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hondros 176 exam 2 Nur/164 Questions and Answers
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hondros 176 exam 2 Nur/164 Questionsand Answers
pernicious anemia - --intrinsic factor enables the absorption of vitamin B12
It Affects
-older adults
-beriatric patients a
-gastric cancer patients
-S&S of Pernicious anemia - --glossitis (inflamation of the tongue)
-fever
-pale yellow color of the skin
-weight loss
-affects RBC's
-Pernicious Anemia is treated with - --B12 replacement (intramuscular)
-good oral hygiene
-monitor for bleeding
-diet high in protein, vitamins, and minerals
-monitor vitals
-Cystitis - -inflammation of the walls of the urinary bladder
-How is Cystitis treated - --with short term antibiotics/ antiinfective agents
-How to prevent Cystitis - --Urinate after sex
-keep bladder empty
-wipe from front to back
-avoid bubble baths,
-drink 8-10 glasses of fluid a day
-What type of a diet should a patients with Chronic Renal Failure be on - --
low potassium
-low sodium
-no salt substitutes
-high carbohydrate (energy)
-Care for patients After or Between Dialysis - --scheduled fluid intake
-monitor signs of fluid imbalance
-asses site for signs of infection
-daily weights
-monitor vitals throughout entire treatment
, -It is the Nurse responsibility to do a ________ if you notice change in your
patient - -assessment
-How to care for a patient with a Arterial Venous Fistula & Arterial Venous
Graph - ---no blood draws
-no constriction
-no iv's
-no BP readings
-palpate (fill for thrill)
-auscultate (listen for brewing sound)
-Arterial venous graph takes time to mature to be able to use
-What is uses to diagnose Heart Failure - --chest x-ray
-BNP Beta Natriuretic Peptide Test
-How do you position a patient with Heart Failure or Pulmonary edma - -
Semi Fowler's
-Malignant Hypertension - -severe and rapid high blood pressure that can
damage internal organs
-S&S -headache
-blurred vision
-epistaxis (nose bleed)
-Things to teach a patients that has Stress Incontinence - --kegal exercise
-empty bladder often
-limit or space out fluid intake
-medication
-modify environment (safe route to the bathroom)
-commode
-surgery (Cysto)
-Pre Op teaching for endoscopic procedure - --explain procedure
-obtain written consent
-administer meds if ordered
-keep patient NPO after mid night
-provide emotional support
-Post Op teaching for endoscopic procedure - --provide oral hygiene
-if anesthetic has been sprayed on throat, do not allow patient to eat, drink
until gag reflex returns
-Late signs of ICP Increase Intracranial Pressure - --coma
, -seizure
-herniation
-rise in systolic pressure & unchanged diastolic pressure
-bradycardia
-abnormal respirations
-DVT (deep vein thrombosis) - -formation of a blood clot in a deep vein of
the body, occurring most commonly in the legs or thighs
-Complication of DVT (deep vein thrombosis) - -the DVT can become
dislodge, and carry to the lugs and blood stream and cause a pulmonary
embolism
-shortness of breath
-blood ting sputum
-Interventions for a DVT (deep vein thrombosis) - --elevate extremities , but
do not put pillow under knees
-use warm moist heat for pain
-anticoagulant therapy (enoxaparin /Lovennox
(warfarin / Comadin
-Things to teach a patient with A-fib thats on Comadin - --assess for signs of
bleeding or hemorrhaging
-teach to use soft bristle toothbrush
-shave using only a electric razor
-limit foods high in vitamin K
-How does a MI (myocardial infarction) affect a woman - --GI upset
-nausea, vomiting
-fatigue
-sleep disturbance
-pain
-shortness of breath
-How does a MI (myocardial infarction) affect a Man - --crushing left arm
pain
-Test that are done for a MI (myocardial infarction) - --serum cardiac marker
(myoblobin
-troponin
-ECG
-Things to teach a patient after a test has been done with IVP dye - --
increase fluid to flush out kidneys
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