GI/sensory/CV
What is an indication for a new LLQ colostomy?
colorectal cancer
what is considered not a risk factor for patient who has an eating disorder?
What is schizophrenia
what are cues a patient has suspected pancreatitis?
RUQ pain, elevated Amylase and lipase, PMHX of smoking and ETOH use, fetal position, N/V
what is a possible complication of BPH?
What is Hydronephrosis
What are the anatomical changes of U/C versus Crohn's?
what are: Both Crohns and UC include the presence of pain and alterations in stool. The stool in Crohn's disease is characterized by blood and mucous while the stool associated with UC is bloody without mucous.
What is the best question to ask a patient who has been taking Motrin for several months?
Have you had any stomach pain or indigestion
What are interventions for a patient hospitalized for anoxia nervosa?
what are small meals, supervising meal time, monitor weight, provide rewards for gaining weight, CBT,
Name the assessments one would see with a patient who has anorexia nervosa?
what are
dry skin
abnormal menstruation cycles
bradycardia
BMI <17
hypotensive
what would be the precautions for a patient who has retinal detachment?
what is restrict eye movement
don't bend over
don't life heavy items over 10 lbs
what would be priorities for a patient newly admitted with PUD?
what is NPO, NGT, IV, HOB elevated pain medications, antiemetics-IV
Identify risk factors for a patient at risk for suicide?
what are:family history
previous attempt
hx of mental illness
witness a suicide
no resources, no support, drug and ETOH use, stop taking their meds
What are foods that are good for patients with heart disease?
What are chicken, beans, fresh leafy salads, small amounts of bread, soy burgers-
no animal fat low sugar low carbs, high in nutrients
avoid sugary drinks, high fatty foods, fast food white rice, white potatoes
what is the appropriate description for a patient with chronic venous disorder
what is legs feel better when elevated
what would be priority assessments for patients suspected of having delirium?
over medicated-opioid use,
hx of mental cognitive impairment
infection
malnutrition
low BS
what are interventions for a patient who is suicidal
what are one to one observation
medication if needed
room close to nurse's station
follow restraint policy of facility
MME
collect history
remove all sharp objects, ropes,
what are teaching topics for a patient taking Phenytoin?
Take on an empty stomach
don't skip dosage
get regular bloodwork
report skin rashes to provider
be mindful I am ask for infections
What is a priority question to ask patients who may have suspected colon cancer?
shape and size, color, frequency, increased bloating, indigestion, nausea
what are positive signs of schizophrenia?
what are:
hallucinations
delusions
grandiose emotional displays
what is the best response to what SCD's are used for?
what is to promote circulation and prevent blood clots
what are teachings for patient who is taking lithium?
do not take NSAIDS
don't stop medication suddenly
may cause N/V
weight gain over long term use
do not drive until drug use known
have labs done as directed
avoid activities requiring alertness
s/sx of lithium toxicity- high fever, shaking, lithium is a salt- diet management
what are teaching topics associated with taking Digoxin?
checking radial pulse before taking
regular blood work
report N/V
green yellow halos
report BP changes
alert medication
what are teaching instructions for patients who are taking diuretics'
What is:
Take in the morning-
report dizziness, syncope take with food,
take BP if have a machine. teach radial pulse if taking with dig, report N/V yellow green halos
don't skip doses
low salt diet
call MD
What are important questions to ask patients to help prevent the development of DVTs?
What are use of birth control and tobacco use,
flying long distance
use of SCDs in hospital
SC heparin, or Lovenox proactive
What are the complications of acute glomernephritis?
amber colored urine output less than 30mL an hour, swelling of face first thing in the morning. Fever
previous strep throat infection
weigh gain
teenagers
labs: BUN, Creatinine, GFR<60
elevated NA
what are complications of Crohns?
what are Fistulas, small bowel obstruction, peritonitis, decreased electrolytes, N/V