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215 Cards in this Set
- Front
- Back
In Diabetes Insipidus the urine specific gravity is
|
1.001 - 1.005
|
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Bulimia is
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binge eating
|
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What should you keep handy in the patient's room for 48 hrs. after a thyroidectomy
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Tracheostomy set
|
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In corticosteroids therapy, the plan of care is to
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prevent infection
|
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Prior to an IVP, what does the nurse need to ask the patient?
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Do you have any allergies?
|
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Buffalo hump is an abnormal adipose tissue distribution in what disease?
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Cushing's syndrome
|
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What medication serves as replacement therapy in hypothyroidism?
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Synthroid
|
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A hormonal change of adolescence from androgenic stimulation of sebum production is a predisposing factor for what?
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Acne Vulgaris
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Why should Synthroid not be taken with food?
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Food interferes with absorption.
|
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Tofranil with concomitant use may lead to
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GI complications
|
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A patient on Synthroid therapy should report what side effect?
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Tachycardia
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S/S of hyperkalemia are
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muscle weakness, hypotension, shallow respirations, apathy, and anorexia.
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A patient who has good control of diabetes may show what?
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A 2 hr. post-prandial blood sugar result of 139 mg/dl
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A patient with hypothyroidism has what type of intolerance?
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Cold intolerance; give blanket
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In diabetes mellitus, the patient should do what to their feet?
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Bathe feet daily in warm water and dry feet carefully, especially between the toes.
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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?
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Intimacy vs. Isolation
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The psychosocial stage of development in alcoholism is
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oral
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Clinical manifestation of acute pancreatitis is a constant
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epigastric abdominal pain radiating to the back, and flank pain, which is more intense in the supine position.
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If a patient has a positive outlook on surgery, what does it mean?
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The goal has been met, which is self-actualization.
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What side effects should be reported immediately to the physician on a patient in lithium therapy?
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Diarrhea, vomiting, drowsiness, muscular weakness, and lack of coordination
|
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The therapeutic serum level for lithium maintenance is
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0.6 - 1.2 mEq/L
|
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OCD is what type of disorder?
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Anxiety-related
|
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Alanon is a self-help group for families of
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alcoholics
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The treatment for phobia (irrational fear) is called
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desensitization
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After ECT treatment, which way should the patient be positioned?
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On his/her side, or have head turned to the side.
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Delusion is a
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fixed false belief
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Giving away personal possessions is one of the tell-tell signs of what?
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Suicide ideation
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What is agoraphobia?
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The fear of open, crowded spaces
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A personality disorder that manifests hostilities into others is
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paranoid
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What is a long term complication of DM?
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Diabetic neuropathy
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What is one way to assess patient judgement?
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Ask the patient what to do if he found a stamped envelope (the patient should respond that he would drop it in the mail).
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After ECT, the patient should be monitored for what?
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post shock amnesia
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A patient on lithium therapy should have what type of diet?
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Adequate sodium diet and intake of fluids (2500-3000ml)
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The doctor pronounced the child dead, and the mother is still performing CPR. The mother is showing what?
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Denial
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What is transvestitism?
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The desire to wear clothes of the opposite sex.
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Portal vein HTN is associated with
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liver cirrhosis.
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After a thyroidectomy, assess for
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laryngeal damage that is manifested by hoarseness
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A patient with hypoparathyroidism
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has hypocalceruta.
|
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Excessive blinking, vermiform tongue movement, abnormal involuntary sucking, chewing, licking, and pursing movements of tongue and mouth are all signs of
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tardive dyskinesia
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What diet should a patient with chronic pancreatitis have?
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Low fat, bland diet
|
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In order to prevent a hypertensive crisis, what type of foods should a patient on MAOIs avoid?
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Aged cheese, caffeine, beer, yeast, chocolate, liver, processed foods, and MSG
|
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Hepatitis A should be on what precaution?
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enteric
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What are extrapyramidal sx?
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Parkinsonism, dystonia, akathisia (ants in pants), and tardive dyskinesia.
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A manic depressive should be given what to supply adequate nutrition?
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finger foods
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S/S of hypokalemia are
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muscle weakness, flaccid paralysis, bradycardia, oliguria, and muscle cramps.
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Associated with liver disorder, there will be a sign of
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jaundice
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One of the side effects of Dilantin is
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gum hyperplasia
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What should you watch for in phenylketonuria?
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Protein
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What happens in diabetic ketoacidosis?
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the fatty acids are broken down
|
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Patient with renal calculi should increase fluid intake to more than
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2500cc/day
|
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Why use Lugol's solution before thryoidectomy?
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Devascularize the gland
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An antidepressant is a
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mood elevator
|
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Way to prevent ICU psychosis is to
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have the patient tour the ICU
|
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What happens when you take thorazine with alcohol?
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You get intoxicated quicker
|
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Why should steroid therapy be tapered?
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To prevent Addison's effect
|
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Clozaril is contraindicated in patients with
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severe granulocytopenia, severe CNS depression, and pregnancy.
|
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Clinical manifestations of cholecystitis are
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N/V, low-grade fever, biliary colic pain, and right upper quadrant guarding; pain radiates to the right scapula.
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Early complaints of liver cirrhosis are
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fatigue, anorexia, edema of the anides in the evening, epistaxis and bleeding gums.
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___ is used when the individual is unable to recall painful or unpleasant feelings because they have been involuntarily pushed into the unconsciousness.
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Repression
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____ is seen in the situation in which unwanted characteristics or shortcomings are shifted to others.
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Projection
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____ is a hyperfunction of the adrenal medulla
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Pheochromocytoma
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Clinical manifestations of diabetes insipidus are
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polydipsia, polyuria, SG 1.000-1.005, and high serum osmolality
|
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Treatment for psychogenic amnesia is
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hypnosis
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A patient with galactosemia should not have
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dairy products
|
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A sign of transplant rejection is
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HTN
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If a patient is wandering, what can you do?
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Provide a bracelet with information
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An indication that Lactulose is effective is the patient has
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increased alertness
|
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A child fails to grow above 3rd percentile in 2 years. What is the clinical manifestation?
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Hypopituitarism
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Before paracentesis procedure, patient should
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void first
|
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Depressed patient with nutritional problem - nurse should
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stay with patient during meal
|
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Antabuse is administered orally in treatment of
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alcoholism
|
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In acute pancreatitis, lab values would show
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increase glucose and lipids, decreased calcium and potassium
|
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How do you check for patency of atriovenous shunt in hemodialysis?
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Presence of BRUIT
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Reactions to eating restricted foods while on MAOI diet are
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HAs and hypertensive crisis
|
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What are clinical manifestations of diabetic ketoacidosis?
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Kussmaul's breathing and acetone breath
|
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What hormone is deficient in diabetes insipidus?
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ADH
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tingling of fingers and extremities after a thyroidectomy would be due to damage to the
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parathyroid gland.
|
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What is the clinical sign of increased ammonia level?
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Decreased consciousness
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What does the nurse need to ask the family of a child diagnosed with diabetes?
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The child's diet
|
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After a thyroidectomy, the nurse should check for signs of ____ by
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hemorrhage
by rolling patient to the side and checking the back of the neck. |
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What is the usual reaction of a woman diagnosed with cancer?
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denial
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The husband had a problem at work, and came home and hit his wife. The defense mechanism is
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displacement
|
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How do you know if a schizophrenic patient is improving in his social activity?
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He attends group activity, but doesn't talk
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In orientation phase, what is developed based on Erik Erickson theory?
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Trust
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For a manic patient, which s/s needs intervention?
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Patient loosing weight
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Clinical manifestation of thyroid storm or crisis is
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hyperpyrexia
|
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Korsakoff's syndrome is due to the deficiency of
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Vit. B1 (thiamine)
|
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To prevent lipodystrophy in giving insulin to a diabetic patient, what should the nurse do?
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Change site of injections.
|
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Patient receiving Levodopa for the treatment of parkinsonism develops a
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control shuffling gait
|
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A clinical sign of esophageal varices is
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hematemesis
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In dealing with a patient having anxiety, what should you do?
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reduce stimuli
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How can peripheral problems in diabetic patients be prevented?
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Examine the skin daily for lesions.
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Definitive diagnostic test for diabetes is
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GTT (glucose tolerance test)
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A father lost his job and is very upset. What should be assessed first?
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previous coping mechanism
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When taking MAOIs, foods containing what are contraindicated?
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Tyramine
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What should you check for in a patient with esophageal varices?
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portal HTN
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Drug of choice for manic-depressive is
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Lithium
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What should you check for before a liver biopsy?
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PT and platelets
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What should you keep handy in the room of a patient with an esophageal balloon tamponade?
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scissors at the bedside to cut the tip
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A patient who just had their gallbladder removed is at risk for what post operative condition?
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atelectasis and dehiscence
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After a liver biopsy, the patient should be positioned
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on the right side with a pillow underneath
|
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What should you suspect when the mother reports that her baby sleeps all the time and does not cry?
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cretinism
|
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After a thyroidectomy, what signs should you report to the doctor? of the
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tingling of fingers and extremities because
|
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The first priority for the nurse in helping a battered wife is
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the physical safety
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Expected outcome of Kayexalate therapy is
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decreased potassium level
|
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What is the medication used in acute pancreatitis?
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Demerol
|
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Cortisol is given in patient with what disease?
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Addison's disease
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Medications for N/V due to cholecystitis
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Compazine, Meclazine, and Tigan
|
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Lithium carbonate indicates that it is starting to work if the patients
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concentration improves
|
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A manic patient under milieu therapy: it has achieved the goal if the patient
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gets along with the staff
|
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Patient states "I'm sure surgery will be alright". The Maslow's hierarchy of needs
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is self-actualization
|
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Idiopathic nephrotic syndrome clinical manifestations are
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double the weight (proteinuria or albuminuria)
|
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In hyperthyroidism, the primary nursing action is to
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let the patient eat in a quiet environment
|
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Myelomeningocele causes
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flaccid paralysis of the lower extremities
|
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Child hospitalized with dx of chronic renal failure. The father needs health teaching if he gives
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peanut butter sandwich and milk to the child.
|
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What can you expect in hyperparathyroidism ?
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renal calculi
|
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In bipolar disorder, the primary nursing action is to
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prevent injury
|
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In bile duct obstruction pt can't absorb
|
fat and Vit. K
|
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In an acute panic episode, what should you do?
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Assure patient that the environment is safe.
|
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The purpose of aerosol spray is to
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liquify secretions
|
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The best way to deal with a depressed patient is to initiate
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communication with them
|
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Diet for patient with glomerulonephritis is low
|
protein
|
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Following ECT, what should the nurse do with the patient?
|
Orient to person, place, and time
|
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Following ECT, sx that should be reported to the doctor is
|
back pain
|
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Patient with acute renal failure. The nurse will see possible clinical signs of
|
matabolic acidosis
|
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Primary nursing action for patient with anorexia nervosa
|
give support at mealtime and record amount eaten
|
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Patient after thyroidectomy,
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monitor for hypocalcemia
|
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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
|
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You will find a low specific gravity of urine in what disease?
|
diabetes insipidus
|
|
clinical manifestations of Gushing's syndrome
|
edema d/t (kidney problem)
|
|
3 Clinical signs of hypoglycemia
|
diaphoresis, tachycardia, and hypotension
|
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Anorexia nervosa: Primary nursing dx is
|
nutrition less than body requirements
|
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What lab value is elevated in the end stage of cirrhosis of the liver?
|
ammonia
|
|
excessive intake of which fluid in renal calculi?
|
milk
|
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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
|
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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 statement:
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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
|
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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
|
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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
|
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Which 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
|
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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
|
|
ataxia
|
inability to coordinate movement
|
|
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
|
|
9 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
|
|
In acute pancreatitis, what lab value is elevated?
|
serum amylase
|
|
What is the sign of obstructive jaundice?
|
excessive itching of the skin
|
|
To check the neurologic status of hydrocephalus pt ask pt about
|
place, person, and time
|
|
NPH insulin given and patient experienced sx of low blood sugar in
|
10 hours
|
|
Priority for pt with psychosis is: do not let them
|
harm themselves or others
|
|
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
|
|
Prior to IV pyelogram. The nurse needs to ask the
patient if they have a |
seafood allergy.
|
|
hormonal changes of adolescence - from androgenic
stimulation of sebum production. |
Acne vulgaris
|
|
Artane and Cogentin are given to counteract extra
|
pyramidal side-effects.
|
|
Chemical process that occurs to cause ketones to
appear in urine - |
fat destruction
|
|
Treatment for DKA is
|
fluid replacement
|
|
MAOI is an acronym for
|
Monoamine Oxidase Inhibitor
|
|
Monoamine oxidase inhibitors are a class of
|
antidepressants
|
|
MAOIs used for treating (4)
|
social anxiety, agoraphobia, panic disorder and borderline personality disorder.
|
|
Person receiving NPH insulin should be given a
|
mid
afternoon snack |
|
Pt with renal calculi-drink
|
water
|
|
Steroid therapy- &
Cushing syndrome- watch for s/s of |
infection
|
|
Schizophrenia-no ____ thinking
|
abstract
|
|
Psychotherapy in which the patient's social environment is controlled or manipulated with a view to preventing self-destructive behavior.
|
Milieu therapy
|
|
Electroconvulsive Therapy (ECT)
|
May cause temporary short term memory loss and disorientation
|
|
Electroconvulsive Therapy (ECT)
|
Treatment for severe depression and schizophrenia.
|
|
Prior to IV pyelogram. The nurse needs to ask the
patient if they have a |
seafood allergy.
|
|
hormonal changes of adolescence - from androgenic
stimulation of sebum production. |
Acne vulgaris
|
|
Artane and Cogentin are given to counteract extra
|
pyramidal side-effects.
|
|
Chemical process that occurs to cause ketones to
appear in urine - |
fat destruction
|
|
Treatment for DKA is
|
fluid replacement
|
|
MAOI is an acronym for
|
Monoamine Oxidase Inhibitor
|
|
Monoamine oxidase inhibitors are a class of
|
antidepressants
|
|
MAOIs used for treating (4)
|
social anxiety, agoraphobia, panic disorder and borderline personality disorder.
|
|
Person receiving NPH insulin should be given a
|
mid
afternoon snack |
|
Pt with renal calculi-drink
|
water
|
|
Steroid therapy- &
Cushing syndrome- watch for s/s of |
infection
|
|
Schizophrenia-no ____ thinking
|
abstract
|
|
Psychotherapy in which the patient's social environment is controlled or manipulated with a view to preventing self-destructive behavior.
|
Milieu therapy
|
|
Electroconvulsive Therapy (ECT)
|
May cause temporary short term memory loss and disorientation
|
|
Electroconvulsive Therapy (ECT)
|
Treatment for severe depression and schizophrenia.
|
|
How does acute renal failure start?
|
With oliguria
|
|
What do you give with hemodialysis?
|
Heparin
|
|
If renal calculi present?
|
Increase liquids
|
|
Glomerulonephritis diet
|
Low sodium, K+, and protein
|
|
Nephrotic Syndrome
What are the s/s? |
1. Edema
2. Oliguria(dec.urine output) 3. Hematuria 4. ^ BUN & creatinine |
|
S/s that indicate too much steroid?
|
-shunted growth
-Osteoporosis -resistance to infections -depression -increase in blood sugar |
|
Mental changes are caused by –
|
steroid psychosis
|
|
HbA1c Dr may order this if you have
|
Diabetes
|
|
HbA1c measures your ___ ___ control over several months
|
blood sugar
|
|
Gallbladder
Where is the pain? |
-pain under the rt rib cage
-Severe upper abdominal pain |
|
Gallbladder
Common after operative complication? |
Atelectasis
|
|
Gallbladder
What can’t they absorb well? |
Fats
|
|
Hepatisis/Cirrhosis
Why do you give lactulose? |
lactulose helps "draw out" ammonia from the body
|
|
Hepatisis/Cirrhosis
What causes ascites? |
scarring that causes portal HTN
|