Unit 1
Swan neck deformities of the fingers are manifestations commonly seen with this disease process.
Rheumatoid arthritis
Risk factors for diverticular disease
Chronic constipation, obesity, sedentary lifestyle, lack of dietary fiber, straining
Increased BP, bounding pulse, peripheral edema, rales, & JVD are all manifestations of what fluid disorder?
Fluid volume overload or fluid volume excess
This term refers to the condition where there are abnormally low levels of WBCs.
Neutropenia
List diagnostic findings associated with diabetes insipidous.
Increased serum osmolality
Decreased urine osmolality & urine specific gravity
Increased serum Na & K
List common manifestations associated with SLE
Fatigue, intermittent fevers, weight loss, arthritis, myalgia
List 5 high fiber foods
Vegetables, fruit, whole grain cereals, brown rice, lettuce, whole wheat bread, peas, legumes
Which electrolyte controls water distribution and is the main cation in the ECF?
Sodium
Coagulation factor deficiencies, volume expansion
List diagnostic findings associated with SIADH
Increased urine Na
Increased urine osmolality, decreased urine output
Decreased serum Na
Decreased serum osmolality
Osteomyelitis is associated with which risk factors?
Poor perfusion, chronic illness (DM), poor nutrition, obesity, immune dysfunction, IV drug use, surgery
Clinical manifestations of UC and Crohn's disease
abdominal pain, anorexia, weight loss, diarrhea, dehydration, incontinence, exacerbations, remissions, toxic megacolon
Which electrolyte has the normal adult range of 3.5-5.0 mEq/L?
Potassium.
AIDS is defined by what criteria?
CD4 count <200
Presence of 1 or more defining conditions
Nursing interventions/actions during thyroid storm/crisis
Maintain patent airway, cardiac monitoring, Tylenol for fever, IV fluids, O2 administration, medication administration
The gold standard diagnostic test performed for gout and what does it assess?
Joint aspiration assessing for hyperuricemia (>6.8)
Compare/contrast Cushing's vs. Addison's disease
Cushing's = excessive corticosteroid production
Addison's = adrenocorticoid insufficiency
Hyperkalemia is frequently associated with which acid-base imbalance?
Acidosis
An acute hemolytic reaction occurs when what has happened?
Donor blood is incompatible with recipient blood
Manifestations of hyperparathyroidism
Generalized muscle weakness, poor coordination, cardiac dysrhythmias, kidney damage, depression, apathy, neurosis/psychosis, HTN
DMARDs work for RA by:
Reducing joint destruction & slowing disease progression
List 3 TPN considerations
Infuse through central venous access
Do not Y-site or mix with any other medications
Do not let TPN hang/run for >24 hours or >12 hours for lipids
What abnormal condition does this set of ABGs indicate?
pH 7.46
pCO2 32
HCO3 18
Respiratory alkalosis
Potential complications following bone marrow biopsy
Hemorrhage
Infection
Penetration of bone
Triggers to avoid with pheochromocytoma
Trauma, emotional stress, exercise, food triggers, smoking, contrast dye