Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
222 Cards in this Set
- Front
- Back
|
What is the term for stringing together words because of their rhyming sounds, without regard to their meaning?
|
Clang Association
|
|
|
What is the term for a false and fixed belief that cannot be corrected by reasoning?
|
Delusional thinking
|
|
|
what is the term for a continuos flow of accelerated speech with abrupt changes from one topic to another?
|
flight of ideas
|
|
|
What is the term for haphazard and confused thinking that is manifested in jumbled and ilogical speech and reasoning?
|
Loose associations
|
|
|
social isolation, difficulty with appetite and sleep and loss of interest in usual activities indicates a high risk for what?
|
suicide
|
|
|
Delusions are manifestations of what?
|
psychosis
|
|
|
Hyperactivity is seen in what 2 things?
|
mania, and ADD
|
|
|
Social withdrawal is a symptom of what?
|
depression
|
|
|
Mood disturbances of depression are related to deficiences of what neurotransmitter?
|
seratonin
|
|
|
What is the term for a neurotransmitter and hormone involved in local immune responses, in regulating stomach acid and in allergic reactions?
|
Histamine
|
|
|
What is the term for a neurotransmitter associated with Parkinsons and may be involved in the development of depression but is not the primary contributor?
|
Dopamine
|
|
|
A decrease in ____ is associeted with anxiety disorders, schizophrenia, and huntingtons?
|
GABA
|
|
|
What is the term for the deelopmental change from behavior that is externally controlled to behavior that is controlled by internal standards and principles? This term is concerned with self-generated standards and not with the effects of behavior on others.
|
internalization
|
|
|
"Following socially sanctioned guidelines when making decisions" is an example of ______ reasoning which occurs in the 2nd level in Kohlberg's theory of moral development
|
Conventional Reasoning
|
|
|
A CNS stimulant should be administered at what time of the day?
|
early in the day so it doesnt interfere with sleep
|
|
|
What nursing measures should be used to address the vegetative signs of major depression?
|
monitor the patients eating and sleeping
|
|
|
A standard antipsychotic medication such as haldol is most effective in modifying which symptom of schizophrenia?
|
delusions of persecution
|
|
|
A severe reduction in emotional expressiveness is known as what?
|
flat affect
|
|
|
WHat three sx of schizophrenia is effectively treated by the newer atypical antipsychotics such as clozapine, risperidone, and olanzapine?
|
flat affect, social withdrawal, & lack of motivation
|
|
|
Social withdrawal caused by schizophrenia is commonly treated by what 3 drugs?
|
clozapine, risperidone, and olanzapine
|
|
|
Which drug is the traditional antipsychotic that targets the sx of schizophrenia such as hallucinations, delusions, disordered thinking, and paranoia?
|
Haldol
|
|
|
A patient taking lithium who experiences NVD should stop taking the medication why?
|
because dehydration can raise lithium levels
|
|
|
A. Should a patient taking lithium follow a low Na+ diet? B. Why or why not?
|
A. No
B. a low Na+ intake causes an increase in lithium retention which can lead to toxicity |
|
|
How often are lithium levels monitored from the blood?
|
monthly
|
|
|
Can a patient taking lithium take OTC meds?
|
no
|
|
|
What action would be an appropriate foucs of therapy for a nurse working with the family of a patient with anorexia nervosa?
|
improve communication among family members
|
|
|
Persistant feelings of detachment from others is a common sx of what disorder?
|
PTSD
|
|
|
The manic symptoms of a patient with bipolar disorder can be managed by which drug?
|
tegretol
|
|
|
What is the therapeutic blood level for tegretol?
|
6-8 mg/dl
|
|
|
Amitriptyline is what kind of drug and how long does it take to start working?
|
trycyclic antidepressant, 10-14 days
|
|
|
Which direction should the nurse provide to someone who complains of fatigue while taking an antidepreessant?
|
take the medication at bed time
|
|
|
How can setting limits with a patient who is manipulative benefit the patient?
|
at 1st the pt will result in having negative feelings but then the patient will gain self-empowerment in relationships with others. The pt will understand of how the minupulative behavior is based on immediate gratification and the associated disregard for the rights of others.
|
|
|
"A pt w/ depression suddenly seems less depressed and more cheerful and active on the unit." What would be an appropriate nursing response to this change?
|
Reassess the patient for suicide potential
|
|
|
A person with borderline personality disorder would most likely engage in self-destructive behavior if faced with which stressor?
|
threat of seperation or rejection
|
|
|
What are the internal feelings of a person with borderline personality disorder?
|
they feel bad or unworthy, feels unfairly misunderstood or mistreated, bored, empty and have little idea who they are.
|
|
|
A patient with borderline personality disorder who feels isolated or rejected may act on what type of behavior?
|
self destructive behavior
|
|
|
Signs of autism are able to be seen as early as what age?
|
4 months old, such as lack of social responsiveness
|
|
|
Autism is usually diagnosed by what age?
|
3
|
|
|
When a person has unresolved anger what can it become?
|
depression
|
|
|
WHen anxiety is suppressed how may it present?
|
as anger
|
|
|
What is the term for disruptions of consciousness such as memory, identity, and perception of the environment?
|
Dissociative sx
|
|
|
"I must not gain weight or I will never get a date" is an example of what type of thinking?
|
catastrophizing (magnifying the outcome of an event)
|
|
|
What is the term for which a single event affects an unrelated situation?
ex. weighing less than 90 lbs=being popular |
overgeneralization
|
|
|
WHat is the term for overinterpretation of events as having personal meaning?
|
personalization
|
|
|
What is most important for a nurse to evaluate in a patient who is manic?
|
nutritional status, if pt is dehydrated or malnourished along with having faulty judgement, the pt will be at risk for injury
|
|
|
What is the term for fusion or blending together of individuals so the distinct person fails to emerge?
ex. "You should have known what I really meant when I said that." |
enmeshed boundaries
|
|
|
A person stateing "You dont know how hard it is for me to trust you anymore" is an example of what?
|
double blind
|
|
|
A person stating "if you bring that up again I will tell everyone about your drug problem" is an example of what?
|
triangulation
|
|
|
A person stating "I would live up to your expectations if you didn't make me so nervous" is an example of what?
|
scapegoating
|
|
|
What is the term for a rare and potentially fatal side effect of antipsychotic medications?
|
neuroleptic malignant syndrome
|
|
|
What are 3 sx for nueroleptic malignant syndrome?
|
1. High fever
2. Muscle Rigidity 3. urinary incontinence |
|
|
What is the term for thickened bile or bile plugs in the small biliary passages of the liver?
|
cholestatic jaundice
|
|
|
Cholestatic jaundice can be a side effect of what?
|
antipsychotic medication
|
|
|
What is depersonalization disorder?
|
alteration in the perception of self so that the usual sense of one's own reality is temporarily lost or changed; it may be a manifestation of a neurosis or another mental disorder or can occur in mild form in normal persons
|
|
|
What would a desired outcome be for a person with depersonalization disorder?
|
expresses satisfaction of interactions with friends, related to the alleviation of social isolation
|
|
|
What is generalized anxiety disorder?
|
a pattern of frequent , persistent worry and anxiety about several events during at least a 6 month period. The worry/anxiety is out of proportion to the actual impact of the event
|
|
|
What is a pain disorder?
|
persistent and chronic pain unrelated to a medical condition
|
|
|
What is somatization disorder?
|
multiple physical complaints that persists for years involving any body system. Most fequently, the complaints involve chronic pain and problems with the digestive, nervous, & reproductive systems
|
|
|
What are the 3 initial nursing diagnosis that take priority in a pt with borderline personality disorder?
|
1. self-mutilation
2. anxiety 3.ineffective coping |
|
|
A need for sameness is a charaacterics of which mental disorder?
|
autism
|
|
|
What diagnostic tool is used to reveal structural and biochemical abnormalities associated with mental illness by using radioactive tag material to trace physiological and biochemical changes in brain tissue?
|
PET scan
|
|
|
Which scan provides gross anatomical details through a series of slice x rays of the brain?
|
CT scan
|
|
|
What provides a record of electrical activity in the brain? But not commonly used for mental illness.
|
EEG
|
|
|
What provides gross anatomical details through a 3 dimensional visualization of brain structure generated by applying a magnetic field?
|
MRI
|
|
|
What are 2 sx of the depressive phase of bipolar disorder?
Not seen in the manic phase |
psychomotor retardation & anhedonia
|
|
|
What are 2 sx associated with severe lithium toxicity?
|
acute confusion & ataxia
|
|
|
What is the term for a loss of the ability to coordinate muscular movement?
|
ataxia
|
|
|
A lithium level of what indicated a maintenance level indicating that the mania would be reduced?
|
1.2
|
|
|
What is the blood level range for lithium?
|
0.4-1.3
|
|
|
A therapeutic outcome of lithium allows what?
|
a modulation of mood and ability to solve problems
|
|
|
What is involved with an ECT?
|
patient iis restrained in a supine position, procedure takes about 30 minutes, under general anesthesia, may feel groggy & disoriented & may experience memory loss upon awakening
|
|
|
Regular engagement in what type of activiity is most therapeutic for a pt with chronic acute anxiety.
|
physical exercise
|
|
|
Short-term dynamic psychotherapy is appropriete for what type of person?
|
a relatively well functioning person who has a specific area of difficulty
ex. PTSD |
|
|
What is the most important nursing measure for a patient who is experienciing an acute episode of mania?
|
to prevent physical exhaustion
|
|
|
1. In the 2nd stage of dementia pts begin losing what?
2. In the 3rd stage of dementia what occurs? |
1. instrumental ADL's
2. deterioration of all ADL's |
|
|
What is the term for reawakening an older adults interest in their environment so that they may consider an alteration of lifestyle practices?
|
remotivation therapy
|
|
|
What is an expected outcome of reminiscing therapy for an older adult?
|
increased self-esteem
|
|
|
What is an appropriate discharge instruction for the family of a patient who has dementia?
|
provide a structured, consistent environment
|
|
|
Understanding the statement "Birds of a feather flock together" requires what type of thinking?
|
abstract
|
|
|
In early-stage alzheimer dementia is the pt aware of their lost abilities?
|
yes
|
|
|
What factor is associated with increased physical and mental health problems among older adults?
|
having limited financial resources
|
|
|
What term involves making up answers to preserve self-esteem?
|
confabulation
|
|
|
What term involves repetetive behavior (ex. using the same phrase or asking the same question) especially in the presence of stress.
|
perseveration
|
|
|
What cognitive disorder has the strongest evidence of genetic involvement includiing 4 genes?
|
alzheimers disease
|
|
|
Major depression must include what 2 factors in order to occur?
|
environmental and genetic
|
|
|
What causes personality disorders?
|
there is no singlle cause, there are intersecting environmental, biological, and psychological influences
|
|
|
If a patient in a nursing home suddenly becomes withdrawn, resistant, and disoriented the nurses initial assesment should focus on what?
|
is the patient physically ill
|
|
|
A day treatment center is a good opportunity for what type of cognitively impaired patient?
|
alzheimers
|
|
|
Esophageal Varices is usually caused by what?
|
portal hypertension--which in turn is due to the obstruction of the portal venous circulation within the damaged liver
|
|
|
What are the earliest sx of hepatic encephalopothy?
|
minor mental chances such as disorientation
|
|
|
What 3 things can cause jaundice?
|
1. impairment of hepatic uptake
2. conjugation of bilirubin 3. excretion of bilirubin into the biliary system |
|
|
What nursing measure should a nurse perform for a patient with ascites?
|
measure patients abdominal girth, pt should be weighed on a daily basis, monitor serum ammonia and electrolyte levels, keep pt in a lying position
|
|
|
Why should a patient with ascites never be in an upright position?
|
it could cause the activation of the renin-angiotensin-aldosterone system and may reduce renal glomerular filtration and sodium excretion
|
|
|
What % of a diet for a patient with diabetes should be in the form of carbohydrates?
|
50-60%
|
|
|
What is the purpose of administering pancrelipase (pancrease) to a patient with pancreatitis?
|
to aid in digestion of fats, carbs, and tryglicerides, proteins
|
|
|
What is pancrease is used to treat?
|
pancreatic enzyme deficiency
|
|
|
Pancrease is often prescribed to people with what type oof medical problems?
|
cystic fibrosis, chronic inflammation of the pancreas, or blockages of the pancreas or common bile duct caused by cancer, & also taken by people who have had gastrointestinal bypass surgery
|
|
|
Which is an advantage of the glycosylated hemoglobin test over the fasting blood sugar test for patients with diabetes?
|
it allows for an assesment of patient compliance with treatment regimen, it provides a record of the patients blood sugar control over the past 2 to 3 months
|
|
|
fasting blood sugars and glycosylated hemoglobin are tested by which route?
|
from the blood
|
|
|
What test measures the amount of glucose in the blood that binds itself to the hemoglobin (not the amount of insulin)?
|
glycosylated hemoglobin test
|
|
|
What are daily insulin needs guided by?
|
daily blood glucose monitoring
|
|
|
Postop nursing care for a patient who has a T-tube in place following an open cholecystectomy should include which intervention?
|
monitor the stool for return of pigmentation
|
|
|
How often should a T Tube be monitored & emptied?
|
when full
|
|
|
Postop nursing care for a patient who has a T-tube in place following an open cholecystectomy should follow what type of diet?
|
NPO or on a clear liquid diet
|
|
|
Is the t tube attached to a drainage bag or a wall suction?
|
drainage bag
|
|
|
What intervention will improve respiratory function in a patient with acute pancreatitis?
|
maintain patient in semi-fowlers position to decrease pressure on the diaphragm
|
|
|
What is the best way to improve pulmonary function?
|
have patient perform coughing and deep breathing techniques every 2 hours
|
|
|
WHat type of diet should a patient with acute pancreatitis be on?
|
NPO
|
|
|
Diabetes type II is usually diagnosed in people over what age?
|
30
|
|
|
Who is at risk for diabetes type II?
A. elevated BP with high pulse B. overweight |
a. this person is not at risk
b. this person is at risk |
|
|
patient admiteed in an acute state of cirrhosis of the liver would exhibit what main sign?
|
ascites related to fluid volume excess
|
|
|
Demerol is rarely used because of what side effects?
|
seizures, and central nervous system irritability
|
|
|
What is the drug of choice for pain management in patients with pancreatitis?
|
morphine
|
|
|
What is Talwin used for?
|
For the relief of moderate to severe pain. It may also be used for preoperative or preanesthetic medication and as a supplement to surgical anesthesia.
|
|
|
What is sublimaze used for?
|
anesthesia and sometimes in a patient with pancreatitis for pain control
|
|
|
What are the health benefits of nutrititional supplements?
|
they provide calories for energy and protein for healing
|
|
|
What type of medications should be questioned when ordered for a patient with end stage hepatic dysfunction?
|
analgesics and sedatives, can precipitate hepatic encephalopathy and should be monitored closely
|
|
|
Is it appropriate for a patient with end stage hepatic dysfunction to take antihypertensives?
|
yes
|
|
|
What is the best diagnostic test for diagnosing chronic pancreatitis?
|
(ERCP) endoscopic retrograde cholangiopancreatography
|
|
|
Why is a serum amylase dx test not the best test for diagnosing chronic pancreatitis?
|
becuase an elevated serum amylase signifies that the pt has acute pancreatitis. The amylase level will not be elevated with chronic pancreatitis unless there is an acute exacerbation
|
|
|
What does an ERCP allow visulazation of?
|
structuures and visualization of the pancreatic ductal system
|
|
|
WHy should a nurse plan to meet with a diabetic pt at frquent intervals who neglects to follow the diet or check blood sugar levels?
|
to provide support and assistance and to identify barriers to following the diet and checking blood sugar levels.
|
|
|
What should a nurse do befor accepting adherance level for a noncompliant diabetic pt in regards to checking b.s. levels and diet?
|
first try to meet with the patient to provide support and assistance regularly
|
|
|
Whhat would be a great indicator that a patient is participatng well in a therapeutic relationship when being treated for diabetes?
|
pt asks nurse questions about insulin administration
|
|
|
What lab test should be monitored during treatment of diabetic ketoacidosis to avoid a serious potential complication of rapid fluid infusion and why?
|
serium potassium
because, during rehydration, the serum potassium level drops as potassium reenters the cells. This is caused by the increased plasma volume which decreases the concentration of serum potassium. |
|
|
WHat information does glycosolated hemoglobin levels provide?
|
a record of the patients blood sugar control over the past 2-3 months
|
|
|
What coexisting condition should a nurse recognize as a problem in the patient with acute pancreatitis?
|
pleural effusion
|
|
|
Will a pt with acute pancreatitis by hypo or hypertensive?
|
hypotensive
|
|
|
WHat type of blood sugar will a pt with acute pancreatitis usually have?
|
greater than 200
|
|
|
Will a pt with acute pancreatitis usually have renal stones?
|
no, unrelated
|
|
|
A pt with diabetes with a serum glocose of 500 an elevated blood urea nitrogen (BUN) and a PH of 7.4 with hypotension, dry mucous membranes, tachycardia, and somnolence indicate what diagnoses?
|
hyperglycemic hyperosmolar nonketotic syndrome
|
|
|
When does a diabetic coma occur?
|
in a severe stage of hypoglycemia that occurs when a patients blood sugar gets too low and stays low
|
|
|
WHat 3 sx would a pt in diabetic ketoacidosis show?
|
1. hyperglycemia
2. dehydration 3. acidosis |
|
|
What blood glucose level indicates hypoglycemia?
|
less than 50-60
|
|
|
A pt with HHNS will exhibit what type of blood glucose level, ph level, bun, and creatinine?
|
blood glucose >500
ph level=normal bun & creatinine level=elevated |
|
|
What is the rationale for using inderal in the management of pts with cirrhosis of the liver?
|
prevent bleeding from esophageal varices
|
|
|
What are varicosities that develop from elevated pressure transmitted to all of the veins that drain into the portal system? And what med is prescribed for this?
|
varices, inderal will reduce the portal pressure by its beta-adrenergic blocking action
|
|
|
In a pt with diabetes type 2 what med creates a high risk for a hypoglycemic reaction?
|
glucovance, it could cause hypoglycemia
|
|
|
What are the most common side effects of Orinase?
|
gastrointestinal sx and dermatological reactions
|
|
|
What is the indication for orinase?
|
an oral hypoglycemic agent in non-insulin-dependent (type 2) Diabetes with adult onset
|
|
|
What is a common side effect of Precose?
|
lowering of hemoglobin A1c levels
|
|
|
What is the indication for precose and prandin?
|
management of type 2 diabetes
|
|
|
What is a S.E. of prandin and glucovance? Which is more serious?
|
1. hypoglycemia
2. more serious when using glucovance because prandin has a short half life |
|
|
What is a cholecystectomy?
|
removal of the gallbladder
|
|
|
What is the best way to manage pain in the right shoulder following a cholecystectomy?
|
apply a heating pad for 15 minutes hourly, and when able pt should sit up or take a walk
|
|
|
What is steatorrhea?
|
fatty, oily stools, malabsorption of fats and proteins
|
|
|
WHat form of vitamin A, D, and E should be given to a patient with hepatic cirrhosis?
|
water soluble vitamin for pts with malabsorption
|
|
|
In what procedure will a patient be given a sedative followed by the oral insertion of a scope into the GI tract?
|
(ERCP) ednoscopic retrograde cholangiopancreatography
|
|
|
During what procedure does a patient swallow some barium?
|
a barium enema
|
|
|
When a patient recovering from hepatic encephalopathy is being discharged from the hospital what teaching should the nurse give the family to help them assess for signs of recurrent encephalopathy?
|
obtain a sample of the pts handwriting on a daily basis. In reoccurency they would not be able to drw a symple star figure.
|
|
|
What would be checked daily in an unconscious pt?
|
Babinski response
|
|
|
What are the 3 main concerns for a discharging pt?
|
1.prevent injury
2. bleeding 3.infection |
|
|
Why would you incorporate massage into the plan of care for a pt who has impaired liver function?
|
a massage with emolients and being turned every 2 hours will promote moobilization of edema
|
|
|
What would you do to avoid ammonia deposits in the skin in a pt w/ impaired liver function?
|
avoid using soaps and alcohol based lotions
|
|
|
How could a nurse decrease ascitic fluid production in a pt with impaired liver function?
|
low Na+ diet
|
|
|
A pt with hypothyroidism who is takin HRT may be at risk for the development of which health problem and why?
|
hyperglycemia because thyroid hormones increase blood glucose levels
|
|
|
DO thyroid hormones affect K+ levels?
|
no
|
|
|
What is a physiological effect of thyroxine (T4)?
|
increased neuromuscular response because, thyroxine makes the muscles more responsive to catecholamines
|
|
|
What does thyroxine do to the metabloic rate?
|
increases it
|
|
|
What hormone is most associate with K+ aand regulates its excretion?
|
aldosterone
|
|
|
A deficiency of thyroid hormones (hypothyroidism) is associated with what in relation to oxygen?
|
impaired oxygen utilization
|
|
|
What finding should the nurse expect in a patient with hyperparathyroidism?
|
fatigue & apathetic, because calcium is concentrating in the blood stream
|
|
|
pts with hyperparathyroidism are likely to experience what in relation to the gastrointestinal tract?
|
constipation
|
|
|
pts with hyperparathyroidism are likey to have what type of BP?
|
high
|
|
|
What should be the main concern/intervention in a pt with a thyroid storm with a nsg diagnosis of altered body temp?
|
apply hypothermia blanket to quicky reduce pt's fever
|
|
|
Which drug is contraindicatd in a pt with hyperthyroidism and why?
|
aspirin because, it adversely affects thyroid hormones and may exacerbate the metabolism excess
|
|
|
What type of nutritional problem is commonly found in pts with addisons?
|
anorexia and some other metabolic disorders
|
|
|
Peoplle with thyroiditis have problems with what in relation to food?
|
dysphagia
|
|
|
In a pt who has edema associated with nephrotic syndrome, the nurse must carefully monitor the used of diuretics for which reason?
|
reduced plasma volume may precipitate acute renal failure
|
|
|
WHat does the diuretic Aldactone do to the effectiveness of ace inhibitors
|
enhances the effect
|
|
|
What can the volume of extracellular fluid removed by use of diuretics bring on?
|
hypovolemia (shock) leading to acute renal failure
|
|
|
The excretion of excess albumin is a defining feature of what ?
|
nephrotic syndrome
|
|
|
what intervention is 1st priority for a pt with hyperthyroidism who is started on inderal?
|
monior pulse and pulse pressure, because inderal is a beta blocker that reduces pt's tachycardia and palpitations. A pt with hyperthyroidism who is takin this med should be monitores for signs related to congestive heart failure
|
|
|
Does inderal affect prothromin and bleeding time?
|
no because it is a beta blocker
|
|
|
Does inderal have a side effect of postural hypertension?
|
no
|
|
|
Hypocalcemia is associated with what type of disorders?
|
disorders of the parathyroid
|
|
|
A pt with adrenal insufficiency has what tpe of electrolyte problem?
|
hyperkalemia
|
|
|
a pt that is dizzy, is experiencing neuromuscular irritability and confusion has classic signns of what electrolyte problem?
|
hypomagnesemia
|
|
|
A pt with adrenal insufficiency is like to have an excess or decrease in magnesium?
|
excess
|
|
|
A pt with adrenal insufficiency that is dizzy is experiencing neuromuscular irritability and confusion probably has what type of electrolyte problem?
|
hyponatremia
|
|
|
WHat is the expected affetc of epoetim alfa in a pt with chronic renal failure?
|
increase in hematocrit
|
|
|
What are Na+ levels regulated through?
|
fluid levels and diet
|
|
|
Older adult pts' with hyperthyroidism commonly present with which clinical manifestation?
|
diffuse pruritus
|
|
|
Moon face is a characteristic of what?
|
cushings syndrome
|
|
|
What type of heart rate is usually found in hypothyroidism?
|
bradycardia
|
|
|
A patient with a hx of renal calculi should be discouraged from taking what?
|
vitamin and mineral supplements, especially vit D and C to prevent further stone formation
|
|
|
High fluid intake is especially important in a pt with what?
|
renal calculi, especially if pt does lots of physical exertion
|
|
|
Heavy physical exertion and overheating can cause excessive sweating and temporary dehydration which can contribute to what?
|
the formation of renal calculi
|
|
|
Why is it important to take in sufficient fluid at bedtime?
|
so that urine concentration is not excessive overnight
|
|
|
What nursing diagnosis is appropriate for a pt with hyperthyroidism (graves disease) who develops exopthalmos
|
body image disturbance
|
|
|
Lovothyroxine sodium (synthroid) may take u to how long to reach the full level of concentration comparable to the natural thyroid hormone that its replacing?
|
10 days
|
|
|
What is one oof the most common sx of graves disease?
|
nervousness
|
|
|
gross tremors are associated with what metabloic problem?
|
hypoparathyroidism
|
|
|
What will a pt's skin look like in hypo and hyperthyroidsim?
|
hypo=pale
hyper=flushed |
|
|
What would be a good outcome for a pt with renal calculi?
|
maintain urinary output that is equivalent to fluid intake to avoid concentrated urine.
|
|
|
Can renal calculi be accompanied by a fever?
|
yes
|
|
|
What nursing intervention would be most helpful in providing comfort of a patient with hyperthroidism?
|
provide a cool environment
|
|
|
How does a pt with hyperthyroidism constantly lose fluid?
|
through diarrhea and perspiration, encourage fluid intake
|
|
|
Would a moist humidifier be appropriate for a pt with hyperthyroidism?
|
no, their skin is already moist and sweaty
|
|
|
Is it necessary to restrict the positioning of a patient with hyperthyroidism?
|
no
|
|
|
Why does a pt with hyperparathyroidism need to remain as physically active as possible?
|
because decreased mobility may lead to renal calculi because of the kidney involvement. This coupled with excess calcium secretion associated with immobility places the patient at risk for renal calculi
|
|
|
Hyperparathyroidism causes what type of blood pressure?
|
hypertension
|
|
|
A characterisitc of hyperparathyroidism is what?
|
muscle weakness
|
|
|
It is dangerous for a pt with renal calculi to consume excessive amouts of which liquid?
|
milk because renal calculi are usually composed of calcium
|
|
|
WHat liquid should pts w/ renal calculi drink?
|
water because it flushes the kindeys
|
|
|
What is pheochromocytoma caused by?
|
it is caused by the pts catecholamine producing tumor
|
|
|
Is pheochromocytoma benign or cancerous?
|
benign, It can have associated hypertension which can be chronic from damage to blood vessels
|
|
|
what medical condition results in hypersecretion of hormones of the adrenal cortex?
|
cushings syndrome
|
|
|
What manifestation would the nurse expect to obsrve in a patient with decreased erythropoetin production secondary to end stage renal disease
|
shortness of breath
|
|
|
The musculoskeletal pain associated with ESRD is what?
|
bone pain
|
|
|
joint pain is associated with which medical condition?
|
hyperpituitarism
|
|
|
Headache is a classic sx of what medical condition?
|
pheochromocytoma
|
|
|
To improve nutritional status of a pt with graves disease the nurse should do what?
|
provide patient with a quiet atmosphere during meals
|
|
|
following a thyroidectomy, it is important for the nurse to ask the patient which qquestion to assess for bleeding?
|
"do you have a feeling of fullness at your incision site?", this couuld indicate swelling that could lead to acute respiratory obstruction
|
|
|
Is a sore throat normal after surgical removal of the thyroid gland?
|
yes
|
|
|
A pt is likely to have a drainage tube following a throidectomy whcih will what?
|
need to be checked
|
|
|
What sx is most characteristic of acute pyelonephritis?
|
flank pain
|
|
|
pain radiating to the shoulder coud indicate what?
|
gall bladder inflammation or myocardial infarction
|
|
|
Pelvic pain often occurs with what urinary problem?
|
UTI
|
|
|
In a pt with diabetes should fluid be restricted?
|
yes intake should be limited to output
|
|
|
What is a progressive condition resulting from overproduction of growth hormone?
|
acromegaly, pics of the past should be provided by the pt
|
|
|
WHy is exercise likely to be restricted in a pt with acromegaly?
|
bone density is decreased
|
