ENDOCRINE
RENAL
GASTROINTESTINAL
CARDIOVASCULAR
MISC.
100
Which insulin can be given IV? 1. Rapid Acting 2. Short Acting 3.Intermediate 4. Long Acting
2. Short Acting
100
What are the phases of Acute Kidney Failure? What are the signs and symptoms of the phases?
1. Oliguric - 8-15 days; longer duration = less chance of recover, decrease urine output less than 400ml/day, excess fluid volume (htn, edema, dysrhythmias, HF) metabolic acidosis (kussmaul's respirations) etc. 2. Diuretic phase - urine output rises slowly (4-5L/day), dehydation, hypovolemia, hypotension, tachycardia, LOC improves 3. Recovery phase - urine volume returns to normal, memory improves, strength increases
100
Drugs used for GERD and what do they do?
PPI - inhibit acid from being formed H2R blocker - decrease secretions Antacids - neutralizes secretions
100
How would your EKG display if you have a heart attack?
Bunny ears/tomb stones, ST segment elevation
100
What are your different types of seizures? and what are their characteristics
Generalized: tonic-clonic (grand mal), atypical absence, typical absense, myoclonic, atonic Focal Seizure: simple focal, complex focal
200
Glucose control over past 3 months can be determined by this test.
HgA1c
200
What type of drugs are given to a diabetic patient with CKD?
The ACE inhibitors and ARBs are given to diabetic patients and those with nondiabetic proteinuria because they decrease proteinuria and possibly delay the progression of CKD.
200
Complications of PUD?
Hemorrhage, Perforation, Gastirc outlet obstruction
200
What are the main risk factors for coronary artery disease?
Positive FmHx Male Hyperlipidemia Diabetes HTN Sedentary lifestyle Abdominal obesity Smoking Psychosocial factors Diet without emphasis on fruits/vegetables
200
Which of the following nursing interventions is most appropriate when caring for patients with dementia? a. avoid direct eye contact b. lovingly call the pt honey or sweetie c. give simple directions, focusing on one thing at a time d. treat the pt according to his or her age related behavior
c
300
The nurse is completing a health assessment of a 42-year-old female with suspected Graves‘ disease. The nurse should assess this client for: 1. Anorexia 2. Tachycardia 3. Weight gain 4. Cold skin
2. Tachycardia
300
A patient presents with discomfort in the lower abdomen, and on assessment, the nurse suspects a lower urinary tract infection. Which symptoms should the nurse evaluate? Select all that apply. 1. Fever 2. Pain in the flank 3. Pain while urinating 4. Increased frequency of urination. 5. Feeling of pressure in the suprapubic region
3. Pain while urinating 4. Increased frequency of urination. 5. Feeling of pressure in the suprapubic region
300
A patient with gastroesophageal reflux disease reports to the nurse, "I feel like there is a hot, bitter liquid in my mouth." What does the nurse document in the patient’s medical record? 1. Dysphagia 2. Regurgitation 3. Hypersalivation 4. Hyperchlorhydria
2. Regurgitation
300
Drugs used to treat HTN?
Beta Blockers, Calcium Channel Blockers, Diuretic, Ace Inhibior
300
Classic triad of Parkinson's Disease
tremor, rigidity, bradykinesia
400
The nurse teaches a client with diabetes mellitus about differentiating between hypoglycemia and ketoacidosis. The client demonstrates an understanding of the teaching by stating that a form of glucose should be taken if which symtom(s) develop? Select all that apply 1.polyuria 2.shakiness 3.palpitations 4.blurred vision 5.lightheadedness 6.fruity breath odor
2,3,5
400
What are some GI complications of CKD?
Nausea Vomiting Oral stomatitis Ulceration Diarrhea
400
Drugs prone to upper GI bleed?
Aspirin, Corticosteriods, NSAIDS
400
What are signs and symptoms of stable angina?
-lasts 5-15min -chest pain with exertion, relieved with rest -sensation of tightness, squeezing, radiating substernally to left side of chest, arm, jaw -T-wave inversion
400
what is epilepsy
person has spontaneous recurring seizures caused by a chronic underlying condition
500
1.Signs and symptoms of hyperthryoidism. 1. Tremors 2. Weight loss 3. Feeling cold 4. Loss of body hair 5. Persistent lethargy 6. Puffiness of the face 2. Signs and symptoms of hypothyroidism 1. fever 2. nausea 3. lethargy 4. tremors 5. confusion 6. bradycardia
1. 3,4,5,6 2. 1,2,4,5
500
Upper vs Lower UTI signs and sypmtoms
upper - typically causes fever, chills, flank pain (systemic) lower - no systemic manifestations, cystitis/urethitis inflammation
500
The nurse is obtaining a health history from a patient who comes to the office for evaluation of gastric distress. The patient indicates that the symptoms occur two to five hours after meals, and the pain is "burning" and sometimes like a cramp in the midepigastric region, just below the xiphoid process. Based on these descriptions, the nurse suspects that the patient has which disorder? 1. Esophagitis 2. Gastric ulcert 3. Duodenal ulcer 4. Chronic gastritis
3. Duodenal ulcer
500
When a patient comes into the hospital with chest pain what are you going to do?
Administer 02, nitrate every 5mins for 15mins, if works give long acting, Ace inhibitor or diuretic to fic BP, look at chest x-ray, cbc, ekg, cardiac enzymes, electrolytes, stress test
500
What is the main thing you want to do for a patient who's having a seizure?
keep them safe, prevent aspiration and head injury