RNSG 1533 FINAL QUESTIONS & VERIFIED ANSWERS
Manifestations of delirium - Answers - Rapid onset
Reversible with treatment
Fluctuates
Sets in in hours/days
Hallucinations, delusions, agitation, paranoia
Distractible
Altered LOC (hyper or hypoactive/alert)
Manifestations of dementia - Answers - Takes place over months to years
Chronic condition with deterioriation
Progressive decline in cognitive function
Risk factors for delirium - Answers - Drug use, withdrawal
Infection
Seizure, stroke
Organ failure
Low blood sugar
Medication side effects
Surgery/trauma
Sensory deprivation or overload
Interventions for anorexia nervosa - Answers - Screen for HI/SI
Monitor intake, electrolytes, metabolic/acid-base imbalance, cardiac problems,
hypokalemia
Provide nutritionally balanced meals
Place NG tube if ordered
Gradually increase caloric intake
Characteristics of FASD - Answers - Thin upper lip, small head/eyes, IUGR, limb
abnormalities, cardiac defects, growth restriction, delayed reaction time/reflexes, poor
school performance
Manifestations of neonatal abstinence syndrome - Answers - Irritability
Hypertonicity
Jitteriness
Fever
High-pitched cry
Vomiting/diarrhea
Feeding problems, poor suck
Respiratory distress
Disturbed sleeping
Excessive sneezing/yawning
Nasal congestion
, Sweating
Fever
Tremors
Seizure
Complications of long-term alcohol use - Answers - Cardiac myopathy
Wernicke encephalopathy
Korsakoff psychosis
Pancreatitis
Eosphagitis
Hepatitis
Cirrhosis
Leukopenia
Thrombocytopenia
Ascites
Signs of substance abuse in nurses - Answers - Poor work performance, frequent
absenteeism, unusual behavior, slurred speech, isolation from peers
Incorrect drug counts
Excessive controlled drugs listed as wasted or contaminated
Patients complaining of pain after pain meds were charged as given
Damaged or torn packaging
Increased reports of pharmacy errors
Consistent offers to obtain controlled substances from pharmacy
Going to bathroom after controlled substances
Early arrivals or late departures from unit
Nursing implications for antabuse - Answers - If taken with alcohol, high risk of severe
illness or death
Patient teaching for methadone - Answers - Same withdrawal consequences for
pregnant women/newborns as heroin
4-40 days of maintenance therapy to wean off opiates
Clinical findings of SIADH - Answers - Too much ADH, urine is super concentrated,
decreased urine output
Low serum Na because more water is retained and dilutes the concentration
Urine has high osmolality
K remains relatively unchanged b/c it's in the ICF
Diet for chronic renal failure - Answers - low protein & potassium
Clinical findings of diabetes insipidous - Answers - Polyuria (5-20L/day)
Polydipsia
Problems with pituitary (tumor, trauma, neurosurgery)
Kidneys don't respond to ADH
Manifestations of delirium - Answers - Rapid onset
Reversible with treatment
Fluctuates
Sets in in hours/days
Hallucinations, delusions, agitation, paranoia
Distractible
Altered LOC (hyper or hypoactive/alert)
Manifestations of dementia - Answers - Takes place over months to years
Chronic condition with deterioriation
Progressive decline in cognitive function
Risk factors for delirium - Answers - Drug use, withdrawal
Infection
Seizure, stroke
Organ failure
Low blood sugar
Medication side effects
Surgery/trauma
Sensory deprivation or overload
Interventions for anorexia nervosa - Answers - Screen for HI/SI
Monitor intake, electrolytes, metabolic/acid-base imbalance, cardiac problems,
hypokalemia
Provide nutritionally balanced meals
Place NG tube if ordered
Gradually increase caloric intake
Characteristics of FASD - Answers - Thin upper lip, small head/eyes, IUGR, limb
abnormalities, cardiac defects, growth restriction, delayed reaction time/reflexes, poor
school performance
Manifestations of neonatal abstinence syndrome - Answers - Irritability
Hypertonicity
Jitteriness
Fever
High-pitched cry
Vomiting/diarrhea
Feeding problems, poor suck
Respiratory distress
Disturbed sleeping
Excessive sneezing/yawning
Nasal congestion
, Sweating
Fever
Tremors
Seizure
Complications of long-term alcohol use - Answers - Cardiac myopathy
Wernicke encephalopathy
Korsakoff psychosis
Pancreatitis
Eosphagitis
Hepatitis
Cirrhosis
Leukopenia
Thrombocytopenia
Ascites
Signs of substance abuse in nurses - Answers - Poor work performance, frequent
absenteeism, unusual behavior, slurred speech, isolation from peers
Incorrect drug counts
Excessive controlled drugs listed as wasted or contaminated
Patients complaining of pain after pain meds were charged as given
Damaged or torn packaging
Increased reports of pharmacy errors
Consistent offers to obtain controlled substances from pharmacy
Going to bathroom after controlled substances
Early arrivals or late departures from unit
Nursing implications for antabuse - Answers - If taken with alcohol, high risk of severe
illness or death
Patient teaching for methadone - Answers - Same withdrawal consequences for
pregnant women/newborns as heroin
4-40 days of maintenance therapy to wean off opiates
Clinical findings of SIADH - Answers - Too much ADH, urine is super concentrated,
decreased urine output
Low serum Na because more water is retained and dilutes the concentration
Urine has high osmolality
K remains relatively unchanged b/c it's in the ICF
Diet for chronic renal failure - Answers - low protein & potassium
Clinical findings of diabetes insipidous - Answers - Polyuria (5-20L/day)
Polydipsia
Problems with pituitary (tumor, trauma, neurosurgery)
Kidneys don't respond to ADH
