Endocrine
A patient with this disorder is at high risk for shock due to adrenal insufficiency?
What is Addison's disease?
The term that describes black tarry stool.
What is melena?
This type of arthritis is considered a "wear and tear" disease.
What is osteoarthritis?
Type 1 Diabetes Mellitus
What is beta-cell destruction?
A patient with Graves' disease reports feeling hot and anxious with a heart rate of 112.
What is assess for hyperthyroidism manifestations?
A patient with confusion and elevated ammonia levels is experiencing this complication of liver disease.
What is hepatic encephalopathy?
The medication is commonly used to lower ammonia levels in hepatic encephalopathy.
What is lactulose?
This autoimmune disorder commonly causes swan-neck and boutonniere deformities
What is rheumatoid arthritis?
Grave disease
What is exophthalmos? (bulging eyes)
A patient taking lactulose has multiple loose stools during the shift.
What is continue monitoring because diarrhea is expected?
This disorder is characterized by:
* Concentrated urine, Low serum sodium, water retention, and low serum osmolality
What is SIADH?
A patient with appendicitis suddenly reports temporary pain relief followed by worsening fever and abdominal symptoms.
What is perforation/peritonitis?
A patient with this disorder commonly experiences severe pain in the great toe due to uric acid crystal deposition.
What is gout?
Compartment syndrome
What is pain with passive movement?
A patient with liver disease begins vomiting blood and becomes tachycardic and hypotensive.
What is assess for GI hemorrhage and notify the provider immediately?
This endocrine disorder commonly presents with:
moon face, truncal obesity, hypertension, and hyperglycemia
What is Cushing syndrome?
A patient with portal hypertension is at risk for developing these enlarged veins that can bleed.
What are esophageal varices?
A patient develops:
muscle pain, weakness, dark urine, and elevated CK
What is rhabdomyolosis?
Gout
What is severe great toe pain?
The nurse receives a report on four patients. Which patient should the nurse assess FIRST?
A) a patient with hypothyroidism reporting fatigue and dry skin
B) a patient with SIADH who is increasingly confused and has a sodium level of 118.
C) a patient with osteoarthritis reporting chronic knee pain
D) a patient with GERD reporting heartburn after eating spicy food
What is B?
Severe hyponatremia can lead to seizures, neurological deterioration, and cerebral edema
A patient presents with:
severe thirst, dilute urine, dehydration, and excessive urination
What is ADH?
A patient with gastric ulcers has a history of frequent NSAID use. The nurse understands NSAIDs increase ulcer risk by damaging this protective barrier.
What is the gastric mucosal lining?
A fracture patient develops:
severe pain, swelling, parathesias, and pain with passive movement
(orthopedic emergency)
What is compartment syndrome?
SIADH
What is hyponatremia with concentrated urine?
A patient with a history of chronic steroid use develops:
fragile bones, back pain, loss of height, fractures after minor injury
Which condition does the nurse suspect? And what is the underlying pathophysiology?
What is osteoporosis caused by decreased bone density/bone reabsorption associated with chronic glucocorticoid use.