Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

2-health promotion(former alteration) > Exam 2 papers/diagnostic tests > Flashcards

Exam 2 papers/diagnostic tests Flashcards

1
Q

hypoparathyroidism

papers

A

positive trousseaus

tingling lips

decrease calcium

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

hyperparathyroidism

A

increase calcium

increase risk of kidney stones

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

hyperglycemia

A

DKA

Bg>200

fruity breath

long term complication of paresthesia

polydyspia

polyuria

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

hyperthyroidism

A

intolerance to heat

weight loss

hand tremors

insomnia

exopthalamus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

hypoglycemia

A

bg >50

slurred speech

decreases Loc

irritable

headaches

shakiness

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

hypothyroidism

A

levothyroxine treatment

preioribtol edema

listlessness

hoarsness

coarse, scaly skin

fatigue

intolerance to cold

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

pre op thyroidectomy

place
teach
expect
anser

A

place pt on antithyroid meds to bring thyroid back to normal baseline and reduce rusk of hemorrhage

teach to support neck after surgery

expect hoarseness and scar

anwer questions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

post op thyroidectomy

resp distress
hemorage
laryngeal
tetany

A

Resp distress
Asses- RR, rhythm, effort, stridor// use humidified air, assist w cDB & keep suction equipment available at bedside

hemorrage-
assess- hem/edema at incision, dressing to make sure tis not too tight and for drainage//monitor BP and pulse for shock –greatest risk is 12-24 hrs

laryngeal
assist ability to speak, note quality of voice//edema will subside but harness and loss of voice volume

tetany
assess for calcium deficiency-tingling at feet, toes, fingers, twitches, Assess C+T/// monitor serum calcium levels, keep calc gluconate at bedside, thyroid surgery may injure parathyroid gland

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

impaired vision changes

thyroidectomy

A

monitor acuity of vision, photophobia, integrity of lid closure

teach pt to protect eyes using tinted glasses, artificial tears, eye patches, cool compress and to lift straining

elevte HOB and report and visual changes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

nutrition thyroidectomy
limit
outcome
interventions
monitor

A

limit weight loss

outcome-weight approbate for height and free of NVD and AB pain

interventions-weigh daily
eat high protein, carbs and in small frequent meals

monitor labs data for albumin and lymphocytes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

anxiety/body image

thyroidectomy

A

encourage pt to verbalize feelings about self

encourage self compassion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Pain interventions

preop
postop
vision
nutriton
anxiety

thyroidectomy

A

pre op-use antithyroid meds/ support neck when coughing

post op- narcotics can worsen respiratory distress, resp. 02 for hoarseness, calcium for teeny

vision-monitor for eye pain, exopthalmuas, cover and moisten eyes

nutrition-assess pain, analgesics, inc appetite

anxiety/body image-manage pain can decrease anxiety, establish trusting relationships

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

prostatectomy-waht looks like

activity-no/no/excercise
can occur
inc/inc
0
monitor
teach

A

urinary cath. (maybe drain)

Activity
* No strenuous activity for 6-8 weeKs
* No driving for a weeks
* Leg exercise dt inc risk of blood clots

Bleeding can occur w/ BM, coughing, or inc Exercise

inc fluids at rest until urine is clear

inc fluids, fiber. laxatives at staol softeners as needed to prevent straining

0 sex for 6 weeks

Monitor abilty to urinate, excessive bleeding, Chills, fever, abd pain, swollen or tender serotum

Teach Kegel exercises

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Lithotripsy-pre op

A

Pre-DP
- assess knowlege and understanding of the procedure providing information as needed (anXiety reduced)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Lithotripsy-post op

A

-Monitor for hemorrhage -bloody urine
-monitor for cloudy urine
- monitor for decreased urinary output and flank Pain (Sighs of ObSurtive urine flow)
- Care for indeWelling cattacter
- increase fluid intake
- Monitor for stones
- encourage activity,
- diet low in Purines (goose, Sardines, chicken),
- encourage loW Sodium/ restrieted Protien diet
- reduce risk for UTI’s

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Cystitis–manifestations

A

dysuria

urgency

noctura

foul/cloudy urine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Cystitis–manifestations

in elderly
_
thermia
inc
if untreated

A

fever

w/ hypothermia

inc risk of uti

if untreated can go into kidneys and develop bladder stones

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Cystitis–type of meds and teaching

A

antibiotics

teaching
inc fluids

take full coarse of antibiotics

report/follow up if symptoms reside

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

TURP pre op
aware
signed
fluids?
preop
prep

A

Assess Knowledge of surgery,

make aware of catheter + possible drains,

consent signed

, NPO,

prè op Vitals,

I-O bowel prep

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

TURP Post op

monitor
assess
applye
inv
reduce
make

A

monitor I and O//vitals

assess pain/hematuria

apply teds/sODs,

Inc fluids,

reduce strain

make aware of possible bladder spasms

, Asses for TuRP-sundrome,

21
Q

Lispro (Humalog)
O
P
D

when eat

A

Rapid acting

O-15 mins
P-1-1.5 hrs
D-3-4 hrs

Need to start eating 15 mins after

22
Q

Regular insulin
O
P
D

A

short acting
O-30-60 mins
P-2-3 hrs
D-4-6 hrs

23
Q

NPH insulin
O
P
D

A

O2 hrs
P6-8 hrs
D-12-16 hrs

24
Q

Glargine
O
P
D

A

O-1 hrs
P-3-4 hrs
D-10-24 hrs

25
Q

what insulins can mix/cant mix

A

CAN-NPH and regular

CANT-glargine

26
Q

what happens to insulin if you exercise

A

required insulin should go down

depends on wt loss, cals loss, and blood glucose

27
Q

what happens if pt is on sick day

A

take bs every4 hrs

glucose will rise even with no food

still take insulin

ketones in urine

encourage fluids

s/s hyper/o glycemic

28
Q

where is insulin admisterd

A

SUBQ

fatty tissues-abdomen, arms, thighs

29
Q

how is insulin stored

A

room temperature

, no sun

for 30 days

30
Q

how is insulin given in body

A

90 degree angle

45 if skinny

31
Q

BUN-diagnostic test

used when
normal value
when can they be elevated

A

used to determine renal function and elimination of nitrogenous waste. Urea rises in AKI and CKD.

Normal Value: 5-25mg/dl-

sometimes can be elevated dt dehyfration-encourage fluid

32
Q

Urine Culture-diagnostic test

why conducted
normal values
how do

A

Conducted to identify causative organism of UTI.

Normal <10,000 organisms/ml, values >100,000 organisms/ml indicate UTI

-urin in steril cup, start voiding,then stop, then fill cup-preferef in morning-constituted

33
Q

Creatinine-diagnostic test

why used
normal value
when different

A

Used to evaluate kidney function, this is a by product of the breakdown of muscle & excreted by kidneys.

Normal Value: 0.5-1.5 mg

/dl-if patenti is in fluid volum overload then level may be lower thn actual

34
Q

creatinine clearance–diagnostic tests

why used
keep where

A

Blood sample and 24-hour urine test used to evaluate GFR & renal function –

keep container on ice or refigerated

35
Q

CT of Kidneys -diagnostic tests

allows what
what helps visuale
assesss what

A

Allows evaluation of kidney size, tumors, obstructions etc.

oral or IV contrast dye used to help visualize –

assess allergies to iodion,shellfish or seafood, increase fkuids/know cretninrn and BUN before giving dye

36
Q

Diagnostic Tests of Renal System

Cystoscopy
what does
done under
assess

A

Direct visualization of bladder wall and urethra. Can obtain tissue bx, stents can be placed, removal of calculi, assess for obstruction-

can be done under generl or local anethsia –

need to assess for hemorage, bladder perferaiton ,urinary reteion, any gross hermertraria

37
Q

Intravenous Pyelogram-diangostic test

what does

diagnoses

can be performed

asses

A

Radiologic exam used to visualize the entire urinary tract

to diagnosis kidney disorders, stones, tumors, cysts.

Can be performed alone or in conjunction with cystoscopy –

assess allergies prior to admintration of dye

38
Q

Renal Biopsy -diagnostic tests

used for
performed
have patient

A

Used to determine the cause of renal disease, to rule out cancer, check for metastasis.

Performed via excision or needle bx. –

have patient npo if gen anethia, wathc for external bleeding

39
Q

Post Void Residual -diagnostic tests

measures
normal

A

measures amount of urine left in the bladder after voiding.

Normal value <50ml –use bladder scan and report any above 100

40
Q

Urinalysis-diagnostic tests

used for
when to get

A

Examines the constituents of urine, to establish baseline, provide data for diagnosis, or monitor treatment results. –

early moring speicim, clean cut specimen, not if pt is menstrating

41
Q

Hyperglycemia

Diabetes and complications

A

polys

DKA, HHS, vasculares, delayed wound healing

42
Q

hypoglycemia

Diabetes and complications

A

somogoyami=hypo at nighy and rebound hyper in morning

cool clammy,pale

sweating shakiness

nausea, hypotension

43
Q

DKA

Diabetes and complications

A

fruity breath

BS > 250

ketones in urine

treated w/ insulin

electrolyte imbalance/ dehydration

looking at glucose every hour

44
Q

Macrovasular

Diabetes and complications

A

Pulmonary vascular disease

hypertension

Coronary artery disease

stroke

45
Q

Microvascualr

Diabetes and complications

A

capillary leak,

microthromobossos

decreased transport of oxygen leading to tissu e perufsion

46
Q

Infection

Diabetes and complications

A

delayed healing

inadequate bowel emptying-leads to uti

sensory defect

47
Q

foot complications and wind healing

Diabetes and complications

A

nephorpathy, and infection

most common ia crack, dry skin

tissue perfusion and oxygnetion

may not be aware of problems

amputation w/ loose glycemic control

48
Q

HHS

Diabetes and complications

A

elevated BG

Decreased LOC

medical emergency-high mortality rate

osmotic diueresis leading to kidney injury

severre dehydration

49
Q

CBi

A

frequent checks. assess urine in tubing, admisnter normal saline,

2-health promotion(former alteration) (10 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions