Galen Louisville 280 Comp 2 Study Guide Questions With
Complete Solutions
Absent seizure Correct Answer brief; lasts seconds; pt may or
may not lose consciousness
No loss of change in muscle tone
May occur several times during the day
Appears to be daydreaming
More common in children
Addison's Correct Answer Adrenal gland d/o =
Hypocortisolism
- hypo secretion of glucocorticosteroids &
mineralcorticosteroids
- FATAL if left untreated
Addison's education to client Correct Answer Avoid
individuals with infections
DIET: high protein; high carbs, normal NA
Avoid strenuous exercise & stressful situations
LIFELONG hormone replacement
AVOID OTC meds
Med-Alert bracelet
Teach S/S under/over replacement of hormones
Addison's findings Correct Answer Lethargy, fatigue, &
muscle weakness
Joint & muscle pain
GI disturbances (N/V, anorexia)
Wt loss & anemia
Menstrual changes in women; impotent in men
Addison's Interventions Correct Answer Monitor VS
- BP, wt, I&O's
Monitor labs
- WBC, blood glucose, K+, NA, Ca (prevent hypoglycemia)
Administer glucocorticosteroids or mineralcorticosteroids
Observe for Addisonian crisis
- caused by stress, infection, trauma, or surgery
Addisonian Crisis Correct Answer Severe headache
Severe abd, leg & lower back pain
Generalized weakness
Irritability & confusion
Severe hypotension
Shock
Addisonian Crisis Intervention Correct Answer Prepare to
admin glucocorticoids IV
- IV hydrocortisone sodium succinate
Monitor VS
- especially BP
Monitor neuro status
- noting irritability & confusion
Monitor I&o's
Monitor labs
- Na, K+, & BG
Admin IVF as RX to restore electrolyte balance
Protect pt from infection
, Maintain bedrest & provide quiet (low stimulus) environment
ADHD Correct Answer Behavior d/o characterized by
developmentally inappropriate degrees of inattention, over-
activity, & impulsivity
-lowered intellectual development
-behavioral or emotional d/o
-difficulty in social relationships
-Early dx important to prevent impaired emotional &
psychological development
-Dx based on self-reports, parent & teacher reports, &
assessment tools
ADHD findings Correct Answer Fidgets w/ hands or feet or
squirms in seat
Easily distracted w/ external or internal stimuli
Difficulty w/ following through on instructions
Poor attention span
Shifts from one incomplete activity to another
Talks excessively
Interrupts or intrudes on others
Engages in dangerous activity w/o considering consequences
ADHD interventions Correct Answer Provide info to parents
about disease & support groups
Behavior therapy: preventing undesirable behavior RX:
stimulants; possible SE appetite suppression, wt loss, tics,
nervousness, insomnia & increased BP Maintaining a consistent
environment, appropriate classroom placement
Maintain consistent home & school environment
Provide SAFETY measures
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