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20 Cards in this Set
- Front
- Back
pt reports excessive thirst and need to urinate frequently post hypophysectomy. What initial action should the nurse take?
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measure urine specific gravity.
*notify MD if <1.006 |
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what is a symptom that is indicative of diabetes insipidus?
polydipsia wt.gain fatigue |
polydipsia
*polydipsia and polyuria both classic sympt. w/low specific gravity, anorexia, & wt. loss |
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what is a plan of care for a pt w/a dx of Grave's disease?
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Calm, cool restfull environment
*avoid high fiber foods |
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pt brought to ED with myxedema coma. which nursing action should be preformed first?
warm pt additional iv fluids maintain airway admin thyroid hormone |
maintain airway
*always maintain a patent airway!!! |
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What should you do if a pt is post-op thyroidectomy and develops hoarseness and a sore throat?
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inform the pt this is tempory and should deminish in a few days
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Synthroid 0.15mg PO daily for a pt w/ hypothyroidism. How should the nurse administer the med?
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In the morning to prevent sleeplessness.
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What outcome reflects a therapeutic outcome of DDAVP,Stimate given for a pt with diabetes insipidus?
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Decreased UOP
*DDAVP is a synthetic form of ADH, causes inc. reabsorption of H20 that causes dec. UOP. |
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What disease is characterized by an oversecretion of glucocorticoid hormones?
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Cushing's disease
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a pt develops with a crush injury to the lower extremity that develops ARF, this type of renal failure is d/t?
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renal causes
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what would the nures taking care of a pt diagnosed with chronic renal failure expect to see on assessment of this pt.?
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polyuria
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what assesment is of highest priority in a pt w/ acute impaired renal function?
Temp lung sounds UOP skin condition |
lung sounds
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Cushing's synd. results primarily from?
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excessive secretions of adrenocortical hormones
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Of the following nursing diagnosis for a pt. with a dx of myxedema, which is most appropriate?
Altered nutrition, more than body requirements Altered nutrition, less than body requirements Risk for hyperthermia Fluid Vol. Excess |
Altered Nutrition, more than body requirements
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a patient dx w/ DI, the most important nursing intervention would be what to monitor strict I&O or perform diet teaching?
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strict I&O
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Surgical removal of the pituitary gland is called what?
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Transphenoidal hypophysectomy
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common cause of hypoparathyroidism is?
HTN thyroidectomy electrolyte imbalance |
thyroidectomy
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What kind of diet should a pt with nephrotic syndrome be encouraged to eat?
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high protein
*to replace the protein lost through the kidneys and to correct hypoalbuminemia |
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What would you NOT tell a pt with chronic renal failure when doing pt teaching?
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increase fluid intake
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What is one of the things you would mtr in a pt w/Pheochromocytoma?
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Vital signs Especially BP & pulse. HTN is common.
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A pt is diagnosed with pheochromocytoma, what would you expect to see in a 24 hr urine collection?
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Catecholamines
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