Nursing Concepts 5
Terms
undefined, object
copy deck
- 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