1
Q
LPN delegations
A
Meds xcpt IV Suture removal Insertion of NGT Removal catheter Wound dressing
2
Q
UAP
A
Hygiene Occult blood test Specimen collection Soapsuds enema Fingerstick geria Ambulation Pulse ox
3
Q
Multigated axial scan (MUGA Scan)
A
✔️ filling capacity of left ventricle Persantine stress test Thallium scan / heart scan Measure viability of heart walls X for pts with recent heart attack
4
Q
Durogesic patch
Fentanyl patch
Narcotic patch
A
For chronic pain that last for 3-7 days Apply to flat non irritated skin like chest flank upper arm or back Can be worn during bath Overdose: DOB Antidote: naloxone
5
Q
Garamycin S/E
A
Ototoxicity Nephrotoxicity Hypomagnesemia Muscular paralysis Hypersensitivity
6
Q
Cleft palate
A
Large nipple Stimulate sucking Swallow Rest Burp frequently
7
Q
Bed pan
D&D
A
Lower the bed Lift buttocks Slide bedpan towards client Promote privacy Label specimen
8
Q
Allen’s test
A
Locate radial and ulnar artery Close hand Obstruct blood flow Open hand and observe for paleness Release ulnar artery Observe flushing
9
Q
Blood transfusion reaction
A
Hemolytic reaction Allergic reaction Circulatory overload Septicemia Fe overload Hypocalcemia (give Ca Gluconate) Disease transmission Hyperkalemia Citrate intoxication
10
Q
Cancer rank accdg. to
MORBIDITY
A
Breast
Prostate
Lung
Colon
11
Q
Disseminated intravascular coagulation
A
Brusing Purpura Occult blood ⬇️fibrinogen ⬇️platelet ⬆️Hct ⬆️ PT/ PTT Complication: renal failure
12
Q
Airborne precaution
A
Measles
TB
Varicella (chicken pox)
13
Q
Neutropenic/Protective precaution
A
Blood dycrasias Aplastic anemia (pancytopenia - bone marrow ⬇️) Leukemia Major burns (>50%) Organ transplant AIDS Multiple Myeloma Prolonged steroid therapy (>6monrhs) - cushing like symptoms
14
Q
Steroid therapy
(Lone/sone)
IGOTCHA
A
Insomnia ( give steroid in AM PC) Immunosuppression Gastric upset (r/f PUD) Osteoporosis (r/f fracture) Tachycardia Cushing's Hirsutusm/ Virilism
Do not abruptly stop
R/f addisonian crisis if not tapered
15
Q
Glaucoma
A
Blurred vision Lights with halos Decreased peripheral vision Pain (close angled) Headache Miotics Carbonic anhydrase inhibitors Avoid heavy lifting
DOC
Open: Acetazolamide
Timolol
Close: Miotics
BULLETS
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