Renal
Endocrine
Misc
Labs & Meds
Diabetes
100
Stages of Acute Renal Failure
What is oliguric phase, diuretic phase and recovery phase?
100
Produced by anterior pituitary. Activates thyroid to produce T3 and T4 which are involved in maintaining basal metabolic rate. Determines how quickly and efficiently the body uses energy consumed.
What is thyroid-stimulating hormone (TSH)?
100
Name 3 functions of the kidneys.
What is see Box 49-1 on page 1674.
100
This glycoprotein is produced by normal prostatic tissue. It's measurement is used to evaluate prostate health in men.
What is PSA?
100
True or False: There is no cure for diabetes.
What is True?
200
Released by the kidneys to stimulate bone marrow to produce red blood cells
What is erythropoietin?
200
In planning care for the client with hyperthyroidism, the nurse would anticipate the client to require: 1. Extra blankets for warmth 2. Ophthalmic drops on a regular basis 3. Increased sensory stimulation 4. Frequent low calorie snacks
What is 2? Patient will have exothalmus and need eye drops
200
This hormone is secreted by the adrenal cortex and involved in glucose metabolism & provides energy in times of stress.
What is Cortisol?
200
Difference between fasting blood glucose & glycosylated hemoglobin (HbA1c)?
What is see Box 50-2 (p. 1754)
200
What are the 3 hallmark symptoms of DM?
What is 3 P's- Polyuria, Polydipsia, Polyphagia?
300
Care of the patient with urolithiasis
What is pain management, straining or urine, hydration, activity, monitoring BUN and creatinine, & dietary restrictions?
300
This condition occurs when the posterior pituitary gland does not produce sufficient ADH (anti-diuretic hormone). Clinical manifestations include polyuria, polydipsia, & may lead to hypovolemic shock.
What is Diabetes Insipidus?
300
This androgen hormone inhibitor medication is used to treat BPH. If pills are crushed, they should not be touched by pregnant women.
What is finasteride (Proscar)?
300
Injection time, Action, Onset of Action, Peak Action, & Duration of glargine (Lantus) insulin.
What is Injection time= 9PM (usually once daily, may be twice for type 1 DM), Action= long lasting, Onset of Action= 1-2 hr, Peak Action= none, & Duration= 24 hr?
300
Difference between Type 1 & Type 2 diabetes.
What is see Table 50-4 (p. 1751).
400
A. This type of dialysis occurs more slowly, causes weight gain, and is usually performed more often. B. This type of dialysis takes less time, may cause dysrhythmias, and occurs through vascular access.
What is A. What is peritoneal dialysis? B. What is hemodialysis?
400
Which nursing action has the highest priority in caring for the client with hypoparathyroidism? 1. Develop a teaching plan 2. Plan measures to deal with cardiac arrhythmias 3. Take measures to prevent a respiratory infection 4. Assess laboratory results
What is 2? Arrhythmias are the most life threatening
400
Which of the following may be a potential cause of hypoglycemia in the patient diagnosed with diabetes mellitus? a) The patient has not consumed food and continues to take insulin or oral antidiabetic medications. b) The patient has not been compliant with the prescribed treatment regimen. c) The patient has not been exercising. d) The patient has consumed food and has not taken or received insulin.
What is A?
400
Your patient is a 22-year-old woman with pyelonephritis. She presented to your clinic 2 days ago and was placed on a broad-spectrum antibiotic. She has minimal insurance and limited prescription benefits. You are speaking to her during a routine follow-up call when the physician tells you he wants to change her antibiotic. Why has the physician changed antibiotics for this patient? A. She developed an allergic reaction to the initial antibiotic. B. The initial antibiotic prescribed is non-formulary and is unavailable with her health plan. C. This antibiotic has fewer side effects. D. This antibiotic is specific, based on the urine culture and sensitivity reports
What is D?
400
The client received 10 units of Humulin R, a fast acting insulin, at 0700. At 1030 the unlicensed nursing assistant tells the nurse the client has a headache and is really acting “funny.” Which action should the nurse implement first? 1. Instruct the assistant to obtain blood glucose level. 2. Have the client drink eight (8) ounces of orange juice. 3. Go to the client’s room and assess the client for hypoglycemia. 4. Prepare to administer one amp 50% Dextrose intravenous
What is 3? Regular insulin peaks in 2–4 hours. Therefore, the nurse should think about the possibility that the client is having a hypoglycemic reaction and should assess the client. The nurse should not delegate nursing tasks to an assistant if the client is unstable. TEST-TAKING HINT: When answering a question that requires the nurse to implement an intervention first, all four options will be interventions that are appropriate for the situation but only one answer should be implemented first. The test taker must apply the nursing process, which states assessment of the first intervention.
500
This condition occurs when the glomeruli become damaged and small proteins pass into the urine. Clinical manifestations include generalized edema, anorexia, foamy urine, & decreased urinary output.
What is Nephrotic Syndrome?
500
Two possible complications after a thyroidectomy and nursing implications.
What is tetany, airway obstruction, bleeding, voice changes, & thyroid crisis or storm?
500
Discuss post-operative care for the patient who has undergone a TURP.
What is continuous or intermittent bladder irrigation, pain management, monitoring urine output, calculating true urine output with irrigation, avoiding prolonged sitting, & monitoring for hemorrhage?
500
The nurse is preparing to administer Synthroid, a thyroid hormone replacement, to the client diagnosed with hypothyroidism. Which assessment data would indicate the client is receiving too much medication? 1. Bradypnea and weight gain. 2. Lethargy and hypotension. 3. Irritability and tachycardia. 4. Normothermia and constipation.
What is 3? Irritability and tachycardia are signs/symptoms of hyperthyroidism, which indicates the client is receiving too much medication.
500
This condition occurs in patients with Type 1 diabetes and is caused by inadequate insulin. The patient will have fruity breath, Kussmaul's respirations, glycosuria, & a blood sugar usually 300-800 mg/dL.
What is Diabetic Ketoacidosis (DKA)?