nursing review notes 2

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Nursing Bullets www.nurseacademy.blogspot.com The Nurse’s Academy www.nurseacademy.blogspot.com 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 9. Early stage of acute myocardial infarction ST segment elevation 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

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Nursing Bullets www.nurseacademy.blogspot.com

The Nurse’s Academy www.nurseacademy.blogspot.com

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

9. Early stage of acute myocardial

infarction ST segment elevation

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

Nursing Bullets www.nurseacademy.blogspot.com

The Nurse’s Academy www.nurseacademy.blogspot.com

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

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

the back

32. Separation anxiety 6-30 months

33. chlorpromazine (Thorazine) avoid direct sunlight

34. AIDS CD4 lymphocyte <200 (normal

value: 600-1000)

35. Stranger anxiety Begins: 6-8months Peaks: 9 months

36. Female growth spurt 2 years earlier than male

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

48. Suctioning tracheostomy Instill saline to remove mucus

plug

49. Homeopathic medicine Boost immune response

50. Injury prevention for pre-schoolers Set good example

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

52. Ovulation period Cycle in days minus 14 days

53. Findings in hypoxemia Restlessness Irritability

Nursing Bullets www.nurseacademy.blogspot.com

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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

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

84. Congestive heart failure with

pulmonary edema Decreased cardiac output

85. Volume overload S3 heart sound

86. 5th disease (erythema infectiosum) Not contagious, does not need

isolation

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

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

99. School aged children Obesity is the common disorder

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