Med-Surg Nursing Flashcards

Terms Definitions
epistaxis
nosebleed
neuropeptides
type of neurotransmitter
nasopharyngitis treatment
treat symptoms
fluids
HOB up
vaporizer
NS nose drops
addiction
compulsive, uncontrollable dependence on a substance, habit, or practice to such a degree that cessation causes severe emotional, mental, or physiologic reactions
cancer reversing factors include:
anticarcinogens
antooxidants
certain drugs enzymes and food additives being studied
pseudofolliculitis
bacterial disorder caused by Staphylococcus aureus characterized by erythematous papules
PaO2 =
partial pressure, oxygen tension, amount of O2 dissolved in plasma, typically 3%
lab values indicating metabolic acidosis
ABG: pH
Pneumocystis carinii
fungus commonly causing opportunistic pneumonia in those with HIV infection
teaching
a process of deliberately arranging external conditions to promote the internal change that results in knowledge and/or a change in behavior
peritonsillar abscess treatment
antibiotics, needle aspiration, I&D, tonsillectomy as last resort
thrombocytopenia
hold arterial punctures:
> 5 mins
by the clock!
emergence delirium
aka "waking up wild", signs/sx include: restlessness, agitation, disorientation, thrashing and shouting. possible causes: anesthesia reaction, hypoxia, bladder distention, pain, residual neuromuscular blockade, or prsence of an endotrachial tube. FIRST SUSPECT HYPOXIA (and treat accordingly as oxygen deprivation is time sensitive).
Rhinitis
inflammation of the nasal cavities and nasopharyngeal areas
 
most common URI
 
acute (common cold)
chronic (allergenic hay fever)
pursed-lip breathing
a technique of exhaling against pursed lips to prolong exhalation, preventing bronchiolar collapse and air trapping
enzymatic debridement
removal of damaged tissue and cellular debris from a wound or burn using enzymatic agents that liquefy necrotic tissue
learning objectives
descriptions of the intended result of the learning process guide the selection of teaching strategies and materials and help evaluate patient and teacher progress
surfactant
a lipoprotein that lowers the surface tension in the alveoli
ideally V/Q should be
V and Q should match
chemo side effects
managing diarrhea
dietary
avoid fatty, gassy, irritating foods
avoid high residue/fiber foods and lactose
need high protein and CHO
small frequent meals
 
 
signs/sx of hyperkalemia
General sx: irritability, anxiety, abdominal cramping, diarrhea, weakness of lower extremities, paresthesias, irregular pulse, cardiac arrest if hyperkalemia sudden or severe.Electrocardiogram changes:Tall, peaked T wave, prolongeed PR interval, ST segmant depression, loss of P wave, widening QRS, ventricular fibrillation, Ventricular standstill.Interventions: avoid eating/drinking high potassium foods/fluids such as potatoes, bananas, orange juice, tomato juice
What is Acute Gastritis?
Benign, self-limiting; Ass. c ingestion of gastric irritants = ASA, ETOH, caffeine...
fluid spacing
the distribution of water in the body
brain death
the state in which the cerebral cortex stops functioning or is irreversibly destroyed
pleural friction rub
creaking or grating sound from roughened, inflamed surfaces of the pleura rubbing together, evident during inspiration, expiration, or both and no change with coughing; usually uncomfortable, especially on deep inspiration
residual volume
amount of air remaining in lungs after forced expiration, air available in lungs for gas exchange between breaths
physical screenings
breast
MD exam- Q3 years 20-40 y/o
annual at 40 y/o
Causes of HypoxemiaAssessments and Nursing interventions where indicated
Atelectasis secondary to/related to bronchial obstructions. Assess for decreased breath sounds, decreased O2 sats. Nursing interventions: Deep breathing, coughing, incentive spirometry.Pulmonary edema: assess for fluid overload, decreased O2 sats, assess lung sounds for crackles. Nursing intervention: restrict fluids.Pulmonary Embolism (PE): Assess for acute tachypnea, dyspnean, tachycardia, hypotension, decreased O2 saturation. (monitor vital signs closely for these signs/sx). Nursing intervention- cardiopulmonary support. Aspiration: monitor vitals for signs/sx of atelectasis, decreased O2 sats, unexplained tachypnea, respiratory failure. Nursing interventions: cardiac support.Bronchospasm: assess breath sounds for wheezing, dyspnea, tachypnea and decreased O2 sats. Nursing intervention: O2 therapy
burn
an injury to the tissues of the body caused by heat, chemicals, electrical current, or radiation
vital capacity
max air that can be exhaled after max inhalation
nursing interventions for oral candida
thorough mouth care (to remove infection), directing patient to wash mouth out after taking inhaled/nasal steroid medications. (preventive)
What are Verrucae?
Warts; lesions of the skin caused by HPV; can be anywhere on body; Plantar = bottom of foot, Flat = forehead or dorsum of hand, Condyloma acuminata = genital warts
the suction chamber is bubbling what do you do?
nothing it should be bubbling
A preschool child is undergoing bilateral myringotomy with tubes for the treatment of recurrent otitis media. The mother asks the nurse what the tubes will do. The nurse’s best response is that the tubes will
equalize pressures between the middle ear and the environment.
(patho review) What is the stress responsse?
elevated BP & HR, increased respirations
The nurse would conclude that the education goals of a client with stress incontinence have been met when the client: (Mark all that apply)
returns to previous level of activity.remains dry between voidings.maintains a bladder voiding program every three hours.
The client with end stage renal disease has received a kidney transplant. The client asks “Why do I need to take cyclosporine (sandimmune)?” The nurse’s best response is:
“It will help prevent rejection of the kidney by suppressing your immune system.”
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