Cirrhosis
The actions that you the nurse can include in the care/plan of a client with cirrhosis of the liver with ascites.
What are diuretics
What is a low sodium diet
What is measuring abdominal girth
The one sign and symptom that goes along with hepatic cirrhosis that can lead to shortness of breath in the client.
What is an increase in the abdominal girth of two inches with ascites?
The nurse is caring for a client with COPD who is having difficulty bringing anything up when they cough. The action needed to help thin out the tenacious secretions.
What is encouraging to drink 2 to 3 Liters of water daily?
These are just a few herbal supplements that can cause a potential risk during surgery.
What is Garlic, Ginger, and Ginkgo biloba
When teaching a client who is at high risk for osteoporosis about dietary measures that can be taken to increase calcium level. The nurse should mention these to be added to her diet.
What is milk and broccoli?
When teaching about dietary recommendations to a client who has gout, which beverage should be told to avoid since it can trigger an attack.
What is alcohol?
The best place to administer insulin for better absorption.
What is the abdomen?
The ways to help decrease and modify hypertension without using medications.
What is weight reduction, avoiding smoking, decreasing sodium, and increase physical activity.
The identified risk factors for CAD for a client
What is Sedentary lifestyle, Obesity, Family History and diabetes
When you have hypokalemia and have nausea, vomiting, and diarrhea. The findings you would not have would be....
What is Extreme thirst, Hyperactive bowel sounds, and hyperactive reflexes.
The causes that go along with biliary cirrhosis and the information to include in teaching the client.
What is an obstruction of the bile duct?
The drug used to decrease high ammonia levels in Liver clients.
What is Lactulose?
The nursing interventions used and should be implemented in a client with pneumonia. (name 4)
What are assessing lung sounds?
What is encouraging to cough and deep breath?
What is it to monitor pulse oximeter reading?
What is it to increase patient's fluid intake?
What is it to administer oxygen?
When caring for a client immediately postoperatively following a partial laryngectomy, The one parameter that you need to assess first.
What is airway patency?
When the client has a family history of osteoporosis, the health promotion activity that should be recommended as a preventive measure.
What is encouraging to engage in weight-bearing exercise regularly?
When treating a client for osteomyelitis and if they underwent a debridement the reason behind implanting beads
What is implanting antibiotics for deep infections and used to deliver directly to the site.
The Type 1 diabetic was given regular insulin 2 hours ago. The client begins of being jittery and nervous. The common intervention you should implement.
What is quick acting carbohydrates?
What is checking blood glucose at the bedside?
What is checking to see if the client has even eaten?
When the SBP 120-139 mmHg or DBP 80-89 mmHg
What is prehypertension?
The particular lab results for hyperlipidemia that are consistent with a diagnosis.
What is LDL of 180?
What is Total cholesterol is 300 mg/dL
What is HDL of 30 mg/dL
Best sources of potassium in foods when client is taking a diuretic
Raw apricots, Bananas, Tomatoes, Spinach
The advance stages of cirrhosis the nurse could expect to see this.
What is Jaundice?
When the client diagnosed with liver failure has ascites and is given spironolactone, you commonly would see this in the laboratory results.
What is a decreased sodium level?
You are assessing a client with community acquired pneumonia which items could go along with having the diagnosis.
What is a client in a long term facility prior to being admitted to the hospital?
When developing a plan of care postoperative while the client is in the hospital. The intervention that should be included to help prevent any pulmonary complications would be.
What is using the incentive spirometer?
When a client has had gradual height loss and is now showing slight kyphosis, the nurse should ask further history questions regarding.
What is Osteoporosis?
The manifestations of hypoglycemia are what (think of 3)
Blurred vision
Tachycardia
Moist, clammy skin
Persistent SBP of 140 or more DBP 90 or more
What is Hypertension?
The things you want to Limit when diagnosed with CAD
What is fast food?
When a potassium level is 3.2 the actions that the nurse should take
Call the physician or give the ordered KCL as prescribed
The client in advanced stage of cirrhosis tends to have this expected findings on the stomach, chest, and face.
What are spider angiomas?
When you discharge a patient home with cirrhosis, the teaching given to manage cirrhosis with esophageal varices, these are important to include.
What is it to avoid NSAIDS/Aspirin, Watch when coughing and sneezing, stay away from alcohol, and no straining with having a bowel movement.
Opportunistic pneumonia tends to go along with what
The client is scheduled for an elective surgical procedure. The action that the nurse should take regarding informed consent would be to.
What is to witness the client's signature?
When your completing a physical assessment on a client with osteoarthritis, these are some of manifestations that you the nurse should expect to see.
What is asymmetrical joint pain and deformity?
Most important information to teach to a client diagnosed with Type 1 diabetes prior to discharge. (think of 3)
Insulin administration
use portable blood glucose monitor
hypoglycemia prevention, symptoms, and treatment
Average SBP 140 mmHg or more, coupled with average DBP of less than 90 mmHg
WHat is Isolated Systolic Hypertension?
When managing clients who are high risk with CAD, the nurse needs to make sure to include which type of nutritional therapy in the teaching at discharge.
What is decreased cholesterol and to increase whole grains, fruits and vegetables
Client has an NG and the potassium level is 3.0 the reason for this is
What is an NG tube to gastric suction
The nurse is planning care for the client with cirrhosis and ascites. These interventions would be helpful to include in the nurses plan of care.
What is to decrease the client's fluid intake?
The clinical manifestations of liver cancer may includes these.
What is fatigue
What is peripheral edema and ascites
what is portal hypertension
What is hepatomegaly and splenomegaly
This is commonly used while a client is on oxygen via nasal cannula that helps keeps nasal airway moist
What is a humidifier bottle
The client is postoperative following abdominal surgery and prescribed clear liquid diet. The client should be able to have which items on their tray.
What are ice chips and apple juice, jello etc..
The consistent clinical manifestations commonly seen with the diagnosis of Fibromyalgia during a physical assessment.
What widespread burning pain in multiple areas on the body?
What is morning stiffness?
What is reporting pain in multiple tender points/areas?
The types of insulin that is alright to use IV
What is Regular insulin
Elevated BP without an identified cause
What is Primary Hypertension?
When working with Magnesium what level should be reported to the provider
What is Magnesium of 1.0 (normal level are 1.3-2.1)
The complications that can be the primary cause of liver cirrhosis.
What is alcohol?
Clinical manifestations of acute liver failure can be
What is jaundice
What is coagulation abnormalities
What is encephalopathy
The type of classification of TB that a client who does not have active TB and cannot transmit TB bacteria to others, but is able to develop active TB disease at some point in time.
What is Latent TB
Some preoperative considerations in the older adults population (state 2)
What is recognizing any sensory deficits and provide warm blankets to prevent hypothermia.
The items you get evaluated for osteoporosis. There are 4
What is Smoking history, Family history, Levels and amount of exercise, Alcohol intake, and corticosteroid use.
The reduction risk of complications of diabetes mellitus are reduced by
What is reducing cholesterol and saturated fat intake
What is increased physical activity and daily exercise
What is enroll in a smoking cessation program
What is maintaining optimal blood pressure to prevent kidney damage.
When the BP is elevated with a specific cause.
What is Secondary Hypertension?
Client has sodium level of 160 but presents with hypovolemia. some other findings could be what
Extreme thirst, Agitation, Postural Hypotension
What is chronic alcohol use,
inability to comprehend or comply with rigorous post transplant care, advanced HCC or other cancers.
Hepatitis D and E requires this for the client to have this
What is Hepatitis B
The instructions given to a client diagnosed for TB are sometimes not followed why
What is treatment involving 6 to 9 months of consistent medication use.
When using a NG tube that has drained high amount of drainage, the effects will show on what electrolyte
What is a Decrease in potassium
Newly diagnosed client with osteoporosis, the teaching to include to the client would be
Commonly in females after menopause
degenerative disease characterized by decrease in bone density
can cause injury
When the blood sugar is 48 in a client with Type 1 diabetes
What is giving fruit juice
When the client is admitted for a hypertensive emergency of 244/142, the appropriate medication is initiated the correct management strategy to watch on the client is what. ( think of 3)
Measuring hourly urine output
Restrict patient to bed
Frequently check LOC
With Hyperglycemic Hyperosmolar Syndrome you have all the signs and symptoms except
What is Kussmaul breathing
This form of Hepatitis is most commonly transferred by sharing needles and drug use
What is Hepatitis C
Fecal-oral is commonly see with this form of Hepatitis
What is Hepatitis A
Recommendations to consume adequate amounts of nutrients for COPD clients in a plan of care would be
Eat high-calorie foods first
Eat more frequent meals and snacks
Rest before meals
The importance of foot care to a diabetic client and some teachings to go with it.
What is checking feet daily for any sores and bruises.
Wear shoes and socks
Dry feet after taking a shower.
Most important teaching to communicate to a client with hypertension about controlling their illness is
What is lifestyle modifications
The Somogyi Effect includes
What is when a client has a normal glucose level at bedtime, then hypoglycemia at 2am and then hyperglycemia in the morning.
This hepatitis is mostly transferred via sexual transmission
What is Hepatitis B
Asterixis is noticed in a client with cirrhosis how do you check
What is asking the client to extend the arms
Client with Type 1 found lying in bed sweating and reporting feeling anxious.
What is Hypoglycemia
NPH insulin is given every morning what should the nurse include
What is NPH insulin which should peak in 6 to 14 hours.
What is ammonia
Typical labs drawn for cirrhosis and what would be needing to treat
What is Prothrombin time 22 seconds
Ammonia 96
Platelets of 75,000
Which is not a medical treatment for DKA and HHS
What is IV administration of a long-acting insulin
The provider caring for a client with DKA and has a blood sugar of 925 would order which type of solution
What is 0.9% sodium chloride IV bolus