Endocrine Disorder
What does calcitonin do to in regard to the movement of Calcium?
Moves Ca from blood to bone
Name one microvascular complication of diabetes mellitus
retinopathy
nephropathy
neuropathy
Following renal failure there are 2 techniques for cleansing the blood:
Peritoneal dialysis
Hemodialysis
A pt arrives in the ED w/ frostbite to the fingers, name a nursing intervention
Rewarm
Wrap w/ bulky, clean bandages, separating skin areas and elevate
Administer a tetanus immunization if not up to date
Dexamethasone is administered in the evening and then the following a.m. cortisol is drawn. If the cortisol levels are decrease you suspect?
This is Normal
A complication of excess PTH could lead to?
Osteoporosis
A diabetic patient is prescribed prednisone...what would you expect to happen to their blood sugar?
Elevated
After the GFR has decreased to 50% what 2 labs will start to increase?
BUN
Creatinine
What types of ingested poison is vomiting "not" encouraged?
chemical
A pt with Addisons disease will have low lab values in (name 2)
sugar
salt
A metabolic disorder that creates an excessive production of cortisol is? What 2 electrolytes needs to be monitored?
Cushing's syndrome
Hypernatremia
Hypokalemia
This type of cardiac med frequently blocks a diabetic pts hypoglycemia symptoms. What class of med is this?
B-adrenergic blockers (for blood pressure)
(2 parts)
Correctly identify your concerns with these 3 electrolytes when a pt. has chronic renal failure: potassium, calcium and phosphorus. What about the build up of urea?
Potassium & phosphorus will increase
Calcium will decrease
A build up of urea will lead to uremic frost, crystals on the eyebrows, face, axilla & groin
Following a snake bite name 2 erroneous interventions which you should NOT do:
Not apply suction
Not make incisions over the wound
Not apply ice
Not give alcoholic beverages or stimulants
You suspect withdrawal from what substance when a pt. displays, apathy, long periods of sleep, irritability, depression and disorientation?
CNS stimulants such as cocaine, amphetamines "bath salts"
A tumor is located in the adrenal medulla, what type of crises would you suspect?
Hypertensive
The pt is displaying hyperglycemia, dehydration, electrolyte imbalance, ketosis and acidosis.
You suspect this pt has?
DKA
Several medications are withheld prior to dialysis, name 2 classes of meds which are withheld.
Antihypertensive
Vasodilators such as nitroglycerine
Digitalis
Anticoagulants
(2 parts)
This disease is transmitted from person to person w/ S/S of hemoptysis, high fever, HA, respiratory failure and lymph node swelling. This disease is transmitted through flea bites. Following 2 days of IV gentamicin what can the LVN do? Name the disease and LVN actions
Plague
No longer respiratory contagious
You suspect withdrawal from what substance when a pt. displays: N/V, anorexia, agitation, hallucinations, seizures, increase in temp, BP, P & R?
Alcohol
A pt. post thyroidectomy displays: elevated fever, tachycardia, hypertension, agitation & irritability. You suspect this pt is experiencing?
A thyroid storm
In general a patient with acidosis will have what relationship on potassium?
hyperkalemia
You suspect kidney failure, which impacts other body systems. Name 3 body systems which will be impacted and symptoms you might see.
Neurologic (lethargy or irritability)
Cardiovascular (hypertension, dysrhythmias)
Respiratory (shortness of breath, fluids in lungs)
Gastrointestinal (N/V, constipation)
Musculoskeletal (muscle cramps, twitching, restless leg)
Skin (itching, uremic frost)
A large number of patients are arriving at the hospital from the scene of a chemical disaster. What is the priority action?
Decontaminate all patients outside the hospital by showering
What symptoms differentiate smallpox from chickenpox? Name 2
Smallpox: fever first then rash, rash has deep-seated vesicles that are all in the same stage of development in one area of the body, lesions can appear on the palms & soles of feet, rash starts w/ the face and spreads to hands/forearms & then rest of the body