I can see clearly now
Whatcha say?
My what big feet you have!
Sugar Sugar
My head is spinnin'
Urine Town
100
Hypotension, Tachycardia, polyuria
What are symptoms of Diabetes Insipidus?
100
Elevated Intraocular Pressure
Glaucoma
100
Orange juice or Glucagon
OJ is a nursing intervention for a patient with a low blood sugar who is arousable.
Glucagon is a nursing intervention for a patient with low blood sugar who is not arousable
100
I have unquenchable thirst!
What is polydipsia?
Bonus: what is the a symptom of?
100
acute vertigo, nausea, vomiting
What are signs and symptoms of Menieres disease?
100
Expected Assessment for ESRD for AVF
Assess circulation below fistula
Assess for circulation at AV site
Assess for positive bruit and Palpate the Thrill ( Report if not
200
carpopedal spasm
What is an involuntary contraction of the muscles of the hand and wrist r/t hypocalcemia
200
Diminished vision
What is an a symptom of an elevated blood sugar?
200
Ketones
What is the by-product of fat breakdown in the absence of insulin and accumulates in the blood and urine ( commonly found in Type 1 DM)?
200
Type 1 DM wants to do vigorous exercise. What nursing education should be provided to avoid negative outcomes
Teach:
No exercise with BS under 100
No exercise if ketones present in urine
Understand peak of rapid acting insulin ( 15 min)
15 gm glucose - 15 min to raise glucose if hypoglycemic
Check feet for sores daily and after exercise
200
Cloudy vision and c/o glasses seem to be dirty all the time
What is a suspected cataract?
200
***Double Jeopardy !!****
The Expected Assessment Changes in Permeability in Acute Glomerulonephritis
Decreased permeability leads to:
Key is Swelling in the face ( periorbital edema) also hands, feet and ankle
Loss of protein and blood from blood into urine ( proteinuria and hematuria) "foamy urine"
Increase nitrates in the blood ( azotemia)
high blood pressure
concentrated dark urine ( due to blood cells)
300
HBA1C
What is glucose over the course of 3 months?
300
Truncal obesity, Moon face, Buffalo hump
What are signs & symptoms of Cushings?
300
Facial twitching
What is Chvostek's sign?
Bonus: what is this indicative of?
300
protruding eyes and a fixed stare.
What is exophthalmos?
Bonus: what is this a sign of?
300
this condition is a progressive loss of peripheral vision treated with timolol gtts
What is glaucoma?
Nursing interventions:
Inc. HOB to promote drainage, maintains vision, and safety interventions for loss of peripheral vision
300
After a Head Injury, A Priority Hormonal Nursing Concern ( The So What ) is to assess for
Assess for Diabetes Insipidus exhibited by
Major Increase in Urine output leading to Severe Fluid Deficit
Priority Assessment - Change in Level of Consciousness ( LOC)
400
overproduction of Growth Hormone
overproduction of Antidiuretic Hormone
overproduction of Thyroid Stimulating hormone
overproduction of adrenocorticotropic hormone
What is acromegaly?
What is Diabetes Insipidus?
What is Hyperthyroidism?
What is Cushing Syndrome?
https://www.youtube.com/watch?v=vLCg_kyuyw4
400
Helps control the amount of water and salt in the body
What is Antidiuretic Hormone (ADH)?
SIADH - No Vasopressin used, too much fluid held!
DI- Vasopressin is used to stop fluid loss!!
400
Patient education for Clients starting on Thyroid Replacement Therapy
Where is :
Expect to have routine thyroid rx blood levels (decreasing TSH, increasing T3,T4 indicates improvement)
Monitor for new palpitations ( hyperthyroid symptoms) or no improvement in lethargy
Do not abruptly stop therapy
400
rapid heart rate, high temperature, agitation, confusion, nausea, vomiting and hypertension
What are symptoms of thyroid storm?
What brings this on?
400
sensorineural hearing loss
What is due to damage to the vestibular cochlear nerve and caused by exposure to loud noise for extended periods of time?
400
Key Formula to identifying suitable oral fluids replacement in an Oliguric Client
Total urine output in 24 hrs + 500 Insensible Water loss ( IWL)
500
Calcium gluconate
Treatment for hypocalcemia and Tetany
bonus: what is tetany?
500
Posterior Pituitary
Where is ADH secreted from?
Overproduction- SIADH ( Soaking)
Underproduction - DI ( Dry)
500
Don't blow your nose!
What is important pre op teaching for a patient having transsphenoidal hypophysectomy surgery?
Bonus: what type of surgery is this?
500
Tuning fork to the mastoid process and then placed in front of the ear canal
What is the Rinne test?
Bonus: What is it looking for?
500
Stop the irrigation
What should the nurse do if a patient experiences nausea during cerumen removal via irrigation?
Why did this happen?
500
Acute Kidney Injury leads to which Expected Changes in:
K, Na, Phos, Ca
Hyperkalemia
Hyponatremia
Hyperphosphatemia
Hypocalcemia
600
Assess clients hearing and report findings to PCP
What should the nurse do when a client states he has a hard time hearing people talk?
600
The client is moving the reading material further away from his/her eyes
What is presbyopia?
600
What is Cushing Syndrome?
600
Nursing education for Clients with Glaucoma
Teach glaucoma client to:
take drops on schedule
immediately report severe eye pain
identify fall risk areas in the environment
follow up eye appt to monitor for response
side effects of timolol on lung and heart ( betablocker)
600
Macular Degeneration
What is the most common cause of vision loss in people > 60 yrs old?
Central Vision loss creates safety issues
600
Fever, flank pain, N/V
Concerning cues for Pyelonephritis
700
Offer to feed the patient at every meal
What is an inappropriate intervention with a legally blind patient?
700
Protect the patient from injury from which eye or ear alterations
What is a priority nursing action for patients with vertigo, cataracts, glaucoma, macular degeneration, Menieres?
700
Equalizes pressure in middle ear
What are the Eustachian tubes?
700
Nursing Interventions for:
Hypothyroid clients
and
Hyperthyroid clients
Hypothyroid interventions- warm environment,thyroid hormone replacement, activity/rest, Low cal/nutrient dense, monitor for constipation
Hyperthyroid interventions - cool environment,thyroid reducing rx, inc.calorie and protein diet, Betablockers, monitor for inc. hr and diarrhea
700
"It feels like things are moving or spinning around me."
What is Vertigo?
700
Nursing Interventions for Acute Renal Failure
Fluid Restriction, seizure precautions, daily weights, fall precautions
800
What is Color vision chart (Ishihara’s chart)?
What are we assessing for?
800
Sodium intake of 1500 mg/day
What is a diet suggestion for a patient with Menieres disease?
800
chronic adrenocortical insufficiency due to chronic inadequate adrenal cortex function
What is Addison's disease?
800
Suboptimal levels of thyroid hormone
What is hypothyroidism?
800
Two Prerenal, Intrarenal and Post-Renal Injuries
What is...
Prerenal- Shock, Anaphylaxis, Dehydration, HF, Meds
Intrarenal- nephrotoxic drugs, sepsis, Acute tubular necrosis
Postrenal - renal calculi, BPH, urinary retention, cancer
800
Expected Chronic Renal Failure CBC results
and what rx would be expected to adjust for results
Anemia
Epo replacement therapy, also known as erythropoietin (EPO) therapy,