fever  edema distal to the obstruction  possible positive Homans' sign in the affected extremity 4. Classical sign of cardiogenic shock  altered sensorium (confusion)  tachycardia  hypotension  tachypnea  oliguria  cold, clammy, cyanotic skin 5. Unstable angina  increase in frequency, duration, and severity over time 6. Stable angina  Paroxysmal chest discomfort triggered by predictable physical or emotional factors 7. Angina decubitus  Chest discomfort that increases when reclining 8. Nocturnal angina  Chest discomfort associated with sleep

www.nurseacademy.blogspot.com 10. Signs of depression after Myocardial Infarction  withdrawal  crying  apathy 11. Aortic Abdominal Aneurysm assessment  subjective feeling of the “heart beating” in the abdomen  pulsatile abdominal mass  systolic bruit over the mass 12. Elective cardioversion  Remove oxygen temporarily 13. P-R interval  0.12-0.20 seconds 14. QRS  0.4-0.10 15. First-degree heart block  Prolonged P-R interval (>0.20) 16. Atrial fibrillation  erratic or no identifiable P waves 17. Multiple Gated Acquisition Scan (MUGA)  IV line 18. Soft Tissue Injury  Rest  Ice  Compression  Elevation 19. Before electroconvulsive therapy  Succinylcholine (Anectine)-muscle relaxant 20. Beta-blockers  Decrease workload of the heart 21. NSAIDS  1 hour before or 2 hours after meals 22. Normal value: Protein  6-8g/dL

9. Early stage of acute myocardial infarction  ST segment elevation

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Nursing Bullets 23. Side effects: fluoxetine (Prozac)  Dry mouth  Diarrhea  Weight loss  Reduced libido 24. Xanax (alprazolam)  Short-term relief 25. Newborn’s normal weight loss (first few days)  5-110% of birth weight 26. Assessing heart rate via radial pulse  >2 years old 27. Side effects: Aminophylline  Restlessness  Palpitations 28. Seizures in children  Infection  Fatigue  Nor eating well  High fluid intake  Fluid retention 29. Side effects: Isoniazid (INH)  Peripheral neuropathy 30. Perforated peptic ulcer  Nausea and vomiting  Abdominal distention

www.nurseacademy.blogspot.com 37. Cardiac arrest in pedia  Prolonged hypoxemia 38. Panic disorder attack  Sense of impending doom 39. Cogentin  Contraindicated to glaucoma and prostatic hypertrophy 40. Thrombophlebitis  Elevate leg (2 pillows) 41. Fluorosis  Chalky white to yellowish staining 42. Vwentricular fibrillation  Assess pulse 43. Portal hypertension  Potential complication of hemorrhage 44. Cleft lip repair (2 months)  Elbow restraint 45. Post segmental lung resection  Assess  Suction secretion 46. Congestive heart failure  High-fowler’s position 47. Herpes simplex  Contact precautions

31. Acute pancreatitis  Respiratory infection  Pain on epigastric area radiating to the back

48. Suctioning tracheostomy  Instill saline to remove mucus plug

32. Separation anxiety  6-30 months

49. Homeopathic medicine  Boost immune response

33. chlorpromazine (Thorazine)  avoid direct sunlight

50. Injury prevention for pre-schoolers  Set good example

34. AIDS  CD4 lymphocyte <200 (normal value: 600-1000)

51. Child who can use car seat  Weight: 40 lbs/18 kg

35. Stranger anxiety  Begins: 6-8months  Peaks: 9 months  36. Female growth spurt  2 years earlier than male

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52. Ovulation period  Cycle in days minus 14 days

53. Findings in hypoxemia  Restlessness  Irritability www.nurseacademy.blogspot.com

Nursing Bullets       

Agityations Dyspnea Disorientation Confusion Delirium Hallucination Loss of consciousness

54. Newborn in incubator  Monitor temperature 55. Initial treatment for Ewing’s sarcoma  Chemotherapy and radiation 56. Isoniazid  Liver function test  Causes heaptocellular injury and hepatitis 57. Russel’s traction  Neurovascular circulation check 58. Priority for child with sickle cell disease  Avoid overheating during physical activity 59. General guide to serving size in children  1 tablespoon of solid food per year 60. Anti-psychotic medications’ side effects  Neuroleptic malignant syndrome (hyperpyrexia, muscle rigidity, malignant hypertension) 61. Readiness for toilet training  Complete myelination of spinal cord 62. Birth weight  Double: 6months  Triple: 1 year  Quadruple: 18 months 63. Cystic fibrosis (2 years old)  Continue normal activities 64. Burn patient  High protein, high carbohydrate 65. Not affected by hemodialysis  Low hemoglobin (anemia) 66. Delayed wound healing

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Long-term use of steroids Smoking

67. Stoma with high risk for skin breakdown  Ileostomy 68. Removing flatus from 1 piece drainable ostomy  Provide privacy  Open the button of the pouch  Release flatus  Close the button of the pouch 69. HSV-1  Immunosuppression 70. Tonsillectomy  Report persistent cough 71. Pneumococcal pneumonia  Bronchial breath sound in outer lung field 72. Developmental right hip dysplasia  Characteristic limp 73. Multiple Sclerosis client  Avoid activities leading to dehydration 74. CAD patient  Avoid very heavy meals 75. Rhabdomyosarcoma  Muscles 76. KUB radiographic test  No preparation necessary 77. Central venous pressure (CVP)  Right heart function 78. Swan-ganz catheter  Left heart function 79. Levothyroxine (synthroid)  Take in the morning 80. Venous stasis ulcer healing  Proper nutrition 81. Child with diabetes mellitus  Bed wetting 82. Chiropractic treatment  Spinal cord manipulation

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83. Best indicator of good wound healing  Reddened tissue

98. Eye contact for native American  Rude, impolite, aggressive

84. Congestive heart failure with pulmonary edema  Decreased cardiac output

99. School aged children  Obesity is the common disorder

85. Volume overload  S3 heart sound 86. 5th disease (erythema infectiosum)  Not contagious, does not need isolation

100.       

Major depression Sad Hopeless Psychomotor retardation/agitation Chronic generalized local pain Appetite/sleep disturbances GI complaints Impaired libido

87. Risk for depression  Steroids 88. Lithium effect  2 weeks 89. Lead poisoning  Nuerologic signs and symptoms  Neuropathy  Footdrop  Anemia 90. Late pregnancy fetal growth retardation  Pregnancy induced hypertension 91. Anemia in sickle cell disease  Increase red cell destruction, decrease production 92. Diet for cystic fibrosis  High protein and calorie, unrestricted fat 93. Cardiopulmonary Resuscitation (5 years old)  5:1 94. Fetal alcohol syndrome  Cranial facial abnormalities 95. Most accurate to determine tuberculosis  Sputum culture 96. Sudden infant disease syndrome  before 6 months old 97. Newborn of mother addicted to heroin  Jitteriness 24-48 hours  Irritability  Poor feeding The Nurse’s Academy

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