GI
Hallmark sign for refeeding syndrome
Hypophosphatemia
Key symptoms of major depressive disorder
Change in usual sleep and appetite patterns
3 balancing factors for crisis
1. Perception
2. availability to support
3. coping skills
What is The cycle of violence
Tension buildinh, acute battering phase, the honeymoon
Diet needed for inflammatory bowel disease
Increase calorie intake, increase vitamin, increase protein decrease residue
Contraindications for Enteral feedings
Gi obstruction, prolonged ileus, sever diarrhea or vomitting, fistula
What makes type 1 bipolar
At least one episode of mania
minimum goal for crisis
Restore to baseline
Nursing care for sexual assualt
Assess your emotional ability to care, assess anxiet, client must consent for evidence to be collecte, provide resources
A 76 year old male recently diagnosed with hepatitis C what should he be taught about nutrition
Adequate fluid intake 2500mL-3000mL
What is important nursing care for esophageal cancer
Emotional support
A 37 year old female is currently taking lithium for mania. She has been having fatigue and nausea and wonders if this is normal
Yes normal side effects
4 phases of crisis intervention
1. assess safety
2. identify priority problem
3. stay with them
4. follow up
Learned responses of victims
Tries to justify batter’s behavior
blames self, low self-esteem
believes abuser will change
A 15 year old female has sever LUQ pain, temp of 38.9, she claims the pain is deep and continuous what should the nurse do
Relief pain, prevent shock, IV fluids,
Major risk factor for PUD
H. pylori
Teaching needed for lithium
Avoid dehydration
normal salt diet
regular lab check
birth co
A 23 year male comes in the ER pacing the waiting room and yelling at staff what is he showing signs of
Anger or agression
key factor for suicide assessment
ASK
What diet can prevent diverticulitis
High fiber diet and decreased intake of fat and red meats
what could be occurring rigid and board like abdomen, absent bowel sounds
if untreated can lead to what
PUD
bacterial peritonitis
A 48 year old male has been taking SSRIs for depression his daughter he has been getting angry easily, and seemail more confused then normal what is occurring
Serotonin syndrome
A 29 year female came in yelling and screaming and trying to get psychical with staff was put into restriants she has calmed down and has said she wants to be able to move again what should you do as the nurse
Remove restraints
What are suicidal precautions
Constant supervisio, documentation q15, removal of harmful objects, watch pt take meds, stay alert of behavioral ques
A 48 year old male just had surg to remove hernia what education is needed
Deep breath but do not cough
keep mouth open when coughing if unavoidable
no heavy lifting for 6-8 hours