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NU 433 Final Exam Questions And Correct Answers
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NU 433 Final Exam Questions And Correct AnswersLab values to remember for hypothyroidism * What are lab values to remember for
hypothyroidism? - ANSWER Elevated TSH
Decreased T3 and T4
* What are lab values to remember for hyperthyroidism? - ANSWER Low TSH
Elevated T3 and T4
* What complication should you watch for in a patient that had a thyroidectomy? -
ANSWER Hypocalcemia
* Name the adrenal disorders - ANSWER Addisons
Cushings
Pheochromocytoma
*After a patient has abdominal surgery what is the priority thing you should assess for? -
ANSWER Return of peristalsis
*Ulcerative Colitis - ANSWER Bloody stools
Strictly located in the colon
Can be cured if colon is removed
*Chron's disease - ANSWER No bloody stools
Can be located anywhere
Cannot be cured
,*How does megacolon occur? - ANSWER Adverse effect of too many antidiarrheals
*Treatment of megacolon - ANSWER Almost always gets an NG tube
Needs to have surgery
*When should you immediately notify the MD about a stoma/ostomy? - ANSWER If it is
black or purple!
*Ostomys - ANSWER Can be temporary or permanent
Where it is located will determine what the feces look like
*With patients who are immunocompromised we must do what? - ANSWER Maintain
sterility!
*What labs do we look at for a patient having an immune problem? - ANSWER CRP
ESR
ANA
*What is the hallmark sign of lupus? - ANSWER butterfly rash!
*What meds are used for gout? - ANSWER Indomethacin (NSAID)
Colchicine
Allopurinol (must be taken regularly)
*client education for gout - ANSWER Drink plenty of fluids/water!
Take meds with food to calm upset stomach
Avoid foods high in purine!
, *What foods are high in purine? - ANSWER Alcohol
Red meat
*How much water/fluids should a gout patient drink per day? - ANSWER 2-3 L
Colchicine Gout med Patient teaching - ANSWER Diarrhea is a side effect of this
medication and is NORMAL!
If diarrhea is SEVERE then it is ABNORMAL and stop the medication and notify the MD
Fibromyalgia ANSWER Difficult diagnosis
Pain must persist for at least 3 months
*what history data should you collect from a patient with fibromyalgia? - ANSWER Are
they awakening multiple times during the middle of the night
Are they fatigued all the time
Swollen hands
Pins and needles sensation (paresthesia)
*what is the number one reason that fibromyalgia patients seek medical attention? -
ANSWER Chronic pain
*What is used to diagnose fibromyalgia? - ANSWER Tender points test
*Rheumatoid arthritis - ANSWER Swelling and inflammation of the joints
What is the priority for rheumatoid arthritis? - ANSWER Functional status!
Maintain mobility - ROM in all affected joints!
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