Nurs 6201 Adults 1 Exam 4 (Final) Questions With
Complete Solutions
Hypothyroidism
- Risk Factors
- S/S
- Dx
- Tx
- Patient Education
= Hypo activity of the thyroid gland
Risk Factors
1. Female
2. Age
3. Type 1 DM
4. Previous hyperthyroidism
S/S = Everything is lowed down
- Slowed metabolism
- Weakness/fatigue
- Cold intolerance
- Bradycardia
- Myxedema (puffy face and tongue)
,Dx
- Hx and Physical
- Labs: Low T3 + T4, High TSH
( + decreased free thyroxine)
Tx
- Medications: Levothyroxine - takes time to find the correct
dosing
Patient Education
- Lifelong hormone replacement therapy
- Contact primary immediately with cardiac changes
(tachycardia, orthopnea)
- Avoid sedatives and constipation
Obesity
- Dx
- Interventions
- Treatments
= Excessively high amount of adipose tissue (BMI = >30)
Dx
- Hx and Physical
- BMI
- Labs
- Current Medications
,Interventions
- Reduce stigma
- Explore motivation for wt. loss
- Education
- Interprofessional collaboration w/ dietician, PT, Counselor
Treatment
1. Surgery: Bariatric Surgery
a. Arrange appropriate sized equipment
b. Early progressive mobility
c. Educate on new dietary restrictions
d. Monitor for S/S of infection and anastomotic leak
ERCP = Endoscopic Retrograde Cholangiopancreatography
- Purpose
- Complications
- Pre/Post Procedural Care
Purpose = Dx and tx problem in the bile and pancreatic ducts
allowing doctors to visualize blockages, stones and strictures
Complications
1. Pancreatitis
2. Bleeding
3. Perforation
, 4. Sedation-related adverse events
Pre/Post Procedural Care
- Pre: NPO, pain management
- Post:
Paracentesis
- Purpose
- Complications
- Pre/Post Procedural Care
Purpose = Remove fluid from the peritoneal cavity (culture
AND decompress)
Complications
1. Infection
2. Poking an unintended organ
Pre/Post Procedural Care
- Pre: Client urinate - less chance of hitting bladder
- Post: Cover injection site/monitor for infection
Thoracentesis
- Purpose
- Complications
- Pre/Post Procedural Care
Purpose = Removing fluid from the thoracic cavity (culture and
decompress)
Complete Solutions
Hypothyroidism
- Risk Factors
- S/S
- Dx
- Tx
- Patient Education
= Hypo activity of the thyroid gland
Risk Factors
1. Female
2. Age
3. Type 1 DM
4. Previous hyperthyroidism
S/S = Everything is lowed down
- Slowed metabolism
- Weakness/fatigue
- Cold intolerance
- Bradycardia
- Myxedema (puffy face and tongue)
,Dx
- Hx and Physical
- Labs: Low T3 + T4, High TSH
( + decreased free thyroxine)
Tx
- Medications: Levothyroxine - takes time to find the correct
dosing
Patient Education
- Lifelong hormone replacement therapy
- Contact primary immediately with cardiac changes
(tachycardia, orthopnea)
- Avoid sedatives and constipation
Obesity
- Dx
- Interventions
- Treatments
= Excessively high amount of adipose tissue (BMI = >30)
Dx
- Hx and Physical
- BMI
- Labs
- Current Medications
,Interventions
- Reduce stigma
- Explore motivation for wt. loss
- Education
- Interprofessional collaboration w/ dietician, PT, Counselor
Treatment
1. Surgery: Bariatric Surgery
a. Arrange appropriate sized equipment
b. Early progressive mobility
c. Educate on new dietary restrictions
d. Monitor for S/S of infection and anastomotic leak
ERCP = Endoscopic Retrograde Cholangiopancreatography
- Purpose
- Complications
- Pre/Post Procedural Care
Purpose = Dx and tx problem in the bile and pancreatic ducts
allowing doctors to visualize blockages, stones and strictures
Complications
1. Pancreatitis
2. Bleeding
3. Perforation
, 4. Sedation-related adverse events
Pre/Post Procedural Care
- Pre: NPO, pain management
- Post:
Paracentesis
- Purpose
- Complications
- Pre/Post Procedural Care
Purpose = Remove fluid from the peritoneal cavity (culture
AND decompress)
Complications
1. Infection
2. Poking an unintended organ
Pre/Post Procedural Care
- Pre: Client urinate - less chance of hitting bladder
- Post: Cover injection site/monitor for infection
Thoracentesis
- Purpose
- Complications
- Pre/Post Procedural Care
Purpose = Removing fluid from the thoracic cavity (culture and
decompress)
