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Stack #117613
NCLEX-PN-Diseases & Disorders
Question | Answer |
---|---|
Acute pancreatitis common ss | low fluid volumn |
diabetus insipidus is | ADH deficiency |
autonomic dysreflexia- | (full bladder) |
myasthenia gravis caused by | lower motor neuron lesion |
myasthenia gravis-Genetic? | no |
myasthenia gravis-ss | chronic fatigue and muscle weakness, esp. face & throat |
ARDS | hypoxemia from low Pa02 |
addisonian crisis-pt needs a | private room bc of low ability to cope w/stress |
autonomic dysreflexia-common symptom is | HA; brought on by bowel or bladder sidtension. (check foley for kinks) |
autonomic dysreflexia occurs after: | injury to spinal cord above T6; |
addisonian crisis-no___ is produced: | corticosteroids-so low stress enviro is needed; |
Post Thyroidectomy - pt at risk for: | hypocalcemia (low calcium) |
sign of hypocalcemia | m. twitching & numbness or tingling of lips, & extremities |
multiple sclerosis(MS) ss | vision changes (diplopia, nystagmus & b.vision), deep tendon reflexes-hyperactive, muscles are spastic; urinary hesitancy (from nerve damage), intention tremor (tremor when doing an activity), Positive babinski sign |
Babinski sign | ? |
multiple myeloma TX | relieve pain, prevent bone injury & infection, and maint hydration |
multiple sclerosis TX | fatigue, (use AC to decrease temp), no extreme cold, use hot baths |
pernicious anemia ss | pallor, tachycardia, sore tongue, wt. loss, a smooth beefy red tongue, a wide pulse pressure, palpitations, angina, weakness, fatigue and parenthesias of hands and feet |
iron deficiency anemia ss | dyspnea,tachycardia, pallor, fatigue, listless, irritable & HA |
acute pancreatitis: pts have | low fluid volumn which may lead to hypovolemic shock |
Fluid loss may be from: | homorrheage, vomiting or plasma leaking into peritoneal cavity |
renal failure-watch for | drug toxicity |
scleral buckling | sclera is flattened against retina. Position pt prone with head toward affected eye. |
obstructive jaundice ss | clay colored stools |
labyrinthitis is | inflammation of inner ear |
labryinthitis is sudden onset: | bad vertigo w/N&V |
Hemorrhage: ss | weak, irregular pulse, cool moist skin & hypytension. May cause cyanosis, N/V, dilated pupils |
osteoarthritis ss | joint pain, crepitus, Heberden's nodes, Bochard's nodes & enlarged joints |
Adrenal crisis is an under | secretion of glucocorticoids resulting in profound hypoglycemia, hypovolemia & HTN |
Cushing's syndrome is excessive | glucocorticoid secretion resulting in soduim and water retention |
Wilms tumor: ss | may be HTN from renin |
Wilms tumor DO NOT | palpate abdomen be it may increase risk of mestastasis; |
hypospadias-after surgery | elevate the scrotal sac |
cystic fibrosis ss | excessive fat in stool, perform chest physiotherapy q 4 hours |
cystic fibrosis diet | hi protein, hi calorie |
Chvosteks sign-tap pt's face litely over facial nerve just below temple: | Muscle twitch indicates hypo calcemia |
Thyroid crisis- may occur within | 12 hours of thyroidectomy |
Thyroid crisis ss | exaggerated sign of hyper thyroidism (hi fever, tachycardia & extreme restlessness) |
Stapedectomy | hearing may be worse during healing and get better in 6 weeks |
hypoglycemia ss | anxiety, restless, HA, irritable, confused, diaphoreses, cool skin, tremors, reduced LOC and seizures |
Guillian-Barr syndrome | respiratory failure from paralysis of thoracic area |
Hircchsprung's DZ is a | aganglionic megacolon |
Hircchsprung's DZ repair is a | two surgery operation;1st a colestomy (temporary while healing occurs); 2nd fixes and final; |
after Hircchsprungs surgery | ausculate lung sounds |
Cerebral palsy | encourage independence, give extra time to eat, and sit up for a while to prevent gag & aspiration |