Hesi Final NR142
Help!
|
|
||||
|---|---|---|---|---|---|
| show | Heartburn after eating that radiates to shoulders/arms, feeling of fullness/discomfort after eating, positive diagnosis (several episodes) determined by fluroscopy or barium swallow, gastroscopy
🗑
|
||||
| Nursing interventions for GERD/Hernias | show 🗑
|
||||
| show | Fowlers/Semi fowlers reduces amt of regurgitation and preventing stomach tissue upward thru diaphragm opening
🗑
|
||||
| Teaching for GERD | show 🗑
|
||||
| show | ulceration that pentetrates mucosal wall of GI tract
🗑
|
||||
| show | H pylori, stress, drugs (NSAIDS, corticosteroids), alcohol, smoking
🗑
|
||||
| Symptoms of PUD | show 🗑
|
||||
| Potential Complications of PUD | show 🗑
|
||||
| show | symptom onset/relief; monitor COCA of stools, test for occult blood;small freq meals, no bedtime snacks, no caffeine,
🗑
|
||||
| When do you give sulcrafate, a mucosal healing agent? | show 🗑
|
||||
| Dumping syndrome postop of stomach surgery | show 🗑
|
||||
| show | minimized by small freq meals high protein/low fat/low carb diet; do not consume liquids with meals, do not lie down after eating
🗑
|
||||
| Avoid what medicines to prevent PUD? | show 🗑
|
||||
| show | dark tarry stools, coffee ground emesis, bright red rectal bleeding, fatigue, pallor, severe abd pain (indicates perforation), Decreased BP, rapid pulse, cool extremities, abd mass/bruit,
🗑
|
||||
| show | Stress can cause or exacerbate ulcers. teach stress reduction & those with family hx must obtain medical follow up
🗑
|
||||
| Patho of Crohns disease | show 🗑
|
||||
| Assessment of Crohns Disease | show 🗑
|
||||
| interventions for Crohns | show 🗑
|
||||
| Teaching for clients w/crohns | show 🗑
|
||||
| show | superficial mucosa of colon causing bowel to narrow, shorten, and thicken. sigmoidoscopy/colonoscopy tests,
🗑
|
||||
| show | 100-200ml/day but filters 8L
🗑
|
||||
| Assessment for UC | show 🗑
|
||||
| show | bowel pattern/Control diarrhea, low residue/low fat/high protein/high cal diet, no dairy, avoid spicy or diarrhea causing foods, I&O, electrolytes, emotional support
🗑
|
||||
| Opiate drugs and GI motility | show 🗑
|
||||
| show | Inflammed pouches in intestinal wall. can lead to bowel perforation
🗑
|
||||
| show | left lower quadrant pain, increased flatus, rectal bleeding, signs of intestinal obstruction,
🗑
|
||||
| Signs of intestinal obstruction | show 🗑
|
||||
| show | well balanced high fiber diet unless inflammation is present, include bulk forming laxatives, increase fluid to 3L, monitor I/O, weight, bowel elimination, avoid constipation, observe for complications -obstruction, peritonitis, hemorrhage, infection
🗑
|
||||
| Intestinal Obstruction -causes | show 🗑
|
||||
| show | Acute phase-NPO graduating to liquids; recovery phase- no fiber or bowel irritating foods; maintenance-high fiber w/bulk laxatives to prevent pooling of foods & avoid small poorly digested foods such as popcorn, nuts, seeds
🗑
|
||||
| show | mech- due to disorders outside bowel caused by disorder inside bowel or blockage; non mech- d/t paralytic ileus which isnt an actual physical blockage
🗑
|
||||
| NA for Bowel Obstruction | show 🗑
|
||||
| Blood gas analysis with bowel obstruction (hesi hint) | show 🗑
|
||||
| NI for bowel obstruction | show 🗑
|
||||
| show | degeneration of liver tissue causing enlargement d/t alcoholism, viral hepatitis, hepatoxins, infections, congenital abnormalities. Initially hepatomegaly then liver hardens and becomes nodular
🗑
|
||||
| show | hx alcohol or drug use, work hx of exposure to chemicals medication hx of hepatoxic drugs, family hx.
🗑
|
||||
| NA for cirrhosis - physical | show 🗑
|
||||
| Clinical manifestations of jaundice (hesi hint) | show 🗑
|
||||
| show | distinctive breath odor of chronic liver disease with a fruity or musty odor
🗑
|
||||
| show | paracentesis or peritoneovenous shunts
🗑
|
||||
| Tx of esophageal varices caused by portal hypertension in liver (hesi hint) | show 🗑
|
||||
| show | elevated bilirubin, AST, ALT, alkaline phosphate; decreased Hct, Hgb, albumin
🗑
|
||||
| Encephalopathy (hesi hint) | show 🗑
|
||||
| Complications of Cirrhosis | show 🗑
|
||||
| show | adm vit supplements (ABCK) observe mental status, avoid initiating bleeding (no uncessary sticks, electric razor, soft tooth brush, maintain venipressure 5 mins, check stools for blood, prevent straining w/defecation. restrict protein, skin care
🗑
|
||||
| NI for cirrhosis (continued) | show 🗑
|
||||
| What drug is used for encephalopathy | show 🗑
|
||||
| Hepatitis patho | show 🗑
|
||||
| show | known exp (sex, blood, parenteral, oral-fecal) recent transfusions,
🗑
|
||||
| show | homosexual males, iv drug users, piercings/tattoos, living in crowded conditions, health care workers
🗑
|
||||
| Physical assessment for hepatitis | show 🗑
|
||||
| show | provide environment conducive to eating d/t n/v- remove odors, encourage pt to sit up while eating, small frequent meals, antiemetic b4 eating
🗑
|
||||
| Hepatitis NI (hesi hint) | show 🗑
|
||||
| patho for pancreatitis | show 🗑
|
||||
| NA acute pancreatitis | show 🗑
|
||||
| show | continuous burning or gnawing abd pain, ascites, steatorrhea, diarrhea, weight loss, jaundice, dark urine, s/s of DM
🗑
|
||||
| show | NPO, NG suction, TPN, pain med, antacids PPI, H2; side laying w/knees to chest, avoid alcohol, fatty & spicy foods, monitor blood sugar (insulin if needed),monitor for hypocalcemia
🗑
|
||||
| show | administer analgesics, pancreatic enzymes (mix w/fruit juice or applesauce, monitor coca of stool to determine enzyme tx effectiveness, low fat bland diet, monitor for s/s of DM
🗑
|
||||
| Acute pancreatic pain (hesi hint) | show 🗑
|
||||
| show | excessive thyroid activity
🗑
|
||||
| show | thyroid ablation by medication, radiation, thyoidectomy, adenectomy (removing anterior portion of pituitary (tsh)
🗑
|
||||
| NA for hyperthyroidism | show 🗑
|
||||
| Labs for Hyperthyroidism | show 🗑
|
||||
| NI for hyperthyroidism | show 🗑
|
||||
| show | life threatening uncontrolled hyperthyroidism d/t graves. s/s fever, tachycardia, agitation, anxiety, htn. maintain adequate airway. PTU/tapazole antithyroid drugs to tx thyroid storm with propanolol
🗑
|
||||
| show | daily HRT, medic alert bracelet, s/s of hormone replacement overdose or underdose; diet- high cal high protein low caffeine low fiber (if diarrhea), eye care.
🗑
|
||||
| tx for hyperthyroidism | show 🗑
|
||||
| show | be prepared for laryngeal edema. trach kit with O2 and suction machine. calcium gluconate accessible; check for bleeding, support neck,
🗑
|
||||
| calcium implications w/thyroidectomy d/t removal of parathyroid glands (hesi hint) | show 🗑
|
||||
| show | monitor calcium level, check for tingling of toes, fingers and circumoral; check for chovsteks & trousseaus sign
🗑
|
||||
| Hypothyroid - myxedema coma (hesi hint) | show 🗑
|
||||
| NA hypothyroidism | show 🗑
|
||||
| Teachings for hypothyroidism | show 🗑
|
||||
| show | autoimmune disorder - lack of cortisol, aldosterone & androgens. diagnosis made by ACTH stimulation test.
🗑
|
||||
| show | that pts must follow prescribed regimen precisely. no stopping suddenly and must taper off dosage.
🗑
|
||||
| NA for Addisons | show 🗑
|
||||
| NI for Addisons disease | show 🗑
|
||||
| show | sudden withdrawal of steroids or stress. vascular collapse - fast IV of fluids; IV glucose for hypOglycemia, essential to administer Hydrocortisone and aldosterone replacement
🗑
|
||||
| show | excess adrenocorticoid caused by chronic corticosteroid administration, adrenal, pituitary or hypothalamus tumors
🗑
|
||||
| Physical assessment of Cushing's | show 🗑
|
||||
| show | HypErglycemia, HypErnatremia, HypOkalemia, increased cortisol,
🗑
|
||||
| NI for Cushing's | show 🗑
|
||||
| Steroid Admininstration (hesi hint) | show 🗑
|
||||
| Diabetic ketoacidosis | show 🗑
|
||||
| TX of DKA | show 🗑
|
||||
| show | no ketones hyperglycemia, dehydration, plasma hyperosmolity, changed mental status
🗑
|
||||
| show | isotonic IV fluids, IV insulin (if needed)
🗑
|
||||
| show | high blood glucose adds to damage of capillaries causing permanent scarring. causes disruption of capillary elasticity, promoting probs such as diabetic retinopathy, poor healing, cardiovascular issues
🗑
|
||||
| show | indicates glucose control over previous 120 days (life of red blood cells). valuable measure of diabetic
🗑
|
||||
| show | lift skin/90degree angle; refrig or room temp (28 days); rotate injection sites, clear(reg) before cloudy)
🗑
|
||||
| show | carb counting/exchange lists; time meals to med peak times; 55-60% carbs/12-15% protein/ 30% or less fat. choose complex carbs, fiber low fat. Bedtime snack prevent insulin reaction to long acting insulin peaks.
🗑
|
||||
| show | keep taking insulin; monitor glucose more frequently, watch for hypEr glycemia
🗑
|
||||
| show | bodies response is to produce glucose therefore any illness results in hypErglycemia
🗑
|
||||
| Exercise regimen r/t DM | show 🗑
|
||||
| show | treat for hypOglycemia
🗑
|
||||
| Rapid acting insulin (humalog/novolog) | show 🗑
|
||||
| Short Acting (regular) | show 🗑
|
||||
| Intermediate acting (NPH) | show 🗑
|
||||
| show | 4-8hr onset, 14-20 hr peak, once daily @bedtime, do not mix
🗑
|
||||
| show | 3 P's, blurred vision (type2), weaknness, weight loss, syncope
🗑
|
||||
| show | water, check BG, assess for ketoacidosis
🗑
|
||||
| S/S of hypOglycemia | show 🗑
|
||||
| show | occurs rapidly and can be life threatening. give complex carbs such as graham cracker & peanut butter and seek medical attention, check BG
🗑
|
||||
| show | provides tight glucose control to prevent long term complications; monitor before meals, bedtime and when symptoms occur; record results and report to provider
🗑
|
||||
| show | checked daily, washed with mild soap & warm water dried well esp between toes; moisturize but not between toes; clean socks, nails filed straight across.
🗑
|
||||
| Urinary tract obstruction-BPH | show 🗑
|
||||
| Tx of BPH | show 🗑
|
||||
| NA of BPH | show 🗑
|
||||
| Bladder spasm with Turp (hesi hint) | show 🗑
|
||||
| Bladder irrigation with TURP (hesi hint) | show 🗑
|
||||
| show | reddish pink clearing to pink. some small clots. monitor for bright red bleeding w/large viscous clots. normal for some bleeding & small clots to be passed. If large amts sh/be reported
🗑
|
||||
| Prostate Cancer | show 🗑
|
||||
| show | Elevated PSA
🗑
|
||||
| show | rest with scrotal elevation, application of ice, admin of analgesics and antibiotics. Treat partner if bacterial, mumps vaccine, nsaids or antiinflammatories
🗑
|
||||
| show | decreased hormone levels after the removal. Avoid sexual activity for 2-4 weeks after surgery, avoid lifting heavy weights or strenuous activity, s/s of infection. Increase fluids & high fiber diet to avoid constipation. Will also need follow up appt
🗑
|
||||
| show | Sudden onset, high temp (>102), HA, sore throat, vomiting, diarrhea, generalized rash, hypotension, Rash on palms and soles of hands/feet, confusion, muscle aches, redness of eyes/mouth/throat and headaches
🗑
|
||||
| show | downward displacement of uterus. Can impinge on other structures. bladder, rectum, small intestine can protrude thru vaginal wall
🗑
|
||||
| show | relaxation of anterior vaginal wall with prolapse of bladder
🗑
|
||||
| Rectocele | show 🗑
|
||||
| show | more common in black women, non parity women. most common symptom is abnormal uterine bleeding. TX D&C, ablation
🗑
|
||||
| show | 95% squamous cell cancer; HPV vaccine;
🗑
|
||||
| Hesi hints for Cervical cancer | show 🗑
|
||||
| show | transmission precautions; isolation (provide support); leadlined container; client must remain in bed; limit time with client
🗑
|
||||
| show | germ cells
🗑
|
Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Created by:
rivabard
Popular Nursing sets