Inflammation
Glucose Regulation
Metabolism
Misc.
Misc.
100

Where will pain be most noticeable in a client with appentdicitis?

Where is McBurneys Point? Right lower quadrant. Nurse will notice by palpating the area.

100

This type of Diabetic must take exogenous insulin. Why?

What is Type 1 Diabetic. The pancreas secretes no insulin. 
100

What special instructions should the nurse know when administering Radioactive Iodine Therapy?

What is pregnant women shouldn't be around or care for these clients?

100
Why would the nurse avoid heating pads and laxatives in a client who has Appendicitis?

What is it can cause a rupture?

100

What does the acronym RICE stand for?

What is rest, ice, compression, elevation?
200

This kind of peptic ulcer is seen 1-2 hours after eating and usually wakes a client up in the middle of the night.

What is duodenal ulcer?

200

What causes Diabetic Ketoacidosis?

What is a lack of insulin or increased sugar intake (sugar in the bloodstream). This occurs in type 1 diabetes thus there is no insulin to take the glucose into the cells to use for energy. Body will start breaking down fat to use for energy which turns into ketones. Ketones can cause metabolic acidosis. 

200

What may cause an increase in cortisol levels?

What is sickness, stress, taking exogenous steroids for a prolonged period of time. 

200

What are the cardinal signs of inflammation?

What is redness, warmth, swelling, and pain?

200

Why does peritonitis cause dehydration?

What is fluid can build up in the clients abdomen causing fluid loss or dehydration?

300

What is the treatment for a patient who has a hemorrhage from a peptic ulcer?

What is stop the bleeding and administer IV fluids?
300

Why do clients with Hyperglycemic Hyperosmolar Nonketotic have sever dehydration?

What is because the glucose in the bloodstream is extremely high causing the blood to be concentrated. The kidneys start to eliminate the excess glucose through urine pulling large amounts of urine out of the body leading to fluid loss and dehydration.
300

Why does clients with Addison's disease have a fluid volume deficit?

What is not enough secretion of cortisol and Aldosterone. Aldosterone helps balance water and salt in the kidneys. These clients are usually dehydrated requiring fluid replacement and cortisol replacement. Because there is no fluid there is usually no sodium either. Thus patients need to eat a high sodium diet. 
300

Why do clients with GERD sometimes experience respiratory issues?

What is the reflux causes narrowing stricture or chronic irritation of the esophagus?

300

Why might a client show signs of hypocalcemia such as tetany after a thyroidectomy? What are some of these signs?

What is the parathyroid may have been removed with the thyroid. Signs include muscle twitching/spasms, numbness, tingling, positive chvosteks sign. Treatment includes administration of calcium gluconate. 

400

Sometimes antacids are administered for the treatment of peptic ulcer disease. What special instructions should the nurse be aware of when administering this medication?

What is don't give with other medications? What is don't give if a client has kidney disease?

400
Why do we teach clients about diabetic foot care? What do we teach them?

What is because diabetic clients often have a loss of sensation in the feet (diabetic neuropathy) and can sometimes sustain injuries without knowing. We teach these clients to always wear shoes with soles, empty their shoes, never go barefoot, inspect their feet daily, wash and dry their feet daily, and use caution with nail care.

400

Discuss post-op care for a client who just underwent a thyroidectomy?

What is observe respiratory status, keep trach and suction supplies readily available, look for signs of internal bleeding, look at the sides of the neck, shoulders, and back for signs of external bleeding. Monitor for complications.

400

Why might a client develop cardiac collapse after receiving a thyroidectomy?

What is large amounts of thyroid hormones are released into the blood stream after surgery further exaggerating all the symptoms of hyperthyroidism. Client may experience nausea, vomiting, severe tachycardia, hypertension. Heart is working extremely hard and may start to fail. 

400
Why does a client with cushings disease need a low sodium diet?

What is an increase in cortisol causes edema and swelling or fluid retention. Client needs to follow a low sodium diet to reduce swelling. 

500

What is the plan of care for a client who comes in showing signs of appendicitis? 

What is keep NPO, prepare for surgery, don't administer pain meds until seen by provider, avoid anything that could cause rupture.

500
What test is used to diagnose gestational diabetes? Describe this test?

What is a 3-hour glucose tolerance test. Client is instructed to drink a sugary oral solution, wait three hours, and blood glucose level is obtained. 

500

What special instructions should the nurse follow when administering Levothyroxine and why?

What is give on an empty stomach to help with the absorption of the medication.

500

Discuss possible reasons for elevation in blood glucose levels?

What is stress, illness, and certain medications such as corticosteroids. 
500

What kind of insulin can be given IV?

What is regular insulin?

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