Oxytocin is used to stimulate an active labor pattern; nursing care includes administering with infusion pump, closely monitoring

mother and fetus; if contractions occur less than 2 min apart, last longer than 60 to 90s, or if there is significant change in fetal heart rate, stop infusion and turn client to left side. Osteomyelitis-infection of the bone caused by staph aureus, carried by blood from primary site of infection ( upper respiratory, otitis media and tonsillitis acyclovir- to treat genital herpes, herpes zoster and varicella) Cholecytectomy-surgical removal of the gallbladder,; monitor T-tube if present inserted to ensure drainage from bile from common bile duct until edema in area diminishes; check amount of drainage-usually 500-1,000 mL/day, protect area from the incision, position pt in semi fowlers Pancreatic cx-6 months to live after diagnosis Infectious mononucleosis- acute, self limiting infections dz caused by the herpes like Epstein barre virus: sxs- malaise, fever, enlarged lymph nodes, sore throat, flulike aches; tansmission is thru direct contact with secretion- avoid contact with saliva ( cups & silverware) avoid aspirn, avoid strenuous exercise due to rupture of spleen Hypercalcemia: muscle weakness, lack of coordination, constipation, abdominal pain and distentsion, confusion, depressed or absent tendon reflexes,, dysrhythmias. Sleep apnea: avoid alcohol and medications that depress the upper airway, wight reduction diet and activity, use of cpap and bipap Sputum specimen: obtained to determine pathogenic organisms and to identify malignant cells; early morning specimen best; encourage client to clear nose and throat and rinse mouth, instruct patient to deep breathe , cough, and expectorate specimen into sterile container, deliver specimen to the lab within 2 hrs Lactulose- laxative administered for tx of hepatic encephalopathy, decreased blood ammonia by excreting it in stool; side effects: belching, cramping, distention, flatulence. Nursing L mixng with fruit juice, water, milk, or carbonated citrus beverage, admin with full glass of liquid, giving on empty stomach for more rapid results. Assess pts mental status throughout treatment. Ineffective endocarditis: infection of heart lining and valves; indications include fever, malaise, back and joint pain, splinter hemorrhages under fingernails and toenails, petechiae in conjunctive and mucous membranes, heart murmur, nursing care includes IV antibiotics for 4-6 weeks

BuSpar- anti-anxiety med

Normal newborn: RR: 30-50; HR 120-140; bp 80/40

Hydrocephalus- position on the unoperative side, keep flat to prevent complication of due to rapid reduction of intracranial fluid, assess for increased ICP & infection Postural drainage- a component to chest physiotherapy Placenta previa- abnormally implanted near or over the cervical opening; indication include painless bright red vaginal bleeding accompanied by soft uterus usually in third trimester bewee 29 & 30 weeks, caused by scarring of uterus from pregnancy, tumor, or treatments includes bedrest, ultrasound to locate placenta, no vaginal/rectal exams before fetal vviability, amniocentesis for lung maturity, daily hgb and hct Total hip replacement- complication includes: dislocation of hip prosthesis, excessive wound drainage, thromboembolism, and infection; nursing responsibilities : positioned leg in aduction, abduction splints, wedge, or 2-3 pillows used between the legs, hip should not b e flexed more than 45 to 60 degrees, and the head of the bed should not be elevated more than 45 degrees, to use a fracture bedpan, the pt should flex unoperaed hip and use a trapeze while lifting the pelvis; semi reclining toilet seats and wheelchairs are used to prevent hip joint flexion Postpartum: check lochia ( color, volume) day 1-3 rubra ( bloody with fleshy odor, may have clots; day 4-9 serosa ( pink/rown with fleshy odor); day 10+ alba ( yellowwhite)Fundus should be at or 1 cm/finger breadth above the umbilicus for the first 12 hr, then descent by one finger breadth each succeeding day; The first stage of labor is divided into three phases: Phase one ( latent): cervix is dilated 0-3 cm, contractions 10-30 sec long. 530 min aport, mild to moderate Phase two ( active); cervix is dilated t 4-7 cm, contractions 30-40 sec long, 35 min apart, moderate to strong Phase three ( transition): cervix is dilated 8-10 cm, contractions are 45-90 sec long, 2-3 min apart, strong, impending delievery marked by increase in dark

red bloody show, increased urgency to bear down; Second stage: from full dilation of cervix to delivery of baby Third stage: birth of baby to expulsion of placenta Fourth stage: first 2 hr after the birth of the baby

Parkinsons disease: characterized by fine, slowly spreading tremor, muscular rigidity, and altered gate; nursing care include encouraging finger exercises, e.g typing, piano-playing, rom, Ambulation: goose stepping walk, walk with wider base, concentrate on swinging arms while walking, turn around slowly using small steps. Intellect not impaired, sight and hearing are intact. Meds: cogentitn, L-dopa, sinemet, symmetrel

Ultrasound- done as early as 5 weeks to determine pregnancy-client must drink fluid prior to test to have full bladder to assist in clarity Defense mechanisms: denial-failure to acknowledge intolerable thoughts, feelings, experience , or reality Displacement- redirection of emotions or feelings to a subject that is more acceptable Or less threatening.

Projections: attributing to others ones feelings, impulses, thoughts, or wishes

Undoing : : an attempt to earse an act, thought , or desire Compensation: attempt to overcome a real or imagined shortcoming Repression: unacceptable thoughts kept from awaremness Suppression : consciously putting a disturbing thought or incident out of Awareness

iM- vastus lateralis is preferred for infants;

Rice- rest ice compression and elevation