CMs of Hypothyroidism

Dry skin, NO heat regulation (always cold), Weight gain but no appetite, Dry MM

Drugs, Cancer, Resp infections, CNS disorders

What are examples of thrombocytopenic precaution?

Soft toothbrush, Stool softeners, NO ASPIRIN, Electric razor

What is the purpose of ADH?

Keep water in the body not the potty

Which diet should a pt with AKI be on?

low sodium, potassium, phosphorus - high calories

Ascites, Pain, Jaundice, Weight loss

Interventions for SIADH

Diuretics/Salt (3%), Neuro checks, Fluid restriction, Daily weights

Causes of hypothyroidism

Thyroidectomy, Pituitary tumor, Hashimoto's, Low dietary fiber

Causes of hyperthyroidism

Grave's disease, Levothyroxine excess, Iodine excess

What is indirect entry meningitis?

bloodstream infection that crosses and infects meninges.

Complications of glomerulonephritis

HTN encephalopathy, Heart failure/pulmonary edema

Early CMs of Hyperthyroidism

agitation, confusion, restlessness

What happens to a pt with SIADH?

Seizures, Hyponatremia, Severe HTN

Is a patient on thromobocytopenic precautions considered a fall risk?

No; but needs to be because of easy bruising/bleeding

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Adult Health Final pt. 3

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Questions 97

Answers

1
Which BP med should be used for an ischemic stroke
HCTZ
statins
ACE-I
ARBs
2
CMs of Hypothyroidism
Dry skin
NO heat regulation (always cold)
Weight gain but no appetite
Dry MM
3
What kind of diet is recommended for glomerulonephritis?
high carb diet
High protein diet
low carb diet with high fiber
high sodium diet
4
Where is ADH made?
Anterior pituitary gland
Hypothalamus
Thalamus
posterior pituitary gland
5
What Causes SIADH?
Drugs
Cancer
Resp infections
CNS disorders
6
What are predisposing factors of CVA?
HTN
Hypoglycemia
A-fib
Hypotension
7
a pt with AKI has a foley cath. Pericare should be meticulous as bacteria can enter foley and cause dysfunction.
False
True
8
the last 90% of TPA is IVP
True
False
9
The cranial nerve is important to assess during/after CVA due to risk of aspiration.
False
True
10
TPA is used for an ischemic stroke
True
False
11
What are examples of thrombocytopenic precaution?
Soft toothbrush
Stool softeners
NO ASPIRIN
Electric razor
12
Hypothyroidism = Hashimoto's
False
True
13
airway is priority after thyroidectomy
True
False
14
A kidney donor can be living, brain dead or a cadaver
True
False
15
Dead.
Green
Yellow
Red
Black
16
What is the purpose of ADH?
Keep water in the body not the potty
keep salt in the potty not the body
keep salt in the body not in the potty
Keep water in the potty not the body
17
Beta Blockers are recommended for hyperthyroidism
True
False
18
a pt with a hemorrhagic stroke should have slightly decreased BP and have HOB at least 30* to promote drainage.
False
True
19
Which diet should a pt with AKI be on?
Low caloires with high protein and carbs
high calories, low protein, high sodium, low potassium
low sodium, potassium, phosphorus - high calories
low sodium, high potassium, low carbs
20
10% of TPA is given IVP followed by the other 90% infused over 1 hour
False
True
21
a pt had a CVA and is needing to have a swallow study. The pt needs to be NPO.
True
False
22
CMs of liver cancer
Ascites
Pain
Jaundice
Weight loss
23
A pt with an ischemic stroke should have slightly elevated BP to promote cirulcation
True
False
24
Interventions for SIADH
Diuretics/Salt (3%)
Neuro checks
Fluid restriction
Daily weights
25
Causes of hypothyroidism
Thyroidectomy
Pituitary tumor
Hashimoto's
Low dietary fiber
26
Which are fat soluble vitamins?
E
K
D
A
27
Causes of hyperthyroidism
Grave's disease
Levothyroxine excess
Iodine excess
Hashimoto's
28
What does Aphasia mean?
Difficulty reading
Difficulty with math
Difficulty writing
Difficulty speaking
29
Alexia is...
Difficutly with math
Difficulty reading
Difficulty swallowing
Difficulty writing
30
Preparedness is putting yourself in a safe place during a tornado?
True
False
31
What is indirect entry meningitis?
bloodstream infection that crosses and infects meninges.
Head cracked open and bacteria gets inside
32
Normal Potassium Levels
3.8.5.0
3.5-5.0
10.0-15.0
3.0-6.0
33
Serum albumin is decreased in glomerulonephritis.
True
False
34
What is primary Liver cancer?
Breast cancer causing agents
Hepatitis B & C
Cirrhosis
Metastasis
35
AKI is always treated in the ICU
True
False
36
Complications of glomerulonephritis
decreased BUN
fluid volume deficit
HTN encephalopathy
Heart failure/pulmonary edema
37
Hyperthyroidism = Grave's Disease
False
True
38
Early CMs of Hyperthyroidism
agitation
confusion
restlessness
Decreased BP
39
Pancreatic Cancer can cause bile duct occlusion
True
False
40
Which antiHTN meds are used for glomerulonephritis?
HCTZ
Lisinopril
Metoprolol
Losartan
41
Normal Creatinine levels
10-20
0.6-1.3
25-35
3.5-5.0
42
a pt waiting for a kidney transplant is not able to urinate on their own. can they get the transplant?
False
True
43
Sodium is increased in SIADH
False
True
44
Stool will be a green color when the bile duct is occluded?
False
True
45
Liver biopsy confirms cirrhosis
True
False
46
What happens to a pt with SIADH?
Seizures
increase in urine output
Hyponatremia
Severe HTN
47
Is a patient on thromobocytopenic precautions considered a fall risk?
No; but needs to be because of easy bruising/bleeding
Yes; but with precautions the person will not fall
Yes
No
48
Moderate injuries - action needed but not emergent.
Yellow
Black
Red
Green
49
Hypothyroidism is seen by an increase in TSH and a decrease in T3 T4.
True
False
50
Normal Sodium Levels
145-155
125-135
130-140
135-145
51
a pt must be free from ETOH, drug use, infections or cancer for a kidney transplant
True
False
52
Hepatitis can cause a bile occlusion
True
False
53
What is pre-renal AKI
Nephrotoxic agents
Hemorrhage
Prolonged renal ischemia
Urinary tract obstruction
54
During TPA infusion neuro checks should happen every...
Q1H then Q2H
Q15min then Q1H
Q30min then Q2H
Q1H
55
Which feedback system do we see for hyperthyroidism?
Positive
Negative
No change
Neutral
56
What is direct entry meningitis?
Head cracked open and bacteria gets inside
Infection in bloodstream that crosses blood brain barrier and infects
57
Interventions for hyperthyroidism
avoid high fiber
at least 6 meals per day
High protein and carbs
high calories = 4,000-5,000
58
a pt with bile occlusion should be sat up to allow for improved breathing and bile drainage
True
False
59
Periorbital edema is common in hypothyroidism
False
True
60
What are reversible causes of AKI?
Heart failure
Hypotension
Urinary obstruction
Hypovolemia (high BUN/normal Cr)
61
a pt on a TPA infusion starts to have a decrease in LOC. What should the RN do?
titrate TPA up
D/C TPA
give glucagon IM
slow the infusion rate
62
CT of head w/ contrast after CVA is used to evaluate blockage in large vessel
False
True
63
Diuretics are good to use for glomerulonephritis
True
False
64
CT of head w/o contrast is used 1st for CVA bc it is FAST and get results QUICKLY
True
False
65
What is Azotemia
abnormal concentration of nitrogenous wastes in blood
abnromal concentration of sodium in blood
abnormal concentration of sugar in blood
abnormal concentration of potassium in blood
66
Normal BUN levels
0.6-1.3
40-60
10-20
3.5-5.0
67
Walking wounded; no immediate action
Blue
Green
Red
Yellow
68
hydrate an AKI pt until you no longer can't
True
False
69
A pt with AKI should be on an EKG monitor due to potassium levels.
True
False
70
Vasopressors are used to help decrease urine output and increase BP
True
False
71
Dialysis is needed 24 hours before transplant
True
False
72
Agraphia is a difficulty writing?
True
False
73
What are the lab values for hyperthyroidism?
Decreased TSH Increased T3 T4
Increased T3 T4 and TSH
Decreased T3 T4 and TSH
Increased T3 TSH Decreased T4
74
What is the fastest way to tell if a pt is gaining or losing fluids?
Daily weights
Weigh pt every other week
Weight pt twice a day
Monitor I/Os
75
Interventions for hypothyroidism
low cholesterol and saturated fats
high calories
frequent rest periods
low calories
76
Diagnosis for Cirrhosis
Decreased serum albumin levels
Increased AST, ALT
Increased bilirubin
Increased serum globulin levels
77
What is intra-renal AKI?
Nephrotoxic agent (Ibuprofen)
Prolonged renal ischemia
Urinary tract obstruction
Renal losses (diuretic agents)
78
General CMs of Hyperthyroidism
Weight loss but good appetite (increased metabolism)
increased temp
HTN
Tachycardia
79
Serious injuries need immediate attention
Green
Black
Yellow
Red
80
who is a candidate for a kidney transplant?
Any age
>70 yo individual basis
over 50 yo
2-70 yo
81
antithyroid meds should be held 5-7 days prior to Iodine 131
True
False
82
The donor of a kidney had HTN, it is okay to go forth with the transplant.
False
True
83
Stroke mimics:
hyperglycemia
hypotension
hypoglycemia
arteriospasms
84
What is seen on the UA in glomerulonephritis?
Proteinuria
Carbs
Potassium
Hematuria
85
Acalculia is...
Difficutly readng
Difficulty speaking
Difficulty with math
Difficulty writing
86
Which vitamins are lacking in cirrhosis?
E
A
D
C
87
Interventions for AKI
Monitor weight
Remove/mitigate issue
Dialysis
Admin diuretics (Lasix)
88
a blood transfusion from donor has shown to decrease rejection
True
False
89
a transplant pt is at risk of infection due to being on immunosuppressants (anti-rejection)
True
False
90
Aspirin and/or Plavix is used for an ischemic stroke?
False
True
91
What is post-renal AKI
Hemorrhage
Urinary tract obstruction
Prolonged renal ischemia
Nephrotoxic agents
92
Headaches are an early sign of SIADH
False
True
93
Mitigation is...
Preparing for disaster that once happened (sandbags for flood)
Decrease damage loss (insurance)
Life is normal again
How you respond to the disaster
94
A pt with liver cancer should be on bleeding precautions
False
True
95
Portal HTN is seen with Cirrhosis
False
True
96
What happens during Cushing's Triad?
Bradycardia
Widened pulses
Hyperglycemia
Severe HTN
97
Cirrhosis causes scarring around the bile ducts
True
False

Adult Health Final pt. 3 Flashcards | StudBud