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FLUID & ELECTROLYTES
URINARY/RENAL
ORTHO/BOWEL
ACTIVITY/EXERCISE
NEUROLOGICAL
100
It is important for patients to avoid foods & supplements high in potassium when they are on this type of medication.
What is a potassium sparing diuretic (Aldactone/Spironlactone)
100
What is the most common sign and symptom seen in a patient with bladder cancer?
What is painless hematuria
100
Name two types of physical activity that is appropriate for a patient with osteogenesis imperfecta?
What is swimming, walking, taking part in physical therapy
100
What treatments can be used for the two most common manifestations seen in a patient suffering from Sjogren's syndrome?
What is saliva substitute & artificial tears.
100
A client has recently suffered from a stroke on the left hemisphere of his brain. What is the name of the syndrome seen where the client is only focused on one side of the body and ignores everything else on the affected side?
What is neglect syndrome
200
What type of IV therapy results in fluid shifting into the cells and can result in cerebral edema if not monitored closely?
What is Hypotonic Solution. (0.45% NS)
200
You patient just had a renal transplant. What are some signs and symptoms of rejection?
Acute (months after): fever, swelling, pain Chronic (months to years): proteinuria, HTN, progressive azotemia, does not respond to increased immunosuppression.
200
Name three ways to prevent dislocation of a new hip prosthesis.
What is using an elevated toilet seat, No bending > than 90 degrees, use fracture bedpans, place a wedge or pillow in between client's legs, continue weight bearing status as MD ordered.
200
This disorder is often referred to as the triad of inflammation and is commonly caused by a Chlamydia infection and treated using steroid & antibiotic therapy.
What is Reiter's Syndrome
200
What common benzodiazepine is used to treat status epilepticus?
What is Lorazepam (Ativan) or Diazepam (Valium)
300
What posterior pituitary disorder results in an abnormal increase of antidiuretic hormone that is most often treated with fluid restriction & loop diuretics?
What is Syndrome of Inappropriate Antidiuretic Hormone
300
This urinary diversion creates a "bladder pouch" that diverts the urine through a stoma and requires an external collection device.
What is an ileal conduit
300
A patient of yours has developed peritonitis from a bowel perforation. You know the most common assessment findings of a patient with peritonitis are? (Name four).
What is increased pain, fever, rebound tenderness, and a board-like rigid abdomen, tachycardia, A/N/V, abdominal distention, malaise.
300
Name four things that you would teach a patient that was newly diagnosed with systemic lupus erythematosus (SLE).
What is Lifestyle changes, maintaining good joint health, pregnancy teaching, sunlight exposure, yearly dental exams, yearly MD visits (vaccines, check-ups), reporting flare-up/exacerbations, how to take new medications.
300
What lethal complication is a result of untreated Increased Intracranial Pressure (IICP)?
What is brain herniation.
400
Which electrolyte imbalance causes neuromuscular excitability and results in a positive Chovstek's & Trousseau's, hyperactive deep tendon reflexes, and cardiac changes.
What is hypocalcemia.
400
This is often characterized by a defining group of clinical findings that include: massive proteinuria, hypoalbuminemia, hyperlipidemia, and edema. The most common treatment includes Prednisone, diuretics, and anti-hypertensives.
What is nephrotic syndrome (most commonly caused by primary glomerulonephritis--acute postinfectious or rapidly progressive)
400
List four signs and symptoms seen in a patient with a small bowel obstruction.
What is abdominal pain and tenderness, vomiting, diarrhea, hypoactive bowel sounds (possibly borborygmi in early stages), abdominal distention, hypovolemia, hypokalemia, hypochloremia.
400
Name five manifestations seen in a patient with systemic lupus erythematosus.
What is arthritis, joint pain, butterfly rash, photosensitivity, renal failure, proteinuria, leukopenia, anemia, thrombotic events Raynaud's, pleuritis, pleural effusions, seizures, memory loss, abdominal pain, liver enlargement, weight loss.
400
The following vital signs represent which common complication seen in a patient with a spinal cord injury: BP = 75/40 Pulse = 52 Respirations = 22 Temperature = 36.1 Celsius
What is Spinal Shock.
500
Name four of the seven different treatments that can be used to treat hyperkalemia?
What is Calcium Gluconate IV, Insulin & Dextrose, Kayexalate, Albuterol (promotes uptake of K+ into cells), Sodium Bicarbonate (treats acidosis), Diuretics, Dialysis (last measure)
500
What are the nutrition recommendations for a patient with acute renal failure?
What is low protein, low potassium, and low sodium diet. May even have fluid restrictions.
500
Your patient just had a bowel resection with colostomy placement. What would be the expected findings of a newly formed stoma 24 hours after surgery?
What is little to no output (serosanguinous), no bowel movement or stool present, possible bleeding of stoma, pink-red stoma.
500
You are taking care of a patient that has CREST syndrome that was manifested from systemic sclerosis. You know that CREST stands for which five manifestations that are seen?
What is Calcinosis, Raynaud's Phenomenon, Esophageal Difficulties, Sclerodactyly, Telangiectasia.
500
A patient was in a motor vehicle accident and has an intracranial pressure reading of 30 mmHg. What nursing interventions should be done to assure that we are not causing an increase in intracranial pressure?
What is decreasing stimuli, keeping body and head in good alignment, administer fluids as ordered (D5 1/2-hypertonic), give medications as prescribed (Decadron, Mannitol), Monitor I&Os, continuous neuro checks to monitor for any significant changes.