Lab Values
Reflects protein status and metabolic and liver dysfunction
Albumin
Macronutrient needed to promote wound healing
Protein
Skin Cancer that begins w/ small, waxy nodule with pearly borders and blood vessels
Basal cell skin ca
Manifestations of Cushing's Disease
Alopecia
Moon Face
Purple Striations
Buffalo Hump
Type of Insulin needed to treat client in Ketoacidosis
R insulin
Thyroid lab elevated in hypothyroidism
TSH is elevated (free T4, serum T4 and T3 will be decreased).
Macronutrient to be avoided in pancreatitis
Fat
Procedure involves cutting eschar to improve circulation
Escharotomy
Priority Nursing intervention to assess fluid status in client with Addison's disease which can detect dehydration and impending Addisonian crises
Daily weights with is the best way to detect fluid status and will allow RN to detect dehydration which can lead to A.C.
Signs/Symptoms of hypoglycemia
Blurred vision, tachycardia, moist clammy skin, dizziness, hunger
Goal Hgb A1C in diabetic clients
<6.5%
Recommended sweetener for diabetics
Non-nutritive sweeteners allow clients to sweeten foods without adding carbohydrates
NSG intervention performed every 2 hrs to improve circulation and prevent pressure ulcers
Turning and/or repositioning
Intervention to prevent thyroid crisis in client w/ hyperthyroidism
Promote quiet, low-stimuli environment, address and treat cause of hyperthyroidism
How long does the nurse administer insulin before breakfast?
20-30 minutes
Likely to be elevated in acute pancreatitis
Amylase. Typically increases within 12-24 hours and may stay elevated for 2-3 days
Intervention to prevent nutritional deficiencies or toxicities in clients on TPN
Monitor daily labs and report to provider as needed
Expected findings in client w/ Herpes Zoster/Shingle
Painful lesions following a nerve pathway which appears 1-5 days after a burning or tingling feeling on the skin
Reason clients should taper steroids
To prevent adrenal insufficiency. A gradual reduction in prednisone gives adrenal glands time to resume their usual function
Priority NSG action for client who got too much insulin
Monitor for hypoglycemia by checking BGL, monitoring for s/s of hypoglycemia
What is serum creatinine indicate?
How a client's kidneys are functioning
Nutrient client w/ chronic cholecystitis avoids
Foods high in fat, bc these clients are intolerant to fatty foods
Which nursing diagnosis is priority for a client w/ burns on his upper torso?
Ineffective airway clearance r/t edema of the respiratory passages. The nurse should immediately assess the airway
Which deficiency is suspected in post op thyroidectomy client reporting numbness/tingling in extremities and around mouth
Calcium
Is a diabetic exhibiting Kussmaul respirations typically in metabolic acidosis or alkalosis?
Kussmaul respirations are fast, deep breaths that occur in response to metabolic acidosis.