Nursing Concepts 5

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In Diabetes Insipidus the urine specific gravity is: 1.001 - 1.005
Bulimia is: binge eating
What should you keep handy in the patient's room for 48 hrs. after a thyroidectomy?: Tracheostomy set
In corticosteroids therapy, the plan of care is: to prevent infection
Prior to an IVP, what does the nurse need to ask the patient?: Do you have any allergies?
Buffalo hump is an abnormal adipose tissue distribution in what disease?: Cushing's syndrome
What medication serves as replacement therapy in hypothyroidism?: Synthroid
A hormonal change of adolescence from androgenic stimulation of sebum production is a predisposing factor for what?: Acne Vulgaris
Why should Synthroid not be taken with food?: Food interferes with absorption.
Tofranil with concomitant use may lead to: GI complications
A patient on Synthroid therapy should report what side effect?: Tachycardia
S/S of hyperkalemia are: muscle weakness, hypotension, shallow respirations, apathy, and anorexia.
S/S of hypokalemia are: muscle weakness, flaccid paralysis, bradycardia, oliguria, and muscle cramps.
A patient who has good control of diabetes may show what?: A 2 hr. post-prandial blood sugar result of 139 mg/dl
A patient with hypothyroidism has what type of intolerance?: Cold intolerance; give blanket
In diabetes mellitus, the patient should do what to their feet?: Bathe feet daily in warm water and dry feet carefully, especially between the toes.
A 21 yr. old getting married in 3 weeks stated, "I'm not sure if I want to go through with it". What is this called?: Intimacy vs. Isolation
The psychosocial stage of development in alcoholism is: oral
Clinical manifestation of acute pancreatitis is: a constant epigastric abdominal pain radiating to the back, and flank pain, which is more intense in the supine position.
If a patient has a positive outlook on surgery, what does it mean?: The goal has been met, which is self-actualization.
What side effects should be reported immediately to the physician on a patient in lithium therapy?: Diarrhea, vomiting, drowsiness, muscular weakness, and lack of coordination
The therapeutic serum level for lithium maintenance is: 0.6 - 1.2 mEq/L
OCD is what type of disorder?: Anxiety-related
Alanon is a self-help group for families of: alcoholics
The treatment for phobia (irrational fear) is called: desensitization
After ECT treatment, which way should the patient be positioned?: On his/her side, or have head turned to the side.
Delusion is: a fixed false belief
Giving away personal possessions is one of the tell-tell signs of what?: Suicide ideation
What is agoraphobia?: The fear of open, crowded spaces.
A personality disorder that manifests hostilities into others is: paranoid
What is a long term complication of DM?: Diabetic neuropathy
What is one way to assess patient judgement?: Ask the patient what to do if he found a stamped envelope (the patient should respond that he would drop it in the mail).
After ECT, the patient should be monitored for what/: post shock amnesia
A patient on lithium therapy should have what type of diet?: Adequate sodium diet and intake of fluids (2500-3000ml)
The doctor pronounced the child dead, and the mother is still performing CPR. The mother is showing what?: Denial
What is transvestitism?: The desire to wear clothes of the opposite sex.
Portal vein HTN is associated with: liver cirrhosis.
After a thyroidectomy, assess for laryngeal damage that is manifested by: hoarseness.
A patient with hypoparathyroidism has: hypocalceruta.
Excessive blinking, vermiform tongue movement, abnormal involuntary sucking, chewing, licking, and pursing movements of tongue and mouth are all signs of: tardive dyskinesia.
What meds are given to counteract extrapyramidal side effects?: Artane and Cogentin.
In order to prevent a hypertensive crisis, what type of foods should a patient on MAOIs avoid?: Aged cheese, caffeine, beer, yeast, chocolate, liver, processed foods, and MSG
What are extrapyramidal sx?: Parkinsonism, dystonia, akathisia (ants in pants), and tardive dyskinesia.
A manic depressive should be given what to supply adequate nutrition?: finger foods
What diet should a patient with chronic pancreatitis have?: Low fat, bland diet
Hepatitis A should be on what precaution?: enteric
Associated with liver disorder, there will be a sign of: jaundice
One of the side effects of Dilantin is: gum hyperplasia
What should you watch for in phenylketonuria?: Protein
What happens in diabetic ketoacidosis?: the fatty acids are broken down
What are clinical manifestations of diabetic ketoacidosis?: Kussmaul's breathing and acetone breath
What does the nurse need to ask the family of a child diagnosed with diabetes?: The child's diet.
After a thyroidectomy, the nurse should check for signs of hemorrhage by: rolling patient to the side and checking the back of the neck.
What is the usual reaction of a woman diagnosed with cancer?: denial
The husband had a problem at work, and came home and hit his wife. The defense mechanism is: displacement
How do you know if a schizophrenic patient is improving in his social activity?: He attends group activity, but doesn't talk.
In orientation phase, what is developed based on Erik Erickson theory?: Trust
For a manic patient, which s/s needs intervention?: Patient loosing weight.
Clinical manifestation of thyroid storm or crisis is: hyperpyrexia
Korsakoff's syndrome is due to the deficiency of: Vit. B1 (thiamine)
To prevent lipodystrophy in giving insulin to a diabetic patient, what should the nurse do?: Change site of injections.
Patient receiving Levodopa for the treatment of parkinsonism develops: a control shuffling gait
A clinical sign of esophageal varices is: hematemesis
In dealing with a patient having anxiety, what should you do?: reduce stimuli
How can peripheral problems in diabetic patients be prevented?: Examine the skin daily for lesions.
Definitive diagnostic test for diabetes is: GTT (glucose tolerance test)
A father lost his job and is very upset. What should be assessed first?: previous coping mechanism
When taking MAOIs, foods containing what are contraindicated?: Tyramine
What should you check for in a patient with esophageal varices?: portal HTN
Drug of choice for manic-depressive is: Lithium
What should you check for before a liver biopsy?: PT and platelets
What should you keep handy in the room of a patient with an esophageal balloon tamponade?: scissors at the bedside to cut the tip
A patient who just had their gallbladder removed is at risk for what post operative condition?: atelectasis and dehiscence
After a liver biopsy, the patient should be positioned: on the right side with a pillow underneath
The first priority for the nurse in helping a battered wife is: the physical safety
Patient with renal calculi should increase fluid intake to: more than 2500cc/day
Why use Lugol's solution before thryoidectomy?: Devascularize the gland
An antidepressant is a: mood elevator
Ways to prevent ICU psychosis is: have the patient tour the ICU
What happens when you take thorazine with alcohol?: You get intoxicated quicker
Why should steroid therapy be tapered?: To prevent Addison's effect.
Clozaril is contraindicated on a patient with: severe granulocytopenia, severe CNS depression, and pregnancy.
Clinical manifestations of cholecystitis are: N/V, low-grade fever, biliary colic pain, and right upper quadrant guarding; pain radiates to the right scapula.
Early complaints of liver cirrhosis are: fatigue, anorexia, edema of the anides in the evening, epistaxis and bleeding gums.
___ is used when the individual is unable to recall painful or unpleasant feelings because they have been involuntarily pushed into the unconsciousness.: Repression
____ is seen in the situation in which unwanted characteristics or shortcomings are shifted to others.: Projection
____ is a hyperfunction of the adrenal medulla: Pheochromocytoma
Clinical manifestations of diabetes insipidus are: polydipsia, polyuria, SG 1.000-1.005, and high serum osmolality.
Treatment for psychogenic amnesia is: hypnosis
A patient with galactosemia should not have: dairy products
A sign of transplant rejection is: HTN
If a patient is wandering, what can you do?: Provide a bracelet with information.
An indication that Lactulose is effective is: the patient has increased alertness
A child fails to grow above 3rd percentile in 2 years. What is the clinical manifestation?: Hypopituitarism
Before paracentesis procedure, patient should: void first
Depressed patient with nutritional problem - nurse should: stay with patient during meal
Antabuse is administered orally in treatment of: alcoholism
In acute pancreatitis, lab values would show: increase glucose and lipids, decreased calcium and potassium
How do you check for patency of atriovenous shunt in hemodialysis?: Presence of BRUIT
Reactions to eating restricted foods while on MAOI diet are: HAs and hypertensive crisis
Expected outcome of Kayexalate therapy is: decreased potassium level
What should you suspect when the mother reports that her baby sleeps all the time and does not cry?: cretinism
After a thyroidectomy, what signs should you report to the doctor?: tingling of fingers and extremities because of the damage to the parathyroid gland.
What hormone is deficient in diabetes insipidus?: ADH
What is the clinical sign of increased ammonia level?: Decreased consciousness
What is the medication used in acute pancreatitis?: Demerol
Cortisol is given in patient with what disease?: Addison's disease
Medication for N/V due to cholecystitis: Compazine, Meclazine, and Tigan
Lithium carbonate indicates that it is starting to work if: the patient concentration improves
A manic patient under milieu therapy: it has achieved the goal if: the patient gets along with the staff
Patient states "I'm sure surgery will be alright". The Maslow's hierarchy of needs is: self-actualization
Idiopathic nephrotic syndrome clinical manifestations are: double the weight (proteinuria or albuminuria)
In hyperthyroidism, the primary nursing action is to: let the patient eat in a quiet environment
Myelomeningocele causes: flaccid paralysis of the lower extremities
Child hospitalized with dx of chronic renal failure. The father needs health teaching if he: gives peanut butter sandwich and milk to the child.
What can you expect in hyperparathyroidism?: renal calculi
In bipolar disorder, the primary nursing action is to: prevent injury
In bile duct obstruction: can't absorb fat and Vit. K
In an acute panic episode, what should you do?: Assure patient that the environment is safe.
The purpose of aerosol spray is: to liquify secretions
The best way to deal with a depressed patient is: to initiate communication with them
Diet for patient with glomerulonephritis is: low protein
Following ECT, what should the nurse do with the patient?: Orient to person, place, and time
Following ECT, sx that should be reported to the doctor is: back pain
Patient with acute renal failure. The nurse will see possible clinical signs of: matabolic acidosis
Primary nursing action for patient with anorexia nervosa: give support at mealtime and record amount eaten
Patient after thyroidectomy, monitor for: hypocalcemia
Nurse is leaving for vacation and the patient responds "You never care about me". You know this is: patient response to early termination of therapeutic relationship
You will find a low specific gravity of urine in what disease?: diabetes insipidus
clinical manifestations of Gushing's syndrome: edema (kidney problem)
Clinical signs of hypoglycemia: diaphoresis, tachycardia, and hypotension
Anorexia nervosa: Primary nursing dx is: nutrition less than body requirements
What lab value is elevated in the end stage of cirrhosis of the liver?: ammonia
excessive intake of which fluid in renal calculi?: milk
A nurse told the patient "You are in a fine hospital, so you will be well soon." The nurse's non-therapeutic technique is: false reassurance
A post-op patient told the nurse, "I didn't know that the scar is as bad as this." The nurse responds: Tell me about what you know.
An obese patient is at risk for: gallstones
What needs to be measured in a patient with liver cirrhosis?: abdominal girth
In glomerulonephritis, a decrease in ESR indicates: improvement
Body image disturbance of patient with Cushing's syndrome: toothpick extremities
A sign of potential emotional problems in an adolescent is if he makes the fwg. statement:: I don't have any friends
The onset of Alzheimer's disease sx may be described as: insidious
Antabuse tx is to prevent: sporadic drinking impulses
A woman who has been physically abused by her husband, what would be an appropriate nursing intervention?: Have the woman take responsibility for seeking additional therapy
A 47 y/o client has been admitted to the hospital with a medical dx of BPH. Which sx would be indicative of a complication in the pre-op phase of his care?: infection
Haldol, an antisychotic drug has been given to a client. What side effect can the nurse expect?: Urinary frequency
Which of the fwg. nursing dx should be given priority in the care plan of a pt who has chronic pancreatitis?: Alteration in nutrition, less than body requirements, R/T altered ability to digest nutrients.
Which OTC med should the pt avoid who is taking oral anticoagulants?: ASA
A client is receiving the antipsychotic med Clozaril. Which significant toxic risk must be assessed?: blood dyscrasia, monitor WBC count
A pt involved in an MVA sustained a skull fx that involved the cerebellum area of the brain. Which sx might the nurse expect to observe?: ataxia - inability to coordinate movement
What state follows manic state?: Depressed state
If a dementia pt lives at home, what to they need to wear?: ID bracelet
Alcoholic pt is deficient in: thiamine
Why is atelectasis a complication after gall bladder surgery?: incision is close to diaphragm and cause pain when the pt breathes
Drug used to dry secretions before surgery is: atropine sulfate
My tongue doesn't feel as thick as stated clearly by the patient, indicates: EPS meds are working
What is the cause of pancreatitis?: Alcohol
To assess for Hep. A, the nurse may need to know on the chart if the patient has eaten what?: shellfish
side effects of Haldol are: drowsiness, insomnia, weakness, HA, extrapyramidal sx, akathisia, tardive dyskinesia, dystonia
Lab test giving the most specific indication of kidney disease is: serum creatinine
An ideal donor would be: an identical twin or sibiling
Bilateral adrenalectomy needs to take what for life?: cortisone
Alcoholic man states he drinks because no one understands how he works so hard, he is using what defense mechanism?: rationalization
Pt with liver cirrhosis, discharge instruction: use soft bristle toothbrush for good oral hygiene
pyloric stenosis clinical manifestation: epigastric nodule
priority for pt with psychosis: do not let them harm themselves or others
in acute pancreatitis, what lab value is elevated?: serum amylase
To check the neurologic status of hydrocephalus pt: ask pt about place, person, and time
What is the sign of obstructive jaundice?: excessive itching of the skin
NPH insulin given and patient experienced sx of low blood sugar in: 10 hours

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