Nursing Mnemonics 2009

MNEMONICS FOR NURSES 09
HYPERNATREMIA
FRIED SALT
F - Fever (low), flushed skin
R - Restless (irritable)
I - Increased fluid retention & increased BP
E - Edema (peripheral and pitting)
D - Decreased urinary output, dry mouth

SALT
S - Skin flushed
A - Agitation
L - Low-grade fever
T - Thirst

HYPERKALEMIA - Signs & Symptoms
MURDER
M - Muscle weakness
U - Urine, oliguria, anuria
R - Respiratory distress
D - Decreased cardiac contractility
E - ECG changes
R - Reflexes, hyperreflexia, or areflexia (flaccid)

HYPERKALEMIA - Causes
MACHINE
M - Medications - ACE inhibitors, NSAIDS
A - Acidosis - Metabolic and respiratory
C - Cellular destruction - Burns, traumatic injury
H - Hypoaldosteronism/ hemolysis
I - Intake - Excessive
N - Nephrons, renal failure
E - Excretion - Impaired

HYPOCALCEMIA
CATS
C - Convulsions
A - Arrhythmias
T - Tetany
S - Spasms and stridor

BLEEDING - S/Sx
BEEP
B - Bleeding gums
E - Ecchymoses (bruises)
E - Epistaxis (nosebleed)
P - Petechiae (tiny purplish spots)

RESPIRATORY DEPRESSION - inducing drugs
STOP breathing
S - Sedatives and hypnotics
T - Trimethoprim
O - Opiates
P - Polymyxins

PNEUMOTHORAX - S/Sx
P-THORAX
P - Pleuretic pain
T - Trachea deviation
H - Hyperresonance
O - Onset sudden
R - Reduced breath sounds (& dypsnea)
A - Absent fremitus
X - X-ray shows collapse

PNEUMONIA - risk factors
INSPIRATION
I - Immunosuppression
N - Neoplasia
S - Secretion retention
P - Pulmonary oedema
I - Impaired alveolar macrophages
R - RTI (prior)
A - Antibiotics & cytotoxics
T - Tracheal instrumentation
I - IV dug abuse
O - Other (general debility, immobility)
N - Neurologic impairment of cough reflex, (eg NMJ disorders)

CROUP - S/Sx
SSS
S - Stridor
S - Subglottic swelling
S - Seal-bark cough

SHORTNESS OF BREATH - Causes
AAAA PPPP
A - Airway obstruction
A - Angina
A - Anxiety
A - Asthma
P - Pneumonia
P - Pneumothorax
P - Pulmonary Edema
P - Pulmonary Embolus

CARDIAC VALVES

"TRI before you BI":

Tricuspid valve is located in left heart and Bicuspid valve is located in right heart. Blood flows through the tricuspid before bicuspid.


FEMORAL HERNIA

FEMoral hernias are more common in FEMales.


"TRY PULLING MY AORTA":

Tricuspid

Pulmonary

Mitral

Aorta


PLACENTA-CROSSING SUBSTANCES

"Want My Hot Dog":

Wastes

Antibodies

Nutrients

Teratogens

Microorganisms

Hormones/ HIV

Drugs


EMERGENCY MEDICINE
ACTIVATED CHARCOAL: CONTRAINDICATIONS
CHEMICAL CamP:
Cyanide

Hydrocarbons

Ethanol

Metals

Iron

Caustics

Airway unprotected

Lithium

CAMphor

Potassium


IPECAC: CONTRAINDICATIONS

4 C's:

Comatose

Convulsing

Corrosive

hydroCarbon


ATRIAL FIBRILLATION: CAUSES OF NEW ONSET

THE ATRIAL FIBS:

Thyroid

Hypothermia

Embolism (P.E.)

Alcohol

Trauma (cardiac contusion)

Recent surgery (post CABG)

Ischemia

Atrial enlargement

Lone or idiopathic

Fever, anemia, high-output states

Infarct

Bad valves (mitral stenosis)

Stimulants (cocaine, theo, amphet, caffeine)


ENDOTRACHEAL TUBE DELIVERABLE DRUGS

O NAVEL:

Oxygen

Naloxone

Atropine

Ventolin (albuterol)

Epinephrine

Lidocaine


MALARIA: COMPLICATIONS OF FALCIPARUM MALARIA

CHAPLIN:

Cerebral malaria/ Coma

Hypoglycemia

Anaemia

Pulmonary edema

Lactic acidosis

Infections

Necrois of renal tubules (ATN)


MI: IMMEDIATE TREATMENT

DOGASH:

Diamorphine

Oxygen

GTN spray

Asprin 300mg

Streptokinase

Heparin


PAIN HISTORY CHECKLIST

OLDER SAAB:

Onset

Location

Description (what does it feel like)

Exacerbating factors

Radiation

Severity

Associated symptoms

Alleviating factors

Before (ever experience this before)


SHOCK: SIGNS AND SYMPTOMS

TV SPARC CUBE:

Thirst

Vomiting

Sweating

Pulse weak

Anxious

Respirations shallow/rapid

Cool

Cyanotic

Unconscious

BP low

Eyes blank


SUBARACHNOID HEMORRHAGE (SAH) CAUSES

BATS:

Berry aneurysm

Arteriovenous malformation/ Adult polycystic kidney disease

Trauma (eg being struck with baseball bat)

Stroke


VENTRICULAR FIBRILLATION: TREATMENT

"Shock, Shock, Shock, Everybody Shock, Little Shock, Big Shock, Momma Shock, Poppa Shock":

Shock= Defibrillate

Everybody= Epinephine

Little= Lidocaine

Big= Bretylium

Momma= MgSO4

Poppa= Pocainamide


VFIB/VTACH DRUGS USED ACCORDING TO ACLS

"Every Little Boy Must Pray":

Epinephrine

Lidocaine

Bretylium

Magsulfate

Procainamide


DIABETIC KETOACIDOSIS MANAGEMENT

KING UFC:

K+ (potassium)

Insulin (5u/hour. Note: sliding scale no longer recommended in the UK)

Nasogastic tube (if patient comatose)

Glucose (once serum levels drop to 12)

Urea (check it)

Fluids (crytalloids)

Creatinine (check it)/ Catheterize


NEUROLOGICAL FOCAL DEFICITS

10 S's:

Sugar (hypo, hyper)

Stroke

Seizure (Todd's paralysis)

Subdural hematoma

Subarachnoid hemorrhage

Space occupying lesion (tumor, avm, aneurysm, abscess)

Spinal cord syndromes

Somatoform (conversion reaction)

Sclerosis (MS)

Some migraines


COMA: CONDITIONS TO EXCLUDE AS CAUSE

MIDAS:

Meningitis

Intoxication

Diabetes

Air (respiratory failure)

Subdural/ Subarachnoid hemorrhage


MALIGNANT HYPERTHERMIA TREATMENT

"Some Hot Dude Better Give Iced Fluids Fast!" (Hot dude = hypothermia):

Stop triggering agents

Hyperventilate/ Hundred percent oxygen

Dantrolene (2.5mg/kg)

Bicarbonate

Glucose and insulin

IV Fluids and cooling blanket

Fluid output monitoring/ Furosemide/ Fast heart [tachycardia]


RESUSCITATION: BASIC STEPS

ABCDE:

Airway

Breathing

Circulation

Drugs

Environment


RLQ PAIN: DIFFERENTIAL

APPENDICITIS:

Appendicitis/ Abscess

PID/ Period

Pancreatitis

Ectopic/ Endometriosis

Neoplasia

Diverticulitis

Intussusception

Crohns Disease/ Cyst (ovarian)

IBD

Torsion (ovary)

Irritable Bowel Syndrome

Stones

Acid-base—"ROME" (Respiratory Opposite, Metabolic Equal)

Acidosis

» Respiratory (opposite): pH Pco2

» Metabolic(equal): pH HCO3

Alkalosis

» Respiratory (opposite): pH Pco2

» Metabolic(equal): pH HCO3


Alcohol withdrawal: clinical features—"HITS"

Hallucinations (visual, tactile)

Increased vital signs and insomnia

Tremens delirium tremens (potentially lethal)

Shakes/ Sweats/ Seizures/ Stomach pains (nausea, vomiting)


Angina: precipitating factors—"4E's"

Eating

Emotion

Exertion (Exercise)

Extreme Temperatures (Hot or Cold weather)


Anorexia nervosa: clinical features—"ANOREXIC"

Adolescent women/ Amenorrhea

NGT alimentation (most severe cases)

Obsession with losing weight/ becoming fat though underweight

Refusal to eat (5% die)

Electrolyte abnormalities (e.g., K+, cardiac arrhythmia)

X - ercise

Intelligence often above average/ Induced vomiting

Cathartic use (and diuretic abuse)


Appendicitis: assessment—"PAINS"

Pain (RLQ)

Anorexia

Increased temperature, WBC (15,000–20,000)

Nausea

Signs (McBurney's, Psoas)


Neurovascular Occlusion: symptoms— "6 P's"

Pain

Pale

Pulseless

Paresthesia

Poikilothermic

Paralysis


Blood glucose (rhyme)

Symptom Implication

Cold and clammy . . . give hard candy

Hot and dry . . . glucose is high


Blood vessels in umbilical cord—"AVA" (2 arteries and 1 vein)

Artery

Vein

Artery


Cholecystitis: risk factors—"5F's"

Female

Fat

Forty

Fertile

Fair


Cleft lip: nursing care plan (postoperative)—"CLEFT LIP"

Crying, minimize

Logan bow

Elbow restraints

Feed with Brecht feeder

Teach feeding techniques; two months of age (average age at repair)

Liquid (sterile water), rinse after feeding

Impaired feeding (no sucking)

Position—never on abdomen


Cognitive disorders: assessment of difficulties—"JOCAM"

Judgment

Orientation

Confabulation

Affect

Memory


Coma: causes—"A-E-I-O-U TIPS"

Alcohol, acidosis (hyperglycemic coma)

Epilepsy (also electrolyte abnormality, endocrine problem)

Insulin (hypoglycemic shock)

Overdose (or poisoning)

Uremia and other renal problems

Trauma; temperature abnormalities (hypothermia, heat stroke)

Infection (e.g., meningitis)

Psychogenic ("hysterical coma")

Stroke or space-occupying lesions in the cranium


Complication of severe preeclampsia—"HELLP" syndrome

Hemolysis

Elevated Liver enzymes

Low Platelet count


Cushing's syndrome: symptoms—"3S's"

Sugar (hyperglycemia)

Salt (hypernatremia)

Sex (excess androgens)


Diabetes: signs and symptoms—"3P's,"

Polydipsia (very thirsty)

Polyphagia (very hungry)

Polyuria (urinary frequency)


Diet: low cholesterol—avoid the "3C's"

Cake

Cookies

Cream (dairy, e.g., milk, ice cream)


Dystocia: etiology—"3P's"

Power

Passageway

Passenger


Dystocia: general aspects (maternal)—"3P's"

Psych

Placenta

Position


Episiotomy assessment—"REEDA"

Redness

Edema

Ecchymosis

Discharge

Approximation of skin


Eye medications

Mydriatic = dilated pupils

Miotic = tiny (constricted) pupils


Hypertension: complications—"4 C's"

CAD (coronary artery disease)

CHF (congestive heart failure)

CRF (chronic renal failure)

CVA (cardiovascular accident; now called brain attack or stroke)


Hypertension: nursing care plan— "I-TIRED"

Intake and output (urine)

Take blood pressure

Ischemia attack, transient (watch for TIAs)

Respiration, pulse

Electrolytes

Daily weight


Hypoglycemia: signs and symptoms—"DIRE"

Diaphoresis

Increased pulse

Restless

Extra hungry


Infections during pregnancy—"TORCH"

Toxoplasmosis

Other (hepatitis B, syphilis, group B beta strep)

Rubella

Cytomegalovirus

Herpes simplex virus


IUD: potential problems with use—"PAINS"

Period (menstrual: late, spotting, bleeding)

Abdominal pain, dyspareunia

Infection (abnormal vaginal discharge)

Not feeling well, fever or chills

String missing


Manipulation: nursing plan—promote the "3C's"

Cooperation

Compromise

Collaboration


Medication administration—"six rights"

RIGHT medication

RIGHT dosage

RIGHT route

RIGHT time

RIGHT client

RIGHT technique


Melanoma characteristics—"ABCD"

Asymmetry

Border

Color

Diameter


Mental retardation: nursing care plan—"3R's"

Regularity (provide routine and structure)

Reward (positive reinforcement)

Redundancy (repeat)


Myocardial infarction: treatment—"MONA"

Monitor/ Morphine

Oxygen

Nitroglycerin

Aspirin


Newborn assessment components—"APGAR"

Appearance

Pulse

Grimace

Activity

Respiratory effort


Obstetric (maternity) history—"GTPAL"

Gravida

Term

Preterm

Abortions (SAB, TAB)

Living children


Oral contraceptives: signs of potential problems—"ACHES"

Abdominal pain (possible liver or gallbladder problem)

Chest pain or shortness of breath (possible pulmonary embolus)

Headache (possible hypertension, brain attack)

Eye problems (possible hypertension or vascular accident)

Severe leg pain (possible thromboembolic process)


Pain: assessment—"PQRST"

What Provokes the pain?

What is the Quality of the pain?

Does the pain Radiate?

What is the Severity of the pain?

What is the Timing of the pain?


Pain: management—"ABCs"

Ask about the pain

Believe when clients say they have pain

Choices—let clients know their choices

Deliver what you can, when you said you would

Empower/Enable clients' control over pain


Postoperative complications: order—"4W's"

Wind (pulmonary)

Wound

Water (urinary tract infection)

Walk (thrombophlebitis)


Preterm infant: anticipated problems—"TRIES"

Temperature regulation (poor)

Resistance to infections (poor)

Immature liver

Elimination problems (necrotizing enterocolitis [NEC])

Sensory-perceptual functions (retinopathy of prematurity [ROP])


Psychotropic medications: common antidepressives (tricyclics)—"VENT"

Vivactil

Elavil

Norpramin

Tofranil


Schizophrenia: primary symptoms—"4A's"

Affect

Ambivalence

Associative looseness

Autism


Sprain: nursing care plan—"RICE"

Rest

Ice

Compression

Elevation


Stool assessment—"ACCT"

Amount

Color

Consistency

Timing


Tracheoesophageal fistula: assessment—"3Cs"

Coughing

Choking

Cyanosis


Traction: nursing care plan—"TRACTION"

Trapeze bar overhead to raise and lower upper body

Requires free-hanging weights; body alignment

Analgesia for pain, prn

Circulation (check color and pulse)

Temperature (check extremity)

Infection prevention

Output (monitor)

Nutrition (alteration related to immobility)


Transient ischemic attacks: assessment—"3Ts"

Temporary unilateral visual impairment

Transient paralysis (one-sided)

Tinnitus = vertigo


Trauma care: complications—"TRAUMA"

Thromboembolism; Tissue perfusion, altered

Respiration, altered

Anxiety related to pain and prognosis

Urinary elimination, altered

Mobility impaired

Alterations in sensory-perceptual functions and skin integrity (infections)


Wernicke-Korsakoff syndrome (alcohol-associated neurological disorder)—"COAT RACK"


Wernicke's encephalopathy (acute phase)

clinical features:

Confusion

Ophthalmoplegia

Ataxia

Thiamine is an important aspect of Tx


Korsakoff's psychosis (chronic phase)

characteristic findings:

Retrograde amnesia (recall of some old memories)

Anterograde amnesia (ability to form new memories)

Confabulation

Korsakoff's psychosis

SIGNS OF CANCER

Change in bowel /bladder habits

A sore that doesn’t heal

Unusual bleeding/ Discharge

Thickening of lump – breast or elsewhere

Indigestion/ Dysphagia

Obvious change in wart/ mole

Nagging cough/ hoarseness


Unexplained anemia

Sudden weight loss



FOCUS OF PATIENT CARE IN CLIENTS WITH CANCER

Chemotherapy

Assess body image disturbance (related to alopecia)

Nutritional needs when N/V present

Comfort from pain

Effective response to Tx? (Evaluate)

Rest (for patient and family)

Basic MI management - "BOOMAR"

Bed rest

Oxygen

Opiate

Monitoring

Anticoagulation

Reduce clot size


To Remember Immunoglobulins - "GAMED"

IgG

IgA

IgM

IgE

IgD


Location of the heart valve from right to left - "A Permanently Temperamental Man"

Aortic

Pulmonary

Tricuspid

Mitral


"Cut C4, breathe no more"

The 3rd, 4th and 5th cervical spinal nerves innervate the diaphragm.


Types of Joint movements - "FEEDPIPE CARDSHARP"

Flexion

Extension

Eversion

Dorsiflexion

Pronation

Inversion

Plantarflexion

Elevation

Circumduction

Abduction

Rotation

Depression

Supination

Hyperextension

Adduction

Retraction

Protraction


Cranial Nerves - "Oh Ohh Ohhh To Try And Fit A Gold Velvet So Heavenly"

Olfactory CN I

Optic CN II

Occulomotor CN III

Trochlear CN IV

Trigeminal CN V

Abducens CN VI

Facial CN VII

Auditory CN VIII

Glasopharyngeal CN IX

Vagus CN X

Spinal/Accessory CN XI

Hypoglossal CN XII


"Point and Shoot!"

For remembering that Parasympathetics are involved with erection and Sympathetics with ejaculation.


Layers of the scalp - "SCALP"

Skin

Connective tissue

Aponeurosis

Loose areolar tissue

Pericranium


Carpal bones of the hand (lateral to medial) - "She Looks Too Proud, Try To Chase Her"

Proximal row:

Scaphoid

Lunate

Triquetrum

Pisiform

Distal row:

Trapezium

Trapezoid

Capitate

Hamate


Viruses causing diarrhea - "ACNE CAR"

Adeno virus

Corana virus

Norwak virus

Entero virus

Calci virus

Astro virus

Rota virus


The Krebs cycle - "Can I Actually See Some Filipina Mothers"

Citrate

Isocitrate

alpha Ketoglutarate

Succinyl CoA

Succinate

Fumarate

Malate

Oxaloacetate


Stages of mitosis/meiosis including interphase as a phase - "In Philippines, Men Are Talented"

Interphase

Prophase

Metaphase

Anaphase

Telophase


Order of prevalence of White Blood Cells, most prevalent to least - "Never Let Monkeys Eat Bananas"

Neutrophils

Lymphocytes

Monocytes

Eosinophils

Basophils


10 essential amino acids - "PVT. TIM HALL"

Phenylalanine

Valine

Tryptophan

Threonine

Isoleucine

Metheonine

Histidine(semi-essential)

Arginine(semi-essential)

Leucine

Lysine


Uses of Chloroquine (other than malaria) - "RED LIP"

Rheumatoid arthritis

Extra intestinal amoebiasis

Discoid lupus erythematosus

Lepra reaction

Infectious mononucleosis

Photogenic reactions


Bronchodilators - "TO A SIS"

Terbutaline

Orciprenaline

Adrenaline

Salbutamol

Isoprenaline

Salmeterol


Signs of cor pulmonale - "Please Read His Text"

Peripheral edema

Raised JVP

Hepatomegaly

Tricuspid incompetence


Portal hypertension features - "ABCDE"

Ascites

Bleeding (hematemesis, piles)

Caput medusae

Diminished liver

Enlarged spleen


Key questions needed in an emergency history taking situation - "AMPLE"

Allergies

Medication

Past medical history

Last meal

Events and environment related to injury


Malignancies that metastisize to bone - "Laging Panalo Kung Taga Bulacan"

Lung

Prostat

Kidney

Thyroid

Breast


Six "S" in Scarlet Fever

Streptococci causal organism

Sorethroat

Swollen tonsils

Strawberry tongue

Sandpaper rash

miliarySudamina vesicles over hands, feet, abdomen


Signs of anti-cholinergic crisis - "SLUD"

Salivation

Lacrimation

Urination

Defecation


Causes of huge spleen - "3M's"

Myelofibrosis

Malaria

Myelogenous leukemia


Cardinal Symptoms of Parkinson's Disease - "TRAP"

Tremor

Rigidity

Akinesia and bradykinesia

Postural Instability


Days of appearance of rashesVaricella(chickenpox) - "Very Sick Patients Must Take Double Exercise"

1st dayScarlet fever

2nd dayPox(smallpox)

3rd dayMumps

4th dayTyphus

5th dayDengue

6th dayEnteric fever(typhoid)
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SHOCK – HYPOTACHYTACHY


HYPOTENSION

TACHYPNEA

TACHYCARDIA




INCREASE ICP – HYPERBRADYBRADY


CUSHINGS TRIAD:

HYPERTENSION (WIDE PULSE PRESSURE)

BRADYCARDIA

BRADYPNEA




HYPOGLYCEMIA


TREMORS, TACHYCARDIA

IRRITABILITY

RESTLESSNESS

EXTREME

DIAPHORESIS




EARLY SIGNS OF HYPOXIA

RESTLESSNESS

AGITATION

TACHYCARDIA




LATE SIGNS OF HYPOXIA

BRADYCARDIA

EXTREME RESTLESSNESS

DYSPNEA

CYANOSIS




CONGESTIVE HEART FAILURE


DIGOXIN

MORPHINE

AMINOPHYLLINE

DOPAMINE

DIURETICS

O2

GASSES – MONITOR (ABG)




MG SO4 TOXICITY


BP DECREASE

URINE OUTPUT DECREASE

RESPIRATORY RATE DECREASE

PATELLAR REFLEX ABSENT




SICKLE CELL DISEASE

HYDRATION

OXYGENATION

PAIN

INFECTION

AVOID HIGH PLACES




PREGNANCY INDUCED HYPERTENSION

HEMOLYSIS

ELEVATED LIVER ENZYMES

LOW

PLATELETS




GI SYMPTOMS AND TOXICITY TO DIGOXIN


VOMITTING

ANOREXIA

NAUSEA

DIARRHEA

ABDOMINAL PAIN




FRACTURE


PRESSURE

REST

ICE

COMPRESSION

ELEVATION




TETRALOGY OF FALLOT

DISPLACED AORTA

RIGHT VENTRICULAR HYPERTROPHY

OPENING INTO THE SEPTUM (VSD)

PULMONARY STENOSIS




HYPOKALEMIA


SKELETAL MUSCLE WEAKNESS

U-WAVE ON ECG

CONSTIPATION

TOXICITY TO DIGOXIN

IRREGULAR WEAK PULSE

OTOSTASIS

NUMBNESS PARESTHESIA




PAIN ASSESSMENT


PROVOCATION

QUALITY

RADIATION, RELIEF

SEVERITY

TIME




NEUROVASCULAR CHECK

PAIN

PULSELESSNESS

PARESTHESIA

PARALYSIS

PALLOR




VIRCHOW’S TRIAD IN DVT


VENUS STASIS

DAMAGE TO VESSELS

HYPERCOAGUABILITY

ABDOMINAL AORTIC ANEURISM (4A)


ASSYMPTOMATIC

ABDOMINAL MASS

ABDOMINAL PULSE

ACHES LOW BACK

ANTI TB DRUGS AND SIDE EFFECTS


RIFAMPICIN – RED-ORANGE URINE

ISONIAZID – PERIPHERAL NEURITIS

PYRAZINAMIDE – INCREASE URIC ACID

ETHAMBUTOL – EYE PROBLEMS

STREPTOMYCIN – OTOTOXIC



USE STRAW BECAUSE THESE DRUGS STAIN THE TEETH

L - LUGOL'S SOLUTION

I - IRON

N - NITROFURANTOIN

T - TETRACYCLINE


LR6 - LATERAL RECTUS : CN6

SO4 - SUPERIOR OBLIQUE : CN4

ALL3 - ALL THE REST : CN3


RADIATION TX VIA:

MUSTARD

ESTROGEN

NITROGEN

STEROIDS

ANTIBIOTICS


DILUTE DECREASE OSMOLALITY

please click

NCLEX STYLE QUESTIONS: HEMATOLOGIC DISORDERS

1. Function of spleen is:

- Remove old RBC, platelet, microorganism

2. Organ is large in childhood

- Thymus

3. Avoid taking oral iron preparation in which of the ff.?

-Milk

4. Type of anemia due to decreased/absent function of bone marrow?

-Hypoplastic

5. S gene (HbSA) has sickle trait, which of the statement about client is true?

-Asymptomatic, but is carrier may pass it on to the offspring.

6. A client has aplastic anemia has not respond to medication. Best hope is for:

-Bone marrow transplant from an HLA matched sibling donor

7. An appropriate nursing intervention for a client with “Ineffective tissue perfusion related to a decreased number of RBC”

-administer oxygen as needed.

8. A client with Hodkin’s Disease

-Localized Hodkin’s Stage IB

9. A client

-Client should be referred to support groups, social worker, clergy

10. During radiation which of these is important teaching (after)

-Fluid intake of at least 2500 ml.

11. Another name for acute chest syndrome

-a type of pneumonia

12. What are the signs of leucopenia that a nurse needs to monitor for when caring for a client taking meds that depress the hematopoietic system?

- Fever & Sore Throat

13. In a client with lymphatic system disorder, which of the following physical assessment is a priority for a nurse to perform?

-Inspect tonsils for size/appearance

- client undergoing treatment

14 Client with thallasemia, what is the role of the nurse during a transfusion?

- to closely monitor the rate of administration

15. Patient with sickle cell anemia, why does the nurse auscultate the lungs and heart?

- To detect the abnormal sound suggestive of acute chest syndrome and heart failure

16. If an older adult it anemic, which of the following is usually suspected?

- blood loss from the gastrointestinal or genitourinary tract

17. A young male client is diagnosed with lymphosarcoma. The client is bedridden for quite a few days but the nurse should help the client perform the activities related to self-care. Which of the following strategies may the nurse use to help perform simple ADL?

-Divide the care into manageable amounts and prioritize activities.

18. A client with lymphosarcoma experiences nausea after chemotherapy. Which of the following measures should the nurse suggest to help client reduce feeling of nausea?

-offer clear liquid (carbonated beverage, water, icepops)

19. Early symptoms of a sudden loss of blood (hypovolemia) include

- extreme pallor

20. All of the following are appropriate nursing intervention for dx of “Altered tissue perfusion related to decreased number of RBC’s & decreased oxygen except”

-restricting fluid intake to avoid fluid overload

21. Which of the following food sources is high in iron:

-eggs

22. One food rich in folic acid is

-broccoli

23. Which of the following recommended for folic acid deficiency anemia?

-oatmeal

24. A nurse is caring for a client with sickle cell crisis. The following are appropriate nursing intervention except:

-assess hand grip strength

25. A client with leukemia develops thrombocytopenia following chemotherapy. Based on this, which of the following nursing intervention is highest priority?

- monitor the client’s platelet count

26. The following are nursing intervention/client instruction in caring for client with pancytopenia except:

- Insert foley to monitor I &O

27. Client with leucopenia has a platelet count of 10,000/m3 Which of the following is priority nursing assessment

-Level of Consciousness

28. Sygenic cells are

- cells donated form the client’s identical twin

29. SAME QUESTION

-Blood loss from GI/genitourinary tract

30. Factors involved in the development of leukemia include the following except

- none of the above (Ionizing radiation, immunologic factors, exposure to chem./drugs

31. Presence of Reed-Sternberg’s cells in client’s ________ is pathognomonic of Hodgkin’s Lymphoma.

-lymph node

32. Anemia in client’s diagnosis with leukemia is secondary to

-increased production of wbc’s in bone marrow

33. Most common leukemia in adults older than 50 years old

-Chronic Lymphocytic

34. Lymphatic fluid in the left internal mammary nodes dreain through the _______ into the _______

-thoracic duct, left subclavian vein

35. Complex decongestive physiotherapy in lymphedema include the following except

-proximal massage of edematous areas to promote drainage

36. Which of the following should be consumed by a client with iron deficiency anemia to promote absorption?

-rich sources of vitamin c

37. Acute hypovolemic anemia from severe blood loss is evidenced by which of the following signs and symptoms of hypovolemic shock

-reduced urine output

38. A male college student has been diagnosed with an infectious mononucleosis affecting tonsils. An appropriate treatment is indicated to a client. Which of the following measures should the nurse suggest to prevent it

- refrain from sharing food/cigarettes with friends/peers

39. A client has been diagnosed with Hodgkin’s disease. Which of the following pertinent questions should the nurse ask the client to

- Are you experiencing fever, chills, night sweats?

39. Nurse is caring for a client with Hodgkin’s disease on a particular day, the client develops respiratory distress. Which of the following measures should be taken by the nurse to help client get relief?

-Keep neck in midline, keep in high fowlers

40. A client with Hodgkin’s disease is at risk for skin integrity due to pruritus. Which of the following intervention should a nurse perform for client skin to remain intact

-Apply ice to skin for brief periods

41. Which of the following is common method to use to promote lymphatic drainage/prevent edema in all client with lymphedema

-elevate the affected part of the body

42. Secondary lymphedema may develop secondary to the following except

-congenital lymphatic dysfunction

43. Infectious mononucleosis is caused by

-Epstein-Barr

44. Non-Hodgkin’s Lymphoma include the following except

-cystosarcoma phylloid