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291 Cards in this Set
- Front
- Back
|
Which type of strep is documented with Rhuematic fever?
|
Groups A strep
|
|
Syphilis can be diagnosed by what way?
|
blood test (VDRL)
|
|
Lyme disease is characterized by what at the site of the bite?
|
Annular rings around the bite site
|
|
Main S/SX of Gonorrhea is?
|
Dysuria in both men and women and purulent drainage
|
|
S/SX of Shigella?
|
ABD cramping and fever
|
|
A positive sputum test for TB means what?
|
Active TB
|
|
Main minifestation of UTI is what?
|
frequency and enuresis( in children )
|
|
Passive immunity
|
From another ourse via the placenta or colostreum of mother, immune serum
|
|
Active immunity
|
Host produces its own antibodies
|
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Natural or Aquired immunity
|
Injection of toxoids
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|
Herpes Zoster is seen where on the body?
|
Thoracic area
|
|
The incubation period for Gonorrhea is?
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2 - 8 days after exposure
|
|
Gantrisin is given for what ______ and fluids should be increase to prevent _________?
|
UTI, crystaluria
|
|
When HSV-2 diminishes, where does it go?
|
Ascends the peripheral nerves and remains in the nerve ganglia
|
|
Chlamydia is a concern for what type of delivery during pregnancy?
|
vaginal
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S/Sx of rocky mountin spotted fever
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Sever vomiting, chills, and headache
|
|
S/SX of TB
|
Wheezing, skin pallor, night sweats
|
|
S/SX of CMV
|
fever, HA, photphobia, seizures, stiffneck(less common)
|
|
Major problems with Epiglottitis?
|
airway clearance, pt may need to be intubated
|
|
How is giardiasis spread?
|
fecal/oral route, found in contaminated water
|
|
S/Sx of legionares' disease
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Fever, cough CXR will show pnuemonia,decrease funtioning of liver and kidneys
|
|
S/Sx of meningitis
|
Nuchal rigidity, photphobia, delerium, seizures
|
|
what may accumpany otitus media?
|
URI
|
|
Shigelloisis is transmitted how?
|
feca/oral route and is spread by contaminated water
|
|
Kopliks spots accumpany what disease?
|
Ruebella
|
|
What are the normal findings od synovial fluid?
|
Clear, scant, and straw colored
|
|
Colbenemid (Colichine) should be given with what instructions?
|
Increase fluid intake (helps excrete uric acid and also helps with constipation)
|
|
Rubella vaccine contains what kinda of virus?
|
live attenuated
|
|
1st phase Gram Neg. sepsis
|
hyperthermia, vasodilitation, hypotension, tachycardia
|
|
2nd phase Gram Neg. sepsis
|
S/SX of shock, decrease in urine output
|
|
what are 2 major signs of SLE?
|
buterfly rash on face, and muscle soreness
|
|
Spiral fractures are usually a sign of?
|
abuse
|
|
S/SX of fat emboli?
|
restless and irritable
|
|
The drying of a cast takes about how long?
|
24-72 hours
|
|
What type of NSG Dx is priority for a pt on bed rest?
|
impaired skin integrity
|
|
When taking dilantin, a pt should increase what in thier diet?
|
K+
|
|
Pts with ICP may recieve what diuretic?
|
Manitol
|
|
Frontal lobe controls
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concentration, memory, motor function and speach
|
|
Corneral reflex is a sign of what?
|
brain mets of breast CA
|
|
What is the tensilon test?
|
Injecting endrophonium chloride via IVP and watching for facial movements as a Dx of myasthenia gravis
|
|
Occipital lobe contrils:
|
Sight
|
|
Parietal lobe controls:
|
sensory info. and spatial orientation
|
|
Temporal lobe controls:
|
Hearing
|
|
When a pt is having a seizure, they should be placed in what position?
|
Lateral
|
|
A pt with AGNOSIA whill not be able to rocognize what?
|
objects placed in hand
|
|
A transaction of C4 results in what?
|
Quadriplegia
|
|
Paraplegia is a result of damage to what area?
|
thoracic
|
|
Pill-rolling tremors and shuffling gait are a sign of what?
|
Parkinson;s disease
|
|
With the proper equipment, a pt with a C6 injury should be able to do what?
|
self feed
|
|
What is proper care of a penrose drain?
|
place dressing around and over the drain
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The major effects of myasthenia gravida are?
|
decrese in motor function begining with the muscles of the eyes, face, and throat
|
|
What is curlings ulcers?
|
Black tarry stools, this is a classic sign of typical burn complications
|
|
Antidote for Dig?
|
lidocaine
|
|
Antidote for Lead?
|
penicillimine
|
|
ADH is affected by what?
|
surgery and anesthesia
|
|
A distinctive sign of diverticulitis?
|
cramping pain in the LLQ
|
|
A major problem with an ileosotmy that can cause infections is?
|
excoriation
|
|
best way to manage dumping syndrome is?
|
eat small frequent meanls without concentrated carbs
|
|
The older the pt is, the more risk for what complication?
|
hypoxemia and hypercapnia produced by hypoventilation
|
|
What type of shock can occur after surgery?
|
Hypovolemic type, this can be evidenced by a low CVP
|
|
Pts with ulcertive colitus should have what type of diet?
|
low residue, i.e., cottage cheese
|
|
A common medication used for Tx of Gonorrhea?
|
Flagyl
|
|
What type of vaccine is contraindicated in a pt with HIV?
|
Inactivated polio vaccine & trivalent polio vaccine
|
|
What best describes Legg-Calves-perthes disease?
|
necrosis of the femoral head causing dislocation
|
|
What is a homograft?
|
A replacement valve from a human
|
|
What are the S/SX of duodenal ulcers?
|
Wgt lose, belching, poor appt., N/V
|
|
SE of INH
|
Decreqase muscle strength, numbness in the extremities, decrease in hand eye coordination
|
|
A SE of strep is what?
|
glomerular nephritis
|
|
How do you remove a tick from the skin?
|
use tweezers, do not use fingers
|
|
Problems with olfatory nerve
|
loss or problems with smell
|
|
Problems with the optic nerve
|
problems with sight
|
|
Problems with oculomotor nerve:
|
ptosis, deviation of the eye ball outward, double vision, dilation of the pupil
|
|
Problems with the trochlear nerve:
|
rotation of the eyball upward, double vision
|
|
Problems with the trigeminal nerve:
|
pain or lose of sensation in the face , forhead, temple or eye
|
|
Problems with the abducens nerve:
|
eye trouble( double vision )
|
|
Problems with the facial nerve:
|
paralysis of one side of the face, inability to wrinkle the forhead, can not whistle, deviation of the mouth
|
|
Problems with the vestibulcochlear:
|
deafness or ringing in the ears, dizziness, N/V, reeling
|
|
Problems with the glossopharyngeal:
|
problems swallowing, taste disturbances
|
|
Problems with the vagus nerve:
|
hoarseness, difficulty swallowing
|
|
Problems with the spinal accessory:
|
dropping of the shoulder, inability to rotate the head away fromm the affected side
|
|
Problems with the hypogloassal nerve:
|
paralysis of one side of the tongue, deviation of the tongue toward the paralyzed side of the face, thick speech
|
|
Type of gait seen in Parkinson's disease:
|
shuffling, propulsive gait
|
|
Parkinson's disease is caused by what deficiency?
|
dopamine
|
|
Mask like expression is a sign of what?
|
parkinson's disease
|
|
What visual changes are seen with MS:
|
Nystagmus, diplopia, blurred vision
|
|
S/SX of a head injury:
|
blurred vision, change in LOC, blood or watery drainage from ears and nose, pupils slow to react or are unequal
|
|
S/Sx of ICP:
|
pappiledema, changes in LOC, decreased sensory motor function, increased BP, decreased HR
|
|
The ______ the spinal cord injury, the _______ the loss of function
|
higher, greater
|
|
Injuries above C4 result in:
|
paralysis of respiratory muscles and all four ext.
|
|
Paralysis occurs where according to the level of injury:
|
below the lever of injury
|
|
What is Autonomic dysreflexia?
|
spinal cord injury at T6 or higher
|
|
S/SX of automonic dysreflexia:
|
flushed face, increased BP, headache, distended neck veins, decreased HR, increased sweating
|
|
Decorticate posture:
|
inward posture
|
|
Decerebtare posture:
|
outward posture
|
|
What are the three things measured for teh Glasgow coma scale?
|
eye(1-4), verbal(1-5), motor(1-6) 1 being nothing, **6 being the best
|
|
Strawberry tongue and red lips are a sign of:
|
Kawasaki disease
|
|
Superficial layers of skin _____ easily in pts. with Kawasaki disease
|
desquamate
|
|
Pts with Kawasaki disease while have a temp. of how high:
|
> 102.2
|
|
Depression/dementia, joint pain and sore throat are a sign of what?
|
lyme disease
|
|
Jaw stiffness, chills, fever, sore throat, profuse sweating are signs of:
|
tetanus
|
|
Acute Laryngotracheobronchitis(LTB) is frequently preceded by:
|
URI's
|
|
No pain is experienced with what type of burn:
|
third degree
|
|
What is diverticulitis?
|
the herniation fo the lining of the membrane that lines the bowel
|
|
Miotics do what for glaucoma pts.?
|
drain the aqueos humer
|
|
What is homonymous hemianopsia?
|
when the brain can only interprete half of the feild of vision
|
|
jaundice in hep A is caused by what?
|
bile salts deposited on teh skin
|
|
The oral polio vaccine is contraindicated in what pt.?
|
immune suppresed
|
|
What is electromyography?
|
a study that looks at muscles at rest and at contraction
|
|
Three things for a pt. that is S/P lumbar puncture...
|
bed rest, hydration and analgesics
|
|
What to watch for with Guillan-Barr syndrome?
|
resp. dysfunction
|
|
In the iciteric phase of Hep. A, the urine is what color?
|
Dark
|
|
Anticholenergics are given post-op for what reason:
|
decrease secretions
|
|
Wound healing by primary intention:
|
inciaion site is approximated, surures intact
|
|
Would healing by secondary intention:
|
granulated tissue forms into connective tissue and fills in the affected area
|
|
For a pt. taking Amphataricn B must be monitored for?
|
anaphylaxis, hypokalemia
|
|
Priority assesment in a pt. with frost bite is:
|
neurovascular
|
|
Meds to decrease cerebral edema are:
|
corticosteroids
|
|
Mantoux test can be false neg. in what type of patients?
|
immunosuppresed
|
|
DPT immunization is a immunization for what?
|
diptheria, tetanus, pertussis
|
|
At what three times is the MMR given?
|
12 months
4 years 11 years |
|
What ratio for ruebella shows resistance
|
1:20
|
|
Priority NSG Dx for pyelonephritis?
|
altered comfort R/T inflammatory process
|
|
Tx of UTI has been effective if the colony count is?
|
<100,000/ml
|
|
Koplik's spots are seen in which disease:
|
rubeola
|
|
Glomerulonephritis is a complication of what?
|
Strep
|
|
Buck's traction is used to do what?
|
decrease muscle contractions
|
|
Myesthenia gravida is caused by a defiency of what?
|
acethylcholine
|
|
Diet to promote wound healing:
|
vit C, iron, protien
|
|
What causes huntingtons disease?
|
degeneration of neurons
|
|
S/SX of huntingtons disease:
|
mood swings, trouble learning new things, trouple driving, remembering a fact and making a decision
|
|
What causes Chorea?
|
an over production of dpamine, this causes the involumtary movements
|
|
S/SX fo Chorea:
|
muscle contractions that appera to flow from one muscle to the next
|
|
Athetosis:
|
twisting or whitering movements
|
|
Nipride:
|
anti-HTN
|
|
SE of Isonizide:
|
diarrhea, visial changes, numbness or tingling in teh ext., unusual bleeding or bruising
|
|
SE of tegretal:
|
jaundice, memory problems, HA, anxiety, drowsiness, dizziness
|
|
Rhuematic fever and rhuematoid arthritis are caused by what?
|
strep AB
|
|
S/SX of shock
|
pale, clamy skin,low or no urine output, shallow breathing, profuse sweating, bluish nails and /or lips
|
|
What causes the mumps:
|
inflammation of the salivary glands
|
|
What is the zoster vaccine used to treat?
|
varicella
|
|
Kernigs sign:
|
stiffness of the hamstrings causes an inability to straighten the leg when the hip is flexed 90 degrees
|
|
What predisposes a person to otitis media?
|
smoking
|
|
Koplik's spot is a sign of:
|
measles(rubeola)
|
|
What is the 1st sign of syphillis?
|
painless chancre
|
|
What position should a patient with PID be placed in?
|
semi-fowlers
|
|
Proper NSG Dx for a child with salmonella is:
|
fluid volume deficit
|
|
Prior to initiating ABX therapy on a pt. with Haemophilus Influenza, the nurse should do what?
|
obtain sputum, blood, and CSF cultures
|
|
Natural immunity is:
|
obtained by actually contracting the caustive agent
|
|
Pts. with hip surgeries should be how active?
|
as active as possible
|
|
What is an alternative to help alter the preception of pain?
|
back massage
|
|
Three goals for a pt. scheduled for ortho surgery?
|
maintian helth, improve mobility, improve self-concept
|
|
What is the skin care regime for bucks traction?
|
remove the boot three times daily to inspect the skin
|
|
S/SX of fat embolism
|
SOB, chest pain, confusion
|
|
Pt. in a MVA suffering from a CVA, what is the priority action?
|
lateral position to prevent seizures
|
|
precipatating factors for seizures are:
|
stress, ETOH+, insomnia
|
|
Long-term outcome for a pt. with Parkinson's disease is:
|
continue usually activities
|
|
Pt with bacterial meningitis has a high fever and complains of a sever HA, what is the first NSG action?
|
neurological assesment
|
|
According to the Glasgow coma scale, a pt. with a score of 6 will do what activity?
|
withdraw arms with painful stimuli
|
|
Eliciting the bicep reflex in a pt. will cause what?
|
elbow flexion
|
|
High levels of nitrogen in a burn pt. can be fixed by:
|
providing a high protien diet
|
|
What position is a pt. placed in during post-op to prevent aspiration?
|
supine
|
|
Pain associated with a duodenal ulcer occurs when and where?
|
epigastrium, 1-3 hours after a meal
|
|
Pressure garmets used in burn pts. are used to:
|
prevent scarring
|
|
Ingesting a corrosive agent can cause what?
|
pain, difficulty swallowing, drooling
|
|
When a pt. has C/O's of phantom pain, what should teh nurse do?
|
administer ordered pain med
|
|
Common, early manifestation of diverticulitis:
|
crampy pain in the LLQ
|
|
If a pt. is unable to speak and feels numbness on the right side during a cerebral angioplasty, then the nurse whould document what?
|
vascular occlusion secondary to procedure
|
|
Why does adipose tissue not heal fast?
|
poor tissue perfusion
|
|
NSG Dx for SLE
|
self care deficit
|
|
What VS indicate an increase in ICP?
|
rising BP, slowing HR
|
|
A pt. with lyme disease should be taught never to take thier medication what?
|
milk or dairy products
|
|
What SE is common with fractures of the femur?
|
fat emboli
|
|
An internally rotated hip is a sign of what?
|
dislocation
|
|
A condition that results from the demylenation of neurons is what?
|
MS
|
|
What is used to stimulate a response for varicella?
|
zoster immune globulin
|
|
the best activity for a child is something taht?
|
reduces the work load of the heart
|
|
Mannitol is used in electrical burns to:
|
restore and maintian urinary output
|
|
After a skin graft a client, what should the site be covered with?
|
bulky occlusive DSG
|
|
Why do children get UIT's?
|
incomplete emptying of teh bladder
|
|
In mild German measles, how does the rash progress?
|
starts with the face then prgesses to the entire body
|
|
What type of bowel sounds do you have with diverticulitis?
|
increased bowel sounds
|
|
Who is most at risk of Ruebella?
|
unborn fetus
|
|
what type of diet should a pt. have with diverticulitis?
|
high fiber, high residue
|
|
The MD should be notified immediatly is a pt. taking steroids complains of what?
|
epigastric pain
|
|
A pt. with a C7 injury can move what?
|
head and neck
|
|
Diversional activity for a peds pt. with Chorea?
|
watching TV
|
|
Waht is the most effective dressing for Shingles?
|
cool wet dressing
|
|
Diet consistant with Glomerulonephritis?
|
low sodium, high calorie, low protien
|
|
The most definative test to Dx Chrons disease is:
|
biopsy
|
|
A pt. that is post-op for cataracts should be placed in what position?
|
prone and on bedrest
|
|
S/SX of a detached retina?
|
vision deteriorates as if a vail or curtain is falling
|
|
What type of meds are used for glaucoma?
|
miotics - these dilate the pupil and promotes the draining of aqueous humor
|
|
Plumbism affects what body system?
|
neurological intellectual damage
|
|
When should a pt. with Myasthenia Gravis carry out physically demanding tasks?
|
in the AM
|
|
Where in the body to peptic ulcers occur?
|
pyloric area
|
|
Duodenal ulcers heal by what intention?
|
third
|
|
Pt. should be adised to remove what prior to an MRI?
|
jewelry
|
|
Electroencephalogram does what?
|
measures the electrical activity of the brain
|
|
Electromyography is used to detect what?
|
muscular disorders
|
|
Otitis Media can ultimaly lead to ________ is left untreated?
|
conduction deafness
|
|
To admin. hear gtts to a child, the ear would be pulled how?
|
down and back
|
|
What virus causes mononucleosis?
|
epstein - barr
|
|
What body organ is affected in a pt. with mononucleosis?
|
spleen
|
|
Eschar is best described as:
|
necrotic slough
|
|
What skin color will you initally find in a pt. with carbon monoxide poisoning?
|
cherry red
|
|
What would be the lab values for a burn pt. that is indicative of a fluid lose?
|
increase K+, decreased NA+, increased H+H, metabolic acidosis
|
|
A pt. with a white covering on thier tongue and muscle pain should be asked what?
|
have you been in the wood lately? - - Dx of rocky mountain fever
|
|
A CVP of 3 indicates:
|
hypovolemic shock
|
|
A CVP of 18 indicates:
|
overhydration
|
|
What to do for someone that has poisoning from APAP?
|
syrup of ipecac followed by water and the administer antidote(acetlcystein)
|
|
MMR is given how?
|
IM with Z-track
|
|
A vaccination for pertussis should be expected at what age?
|
10 years old
|
|
Which immunoglobbulin is aquired at birth?
|
IgG
|
|
How does HSV-2 survive?
|
spores are in the vagina
|
|
Hematopoetic radiation would msot likely cause:
|
thrombocytopenia
|
|
Waht is the best position after a craniotomy?
|
fowlers, with a pillow under the shoulder
|
|
Reyes's syndrome causes mental changes due to an increase in what?
|
ammonia
|
|
What vision change is seen in Lanoxin?
|
yellow vision and halos
|
|
Malnourished pts. taht are about to have surgery should be on what type of diet?
|
high protien
|
|
Alterations in magnesium can cause:
|
toxic shock syndrom
|
|
The rubella vaccine is contraindicated in pts. who have an allergy to what?
|
eggs
|
|
What should the urine smell like in a pt. who has pyelonephritis?
|
fishy
|
|
An increase in urien specific gravity is a sign of what?
|
dehydration
|
|
Apraxia:
|
neurological disorder that results in a loss of the ability to carry out meaningful task
|
|
Antidote for ASA:
|
activated charcoal
|
|
S/SX of Paget's disease:
|
bowing of legs. arthritits, pain
|
|
S/SX of Respiratory Syncytial Vrisus:
|
tachypnea, paroxysmal cough, wheezing, episodes of apnea
|
|
Msot common side affect of the DPT immunization?
|
low grade fever - administer APAP
|
|
Rubella in the prodromal stage has what S/SX:
|
mild conjuctivitis
|
|
Antidiahrreal drugs are contraindicated in what disease?
|
salmonellois
|
|
S/SX of scarlet fever?
|
white coating on tongue, rash at folds of skin, papillea are red and swollen
|
|
When a childs rib cage is higher on one side when the pt bends forward, what is this indicative of?
|
scoliosis
|
|
What should the nurse do to asses for carpal tunnel?
|
tap over the medial nerve
|
|
The normal findings for a patient in an arm cast is discomfort where?
|
in teh fingers
|
|
The proper NSG intervention for a sparined ankle is:
|
apply ice for teh first 24 hours
|
|
Pedeling the edges of a cast with tape helps to prevent what?
|
infection
|
|
Most important goal in autonomic dysfelxia is?
|
reducing causative stimuli
|
|
Droopy eyes are found in pts. with what disorder?
|
myasthenia gravis
|
|
A reaction to painful stimuli is will result in which postion?
|
decerebrate
|
|
Pts. with expressive dysphasia should have what to help communicate?
|
picture board
|
|
TThe sensory relay point of the brain:
|
thalmus
|
|
Early sign of an increase in ICP is:
|
decreased arousability
|
|
The use os corticosteroids for pts. with spinal injuries is to help increase what?
|
sensory and motor function
|
|
Normal babinksi reflex is when the toes do what?
|
fan out and turn laterally
|
|
What lab value can indicate that ulcertive colitis is improving?
|
ESR
|
|
For pts. that are under anestesia, the bed should be kept in what position
|
flat
|
|
Instituting post-op leg excercises will help decrease what?
|
DVT's
|
|
During surgety, a pts. most accurate body temp si measured where?
|
tympanic membrane
|
|
Smoking does what to the lungs
|
decreases vital capacity
|
|
S/SX of Thypus:
|
sudden onset of fever, chills, myalgia
|
|
The rash that occurs with Rocky Mountin Spotted Fever occurs where?
|
soles of the feet and the palms of the hands
|
|
Two ABX's not used in children are ________ % ________
|
tetracycline and chloramphenicol
|
|
ABX used to treat histoplasmosis:
|
amphatericin B
|
|
What problems occur in the 2nd stage of syphillis?
|
bone, muscle aches
|
|
Shypillis is treated with what 2 ABX's:
|
cipro + suprax
|
|
Drug of choice for acute pharyngitis:
|
PCN V
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Test used to screen a large group of people for TB:
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multi-puncture skin test
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What is the best time to obtain a sputum culture?
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in teh AM before getting OOB
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Brudzinski's sign:
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movement of hips to flexion on forward flexion of the neck
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Phalen"s sign:
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pain when the backs of hands are placed together
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Kyphosis:
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increased roundness of the spine
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Lordosis:
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excessive curvature of the lumbar spine
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Paget's disease affects the bones how?
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results in enlarged and deformed bones
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What medication is used to treat SLE?
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corticosteroids
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Heberden's nodes:
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irreversable changes in teh distal joints of the fingers
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Bouchard's nodes are found where?
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in the proximal interdigital area
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A child with hip dysplasia should be positioned in the bed how?
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with the shoulders higher than the buttocks
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The patella reflex causes what?
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lower leg extension
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Paraplegia is secondary to:
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thoracic injury
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Quadraplegia is secondary to:
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cervical spine injury
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Hemiplegia is secondary to:
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CVA
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S/SX of neurogenic shock:
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pink skin, flat neck veins, normal to low HR, low vascular resistance
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A serious development that happens with increased ICP is:
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widening pulse pressue
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A serious complication of hemorrhagic stroke is:
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vasospasms of cerebral vessels
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A stroke in the vertebrobasilar aretry will result in:
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death
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A CT scan will be positive for a stroke how many hours after onset?
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48-72 hours
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SE of levodopa:
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posteral hypotension, anorexia, GI bleed, hoarsness, vomiting, dyskenesia, head bobbing
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Dopamine agonsits(amantidine) work how:
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prevent the reuptake of dopamine and keep it in the system longer
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Surgery for Parkinson's Disease:
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thalamotomy
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Huntingtons disease reasults in the degeneration of the ___________
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cerebral cortex
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Guillane Barr occurs when?
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after mild viral illness, surgury or innoculation
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During hemorrhage, what is administered to control the hypovolemia?
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dopamine
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Prolonged vomiting can result in:
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metabolic acidosis
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Dumping syndrome is a complication of:
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gastrotomy
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S/SX of APAP toxicity:
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increase in PT/INR, pallor
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S/SX of Salycate poisoning:
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hyperventilation, ketosis, metabolic acidosis
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Syrup of ipecac is contraindicated with what type of materials?
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corrosive and petroleum
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S/SX of renal injuries:
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palpable mass, eccymosis
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S/SX of intraparitoneal injuries:
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board like AND, decrease in bowel sounds
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TX for hypovolemic shock:
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fluids, transfusion
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TX for septic shock:
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ventilation, fluids, ABX's
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