front 1 Celecoxib should not be taken if patient suffers from which conditions ? | back 1 Hypertension Kidney disease cardiovascular disease |
front 2 taking this medication for long term, puts you at risk for bleeding and acute kidney disease? | back 2 Celecoxib |
front 3 why should Celecoxib be taken with food? | back 3 to reduce GI distress |
front 4 when taking Celecoxib report which issues to your dr? | back 4 dark tarry stools, shortness of breath, edema, frequent dyspepsia (heart burn) hematemesis (blood vomit) |
front 5 How can Celecoxib cause CVD? | back 5 by vasoconstriction and platelet clumping (HTN and myocardial infarction) |
front 6 Mr Johnson came in complaining of pain and limping you suspect he has dislocated his hip what is your nursing intervention? | back 6 immobilization, neurovascular check, notify the dr/surgeon. for pre-op nutrition assessment then assess pain |
front 7 Which disease is associated with Crepitis (grinding sound in the knees)? | back 7 Osteoarthritis |
front 8 Which disease is associated Bouchard and Heberden Nodes? | back 8 Osteoarthritis |
front 9 Which disease gives you morning stiffness and is relieved with activity? | back 9 Rheumatoid Arthritis |
front 10 Which disease is Degenerative with Secondary Inflammation? | back 10 Osteoarthritis |
front 11 Which disease affects the upper extremities first? | back 11 Rheumatoid Arthritis |
front 12 Which lab levels should you look out for Rheumatoid Arthritis? | back 12 Elevated Rheumatoid Factor, Elevated ANA and Elevated ESR |
front 13 What are the side effects of a low chronic dose of Prednisone? | back 13 - Diabetes - Impaired Immunity (Stay away from sick people, low immune system) - Hypertension - Osteoporosis - Glaucoma - Fluid and Electrolyte Imbalance - Adrenal Insufficiency |
front 14 Which Medication is given for Rheumatoid Arthritis? | back 14 Sulfasalazine |
front 15 What symptoms can Sulfasalazine cause? | back 15 - Nausea - Vomiting - Skin Rash |
front 16 If your are allergic to ___________you should not take Sulfasalazine? | back 16 Sulfa Allergy |
front 17 Clinical presentation of hip fracture in the older adult? | back 17 - Groin Pain - Pain behind the knee - Pain in lower back or no pain at all - Patient cannot stand without pain - May have no pain and walk with a limp - Have a bulge |
front 18 What to do if you can't palpate a peripheral pulse( What is the next step) | back 18 Check a doppler first |
front 19 What to do for a traumatic amputation in the community? | back 19 - 1st call 911 - ASSESS patients ABC - Examen Amputation site - Apply pressure with gause - Elevate above the patients to decrease bleeding - Do not remove the dressing to prevent dislodging the clot - Covered severed finger with sterile gauze, place in water tight sealed plastic bag , place the bag in ice water, NEVER DIRECTLY ON ICE - |
front 20 Therapeutic communication with a patient s/p amputation? | back 20 - Do not use the word "Stump" - Coordinate meeting with active amputee about same age as patient - Do not underestimate loss of body part - |
front 21 (RICE Mneumonic) is used for what kind of injury? | back 21 Knee Injury |
front 22 What does RICE Mneumonic stand for? KNEE INJURY | back 22 - Rest - Ice - Compression - Elevate |
front 23 Which syndrome do you perform a Phalens Maneuver? | back 23 - Carpal Tunnel |
front 24 Which GI organ starts of Carbohydrate Digestion with Alpha-Amylase in Saliva | back 24 Oral |
front 25 What is the role of the Esophagus? | back 25 - Moves food/fluids from Pharynx to stomach - LES malfunction causes GERD |
front 26 What is the role of the stomach ? | back 26 Storage/ movement/ breakdown of food secrete HCI, Secrete pepsinogen (digestive enzyme) , Intrinsic factor |
front 27 Which GI organ makes insulin and glucagon ? (Endocrine Part) | back 27 Pancreas |
front 28 What is the pancreas exocrine role ? | back 28 secretes enzymes needed for digestion (protease, amylase, lipase) |
front 29 what the the Liver/gallbladder store ? | back 29 stores Fe, magnesium, Vitamins A,D,E.K, and B12 aids in protein Synthesis of plasma proteins (albumin, prothrombin, and fibrinogen stores glucagon, fatty acids, and TG's |
front 30 what is the role of the small intestine ? | back 30 movement (mixing and peristalsis) (moving food) digestion and absorption enzyme aid in digestion of protein, carbs, lipids |
front 31 What is the role of the large intestine? | back 31 movement, absorption and elimination absorption of water and some electrolytes |
front 32 What are some changes in the GI system with aging ? | back 32 Decreased iron and B12 absorption Decreased sensation to defecate (postponement of bowls) leads to constipation and impaction steatorrhea (fatty stool) occurs Depresses drug metabolism which can cause toxicity contributes to obesity, inflammatory disease and reduce immunity. |
front 33 Patient education about oral care? Stomatitis | back 33 Eat well balanced diet, weekly examinations of mouth, stay hydrated, dentures should be in good repair and fit, manage stress, brush and floss twice a day, avoid alcohol base mouth wash, avoid drugs that increase inflammation of mouth or reduce saliva flow |
front 34 active ingredient's of magic mouth wash Stomatitis | back 34 Benadryl hydrocortisone nystatin |
front 35 Patient education aphthous ulcers (canker sore) Stomatitis | back 35 Antifungal (nystatin, swish and spit, or clotrimazole lozenges) Bacteria ( chlorhexidine swish and sit) remove your dentures if severe stomatitis/oral pain perform oral hygiene 2x daily after meal or PRN oral care every 2 hrs or more if stomatitis is not controlled soft tooth brush or gauze, toothpaste free of sodium lauryl sulfate avoid commercial mouth washes and lemon glycerin swabs frequent rinse with warm saline/and or sodium bicarbonate(baking soda) |
front 36 What is the nursing priority for a patient with an oral tumor? oral tumor/cancer | back 36 AIRWAY |
front 37 What are the nurses interventions given this priority? oral tumor/cancer | back 37 Suction PRN, encourage hydration, chest physiotherapy(promote gas exchange) place in semi or high fowlers position feed patient small bites, or use thickened liquids (aspiration pre caution) Assess LOC, gag reflux, (before liquids) and ck ability to swallow. |
front 38 Which patients are at risk for oral cancer? oral tumor/cancer | back 38 Tobacco/alcohol use, HPV, occupation exposure (textile workers, plumbers, coal,/metal, workers periodontal disease (gum disease) where mandibular bone loss occurred |
front 39 inflammation of salivary gland is also called which people are at risk? | back 39 Acute sialadenitis immunologic compromise people (HIV) |
front 40 Acute Sialadenitis is associated with ? A symptom of Acute sialadenitis's is? if untreated what can it create ? | back 40 bacteria or virus decrease in saliva reduction an abscess |
front 41 Considerations for patients recovering from EGD What is the top priority ? GERD | back 41 to prevent aspiration. |
front 42 what are some considerations for a pateint recovering from a EGD procedure GERD | back 42 after the test check vital signs every 15-30 min until sedation wears off side rails of bed up during this time patient remain NPO until gag reflex returns (don't give anything until reflex intact) IV fluids discontinued once patient can tolerate oral fluids w/o nausea/vomiting monitor for signs of perforation (pain, bleeding, fever) someone must drive patient home, patient cannot drive 12-18 hrs after procedure hoarse voice/sore throat may persist for several days |
front 43 indications for a EGD test, which signs or symptoms might a patient have to prompt a provider to perform a EGD? GERD | back 43 general symptoms include abdominal pain difficulty swallowing nausea/vomiting bloody stools heart burn unexplained weight loss anemia testing Hpylori |
front 44 Dietary recommendations for GERD | back 44 limit fatty foods, spicy foods, caffeine, coffee, tea, cola, chocolate, nitrates, citrus fruits, tomatoes, alcohol, peppermint, spearmint, smoking, high estrogen levels,NG placement, calcium channel blockers. |
front 45 patient education LINX reflux manager, contact your provider before getting what kind of test ? | back 45 MRI |
front 46 WHAT IS A LINX PROCEDURE | back 46 ring composed of magnets, effective for patients with GERD, it corrects a weak esophageal. |
front 47 what are some risks for developing GERD ? | back 47 Hiatal hernias overweight Smoking, high estrogen/progesterone NG tube placement, taking calium channel blockers eating high fatty spicy foods anything that lowers LES (lower esophageal sphinders) is a risk for GERD |
front 48 Complications for extended use of PPI (proton, pump, inhibitors) | back 48 C-diff bone fractures chronic kidney injury vitamin/mineral deficiencies CAP (community acquired pneumonia) |