1
Patient presents to the ED with stuffy and runny nose, they state "they cannot stop sneezing and their throat is slightly irritated when they swallow."
What do they have?
Acute Rhinitis
A pediatric patient enters the ED wheezing, coughing, complaining of chest tightness, and overall having a hard time breathing. You notice when they are attempting to breathe they are using accessory muscles.
What do they have?/What is going on?
Asthma/Asthma attack
The patient states they are having flank/back pain, they have been running a fever, having a difficulty urinating, but also seeming to have to go constantly.
You assess them and notice they also have CVA tenderness.
What do they have?
Pyelonephritis
What two hormones does the anterior pituitary release? (known as the gonadotropic hormones)
FSH & LH
Follicle-stimulating hormone and luteinizing hormone
Surfactant
It keeps the membrane layer separated and lubricated
A patient present to the urgent care facility. They are complaining of a cough, fever, chills, and chest pain with a difficulty breathing. They also state that these symptoms had a sudden onset.
What do they have and what is a way to diagnosis them?
Pneumonia
DX with a chest x-ray, sputum culture
A patient is having a difficult time breathing, you notice they have a barrel chest, they are purse lip breathing, thin and very anxious.
What do they have?
Emphysema
**PINK PUFFER**
A patient is showing not only edema, but facial edema, and HTN. You know they have glomerular damage.
What do they have?
Nephrotic Syndrome
What is the name of the reflex that controls voiding?
Micturition reflex
What is the irreversible side effect of an asthma attack?
REMODELING
A patient presents with a chronic cough that produces purluent sputum, a low-gradew fever and night sweats. They also state that they have had a fever for 2-3 weeks.
What do they have?
Tuberculosis
A patient enters the ED by ambulance. They have SOB, prink/frothy sputum, they are extremely confused. You listen to their longs and notice a high-pitched sound called stridor when they are breathing.
What do they have?
Pulmonary Edema
Now that you assume they have nephrotic syndrome you notify the provider. What lab are you expecting them to order to confirm your diagnosis?
24 clean catch urine sample
If our diagnosis is correct how many grams of protein will be found in their urine?
What is dysfunctional uterine bleeding?
Missed periods or prolonged time between menses
State the differences between pre, intra, and postrenal dysfunction.
Pre - caused by decreased blood flow and perfusion to the kidney
Intra - develops secondary to actual injuries to the kidney itself
Post - related to obstruction of urin outflow from the kidneys
A patient has chronic pelvis pain, urgency, frequency and discomfort when urinating. They also notice their pain increases as their bladder increases, but the pain is relieved once they are able to go.
What do they have?
Interstitial cystitis
(non-ulcerative)
You are a nurse on a Med-Surg floor. Your patient is having involuntary urine leakage every time they sneeze or cough!
What type of incontinence are they having?
Stress Incontinence
A patient has an antigen-antibody reaction from having a strep infection last week. This infection damages the structure of the glomeruli and causes nephron dysfunction. They are showing symptoms like facial edema, hematuria, proteinuria and HTN.
What do they have?
Acute glomerulonephritis
What STD is known as the silent infection?
Chlamydia
What are the different types of kidney stones?
Calcium, struvite, uric acid, cystine
Which one is most common?
You work on an oncology floor. Your patient is suspected to have bladder cancer due to their symptoms of painless, intermittent, gross hematuria.
What diagnositic test are you assuming will be ordered to confirm their diagnosis?
Cystoscopy
Determine if this patient is metabolic/respiratory and alkalosis/acidosis
pH - 7.80
CO2 - 40
HCO3 - 30
Metabolic Alkalosis
Determine if this patient is metabolic/respiratory and alkalosis/acidosis
pH - 7.25
CO2 - 35
HCO3 - 21
Metabolic Acidosis
Acute PID is caused by...
Silent PID is caused by...
Gonorrhea, Chlamydia
What is a symptom that upper urinary tract infections will present with that do not show in lower urinary tract infections?
FEVERS!
LOWER UTI = NO FEVER!!