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38 Cards in this Set
- Front
- Back
Describe the Disease that Affects Adults who Secrete too much Growth Hormone? (P.629)
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- Acromegaly – Rare Excess of GH affects Adults in the 30’s & 40’s
- Etiology – Pituitary Hyperplasia, Benign Tumor, or Hypothalamic Dysfunction |
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Consider Nursing Diagnoses for an Individual with Diabetes Insipidus? (P.626)
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- Deficient Fluid Volume Related to Failure of Regulatory Mechanism
- Deficient Knowledge Related to Lack of Information |
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List the S/S of Hypothyroidism, Hyperthyroidism? (P.631, 634)
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- Hypothyroidism – Occurs in Women Ages 30 to 60
- S/S Include – Low Metabolism; Fatigue; Weight Gain; Bradycardia; Constipation - Heart Failure; Hyperlipidemia; Myxedema - Hyperthyroidism – Diagnosed in Young Women; Grave’s Disease - Heat Intolerance; Increased Appetite; Weight Loss; Increased Bowel Movements |
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Discuss General Guidelines when Caring for a Client with Recent Radioactive Iodine Treatment? (P.635)
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- Limit Time Spent with Pt; Pregnant Nurses Not Allowed;
- Dispose Body Excretions to Facility Policy; Double Flush Toilet - Oral Contact with Others Should be Avoided |
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Describe the Purpose of Glucagons? (P.647)
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- Raises Blood Sugar when Needed by Releasing Stored Glucose from Liver
- Insulin and Glucose Work to Keep Blood Glucose at Constant Level |
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Signs of Ketoacidosis? (P.658)
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- Occurs when Blood Glucose Levels are High & Insulin is Deficient
- Typically with Type I Diabetes and Low Levels of Insulin - Because Cells Cannot Uptake Glucose, Fat is Broken Releasing Ketones - Body Attempts to Reduce Acidosis by Pattern Called Kussmaul’s Respiration |
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Etiology of Diabetic Nephropathy? (P.659)
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- Damage to Tiny Blood Vessels of Kidneys
- Poor Control of Blood Glucose - Kidneys Become Unable to Remove Waste Products and Fluid from Blood |
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Give an Example of a Sulfonylurea Drug? (P.655)
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- Insulin Stimulators
- 1st Generation: Tolbutamide; Chlorpropamide - 2nd Generation: Glipizide; Glimepiride; Meglitinides; Repaglinide |
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Implications of Low C-Peptide Test Results? (David)
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- Connecting Peptide – Released by Pancrease in Equal Levels with Insulin
- Test Shows How Much Insulin Body is Making |
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Nursing Care Guidelines for a Patient Post Subtotal Thyroidectomy? (P.636)
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- Monitor V.S., Surgical Site, Monitor Excessive Bleeding
- Keep Tracheostomy Set; Keep Pt. in Semi-Fowler Position - Gentle ROM, Avoid Hyperextension; Use Incentive Sphirometer - Teach Signs of Thyrotoxic Crisis, Irritability, Fever, or Palpitations |
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Purpose and Side Effects of Propylthiouracil? (P.635, P.1180 Davis Drug)
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- Treats Hyperthyroidism
- Nausea, Vomiting, Diarrhea, Rash - Agranulocytosis (Decrease WBC), Thrombocytopenia (Decrease Platelets) |
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Teaching Points for a Patient Beginning Thyroid Replacement Therapy? (P.633)
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- Monitor and Record Bowel Movements
- Increase Fluids; Encourage Fiber; Use Stool Softener |
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Define Hashimoto’s Disease? (P.1005-1006)
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- Autoantibodies and TSH Form
- Thyroid Gland Over Stimulates Causing Hyperthyroidism - Becomes Enlarged with Lymphocytes and Phagocytes - Autoantibodies Destroy Thyroid Cells causing Hypothyroidism |
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Diagnostic Tests for Hypoparathyroidism? (P.638)
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- Lab Tests Show Decreased Serum Calcium and PTH Levels
- Increased Serum Phosphate, Magnesium Levels Maybe Low - Radiograph Shows Bone Changes - Chvosteks’s and Trousseau’s Signs |
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Nursing Diagnoses and Interventions for a Patient with Cushings Syndrome? (P.641-642)
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- Excess Fluid Volume Related to Sodium and Water Retention
- Risk for Impaired Skin Integrity; Risk for Injury R/T Impaired Glucose Tolerance - Disturbed Body Image |
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Manifestations of Addisons Disease? (P.640-641)
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- Insufficient Production of Hormones of Adrenal Cortex
- Hypotension R/T Lack of Aldosterone - Caused by Low Production of ACTH |
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Special Nutritional Considerations for a Client with Addisons and Cushings? (P.640-642)
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- Addisons: High Sodium Diet
- Cushing: High Potassium, Low Sodium |
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S/S of SIADH. Including Diagnostic Tests? (P.627)
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- Fluid Overload; Muscle Cramps; Weakness
- Serum Urine and Sodium Levels |
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Possible Causes of Hypoglycemia in a Patient with Diabetes Mellitus? (P.657)
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- Not Enough Calories Available in Relation to Circulating Insulin
- Typically Blood Glucose Levels Below 50 mg/dl - Caused by Skipping Meal, Vigorous Exercise, Insulin Overdose |
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Long Term Complications of Diabetes Mellitus? (P.659-660)
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Macrovascular:
- Circulatory System – Atherosclerosis and Areteriosclerosis leads to Hypertension Microvascular: - Eyes – Blood Vessels Diseased Retinopathy, Cataracts - Kidneys – Damage Blood Vessels of Kidney Leads to Nephropathy - Neuropathy – Damage to Nerves - Infection – More Prone to Infection - Foot Complication – Due to Poor Blood Flow to Lower Extremeties |
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Cornerstone of Treatment for a Pt with Type II Diabetes? (P.649)
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- Treatment Begins with Diet and Exercise
- Variety of Meal Plans are Available - Fat and Sodium Intake is Limited - Complex Carbohydrates are Encouraged - Use Less of Simple Sugars as Possible |
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Goals of Nutrition Therapy in a Client with Diabetes? (P.649)
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- Maintain Fasting Plasma Glucose Level Below 120 mg/dl
- Glycohemoglobin Level Less than 7 percent - Maintain Blood Glucose and Lipid Levels as Normal as Possible |
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Review the Process of Mixing Insulins? (P.654)
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- Too Much to List (Common Sense)
- Basically Draw Clear then Draw Cloudy - If Too Much Cloudy is Drawn Accidentally, Discard Syringe (Or Squirt in Air J) |
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Describe Situations where a Patient with Type II Diabetes May Need Insulin? (P.654)
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- Blood Glucose Not Controlled with Oral Hypoglycemics
- Not Necessary to Sustain Life as in Type I |
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Describe the Subcutaneous Site that Absorbs Quicker than Others? (P.652)
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- Most Experts Recommend Abdomen and Buttocks
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Describe the Somogyi Phenomenon? (P.654)
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- Blood Glucose Rises Inspite of Insulin
- Occurs in Night Causing Sweat and Headaches |
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Interventions to Minimize Clients Risk of Developing Lipodystrophies Related to Insulin Injections? (P.652)
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- Absence Of or Abnormal Distribution of Fat in the Body
- Injections Should be Given at Different Site Each Time - Use One Area Per Week, Space Injections 1in Apart |
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Advantages and Side Effects of Metformin Over Other Anti-Diabetic Meds? (P.655)
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- Increases Glucose Transport in Skeletal Muscle
- Causes GI Side Effects and Weight Loss |
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Discuss Sick Day Management of a Client with Diabetes?
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- Unable to Find
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Management of Hypoglycemic Reaction? (P.658)
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- Administer “Fast Sugar” such as Orange Juice or Glucose Tablets
- If Pt. has Dysphagia Give IV Solution - Do Not Treat with too much Sugar |
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Describe the Etiology and Manifestation of Diabetic Neuropathies?
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- Not Yet Complete
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Signs and Symptoms and Management of DKA? (P.658)
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- Kussmaul’s Respiration
- Careful Monitoring of Blood Glucose at Home |
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Describe Kussmaul’s Respirations? (P.658)
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- Deep, Sighing Respiratory Pattern
- Expired Air has Fruity Odor Mistaken for Alcohol - Similar to Juicy Fruit Gum |
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Critical Teaching Points Surrounding Corticosteroid Use, Especially Importance of Not Abruptly Stopping Medications. Why? What Will Happen?
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- Unable to Find
- Andreal Glands will Not Adjust Quickly Enough to Provide the Necessary Hormones |
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Signs/Symptoms/Management of a Thyrotoxic Storm? Who is at Risk? (P.634)
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- Sever Hyperthyroid State from Illness or Stressor
- Pt. Inadequately Prepared Before Thyroid Surgery with Antithyroid Meds - Tachycardia, Fever, Hypertension, Dehydration, Restlessness |
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Etiology of DI? (P.626)
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- Diabetes Insipidus
- Tumors or Trauma to Pituitary Gland - Surgery Near Pituitary Gland; Glucocorticoids; Alcohol |
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Nutritional Needs for a Patient with Hyperthyroidism?
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- High Calorie Diet Maybe Required to Meet Caloric Requirements
- Diarrhea Lessened with Low Fiber Diet |
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Key Differences Between Type I and Type II Diabetes? (P.647)
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- Type I – Rapid Onset; Age < 40; Virus or Autoimmune; Lean Body; Ketoacidosis; Insulin to Survive; Trauma to Pituitary Gland
- Type II- - Slow Onset; Age >40; Heredity, Obesity; Hyperglycemia; Diet, Exercise, Oral Hypoglycemics, or Insulin |