Medical-Surgical Nursing Bullets Part 2 nclex nursing
This nclex nursing is related to medical-surgical nursing subject to liver disease, trauma, aspirin, electrolyte imbalances, immunization, lung aspiration, and brain damage.
Parenteral administration of heparin sodium is contraindicated in patients with renal or liver disease, GI bleeding, or recent surgery or trauma; in pregnant patients; and in women older than age 60.
Drugs that potentiate the effects of anticoagulants include aspirin, chloral hydrate, glucagon, anabolic steroids, and chloramphenicol.
For a burn patient, care priorities include maintaining a patent airway, preventing or correcting fluid and electrolyte imbalances, controlling pain, and preventing infection.
Elastic stockings should be worn on both legs.
Active immunization is the formation of antibodies within the body in response to vaccination or exposure to disease.
Passive immunization is the administration of antibodies that were performed outside the body.
A patient who is receiving digoxin (Lanoxin) shouldn’t receive a calcium preparation because of the increased risk of digoxin toxicity. Concomitant use may affect cardiac contractility and cause arrhythmias.
Intermittent positive-pressure breathing is inflation of the lung during inspiration with compressed air or oxygen. The goal of this inflation is to stay the lung open.
Wristdrop is caused by paralysis of the extensor muscles in the forearm and hand.
Footdrop results from excessive plantar flexion and is usually a complication of prolonged bed rest.
A patient who has gonorrhea may be treated with penicillin and probenecid (Benemid). Probenecid delays the excretion of penicillin and keeps this antibiotic within the body longer.
In patients who have glucose-6-phosphate dehydrogenase (G6PD) deficiency, the red blood cells can’t metabolize adequate amounts of glucose, and hemolysis occurs.
On-call medication is a medication that should be ready for immediate administration when the call to administer it’s received.
If gagging, nausea, or vomiting occurs when an airway is removed, the nurse should place the patient in a lateral position with the upper arm supported on a pillow.
When a postoperative patient arrives in the recovery room, the nurse should position the patient on his side or with his head turned to the side and the chin extended.
In the immediate postoperative period, the nurse should report a respiratory rate greater than 30, temperature greater than 100° F (37.8° C) or below 97° F (36.1° C), or a big drop by vital sign or rise in pulse from the baseline.
Irreversible brain damage may occur if the central nervous system is deprived of oxygen for more than 4 minutes.
A patient with acute renal failure should obtain a high-calorie diet that’s low in protein as well as potassium and sodium.
Addison’s disease is characterized by fatigue, anemia, weight loss, and bronze skin pigmentation without cortisol replacement therapy, it’s usually fatal.
Glaucoma is managed conservatively with beta-adrenergic blockers like timolol (Timoptic), which lowering sympathetic impulses that constrict the pupils.
When a patient is receiving heparin the nurse should observe the partial thromboplastin time.
Incontinence and urinary frequency can occur after catheter removal. Incontinence may be manifested as dribbling.
The primary sign of Hodgkin’s disease is painless, superficial lymphadenopathy, typically found under one arm or on one side of the neck within the cervical chain.
To differentiate true cyanosis from the deposition of certain pigments, the nurse should press the heal the discolored area. Cyanotic skin blanches, but pigmented skin doesn’t.
A patient who features a peptic ulcer is presumably to report pain during or shortly after eating.
The broaden pulse pressure is a sign of increasing intracranial pressure. The vital sign may rise from 120/80 to 160/60 torr. The difference between systolic and diastolic blood pressure
In a burn victim, a primary goal of wound care is to fend off contamination by microorganisms.
Patient who has had hip nailing, the nurse places trochanter rolls from the knee to the ankle of the affected leg to prevent external rotation.
Severe hip pain after the installing of a hip prosthesis indicates dislodgment. If this happens, before calling the physician, the nurse should assess the patient for shortening of the leg, external rotation, and absence of reflexes.
The maximum amount as 75% of renal function is lost before blood urea nitrogen and serum creatinine levels rise above normal.
When compensatory efforts are present in acid-base equilibrium, the partial pressure of arterial CO2 (PaCO2) and bicarbonate (HCO3–) always point within the same direction.