Osteoporosis
A patient with Osteoporosis has a fall out of their bed. What is the nurse concerned about?
Fractures
Heat intolerance, tachycardia, and diarrhea are s/s of what disease?
Hyperthyroidism
Non-malificence means
To do no harm
Moon face, striae on abdomen is typical of what disease?
Cushing
What is the leading cause of Cirrhosis in the US?
Alcohol- associated Liver Disease
Non pharm way to rebuild bones
Weight bearing exercise
This autoimmune disorder often has exophthalmos and thickened, red lumpy skin pretibial myxedema
Grave's disease
A nurse just gave lispro to a client, but they decided they didn't want breakfast. The nurse should monitor this client for
Hypoglycemia
Which two diseases are linked to an over or under production of cortisol?
Addison's and Cushing
Patients with liver disease have difficulty processing this nutrient
Protein
A nurse is teaching a client about exercises that help build bone density. Which of the following is least effective?
Biking, walking, tennis, swimming, weightlifting
Swimming
Which nursing intervention should be included in the plan of care for the client diagnosed with hyperthyroidism?
1. Increase the amount of fiber in the diet
2. Encourage a low- calorie, low protein diet
3. Decrease the client's fluid intake to 1000 ml/day
4. Provide 6 small well balanced meals a day
4. Provide 6 small well balanced meals per dat
Describe the action of imsulin
Allows glucose to be taken into cells
Cushing disease is an increase in what hormone?
Cortisol
A patient with liver disease who is usually a & o x4, is suddenly presenting as a & o x 2 and saying bizarre words. The nurse should suspect
Hepatic encephalopathy
The nurse is assessing a postmenopausal client. Which question should the nurse ask to assess for signs of osteoporosis?
1. Have you experienced any palpitations?
2. Are you having any low back pain?
3. Are you having problems with swelling in your feet?
4. Is constipation a problem for you?
2. Are you experiencing any low back pain?
A client diagnosed with hypothyroidism is prescribed the thyroid hormone levothyroxine. Which assessment data indicates the med has been effective?
1. Client has a three lb weight gain
2. Client has decreased pulse rate
3. Client's temperature is within normal range
4. The client denies diaphoresis
3. The client's temperature is within normal range
A patient tells the nurse they do not want a blood transfusion to save their life, it is against their religion. If the nurse honors this request they are exhibiting the ethical principle of
Autonomy
Addison's disease is a lack of what hormone?
Cortisol
The nurse should evaluate results of which lab tests while caring for a client who has cirrhosis of the liver?
1. PT
2. U/A
3. Serum lipase
4. Serum troponin
5. Serum albumin
1. PT
5. Serum albumin
A patient with Osteoporosis is taking alendronate, a sodium biphospate. What teaching should the nurse include for taking this medication?
Instruct the client to take alendronate with a full glass of water and remain sitting or standing upright and refrain from eating or additional drinking or meda for 30 min after taking it.
Which s/s should make the nurse suspect the client is experiencing a thyroid storm?
1. Constipation
2. Hyperpyrexia and extreme tachycardia
3. Hypotension and bradycardia
4. Decreased respirations and hypoxia
2. Hyperpyrexia and extreme tachycardia
A client is shaking and sweating, they feel anxious and have tachycardia. Are they experiencing hypo or hyperglycemia?
Hypoglycemia
How does aldosterone work in the body? RAAS system
Maintains ecf volume by promoting sodium retention. Acts on the distal nephron to increase NA reabsorption.
A nurse is caring for a client scheduled for an abdominal paracentesis for r ascites instructs the client to:
1. Scrub the abdomen before the procedure
2. Avoid eating and drinking for 6 hours prior to procedure
3 empty the bladder before the procedure
4. Report excess flatus following the procedure
3. Empty the bladder before the procedure.