NP235 EXam 2 Deb's review with complete solutions and graded A+

teaching a pt with diabetes regarding foot care? always wear shoes check your feet everyday check for any discoloration, sores buy shoes that fit properly dry betwen the toes no alcohol on the feet diabetic has an order for NPH 35units to be given in the am he has an upset stomach. should he still take the insulin he should still take it. but you should encourage a snack give as ordered. 00:02 01:41 assessig new pt. complains of new symptoms of tiredness and has echemosis/bruising. do your gums easily bleed. Ask "if their gums easily bleed) ( assess for other signs of bleeding/ internal bleeding, looking at platelet count) pt with hyper thyroidism and expophthalmos what would the plan of care include nutritional support routine eye care to not dry out the eyes cool enviroment prevention of diarrhea tremors, temp elevation, restlessness person with hemophelia has tender swollen joints, what is the nursing diagnosis acute pain realted to bleeding into closed spaces hemoarthrosis pt is getting transfusion. they begin to wheeze and have back pain. stop the trans. run the line open and save the blood.(do not discontinue the line you have to save it) notify the charge nurse immediatly get vitals document What different types of ethnicities are risk factors or high risk for developing diabetes? hispanic african american american indian person has stenosis in her coronary artery and is scheduled for PTCA non-surgical technique to open up blocked coronary arteries what is the period of time where the insulin has the strongest effect. peak SIADH Syndrome of inappropriate antidiuretic hormone secretion/how do you treat restrict fluids sodium by iv/hypertonic sodium chloride diuretics DIC Disseminated intravascular coagulation what causes this? trauma sepsis/shock malignicys planceta abrubtio transfusion reaction amnoictic embolism resp distress syndrome severe pain in the chest not releived by nitro, has dyspnea, pallor and professed sweating. what do they have. MI Have a patient who just had a heart catherization (angioplasty) and is npo but has metformin due what do you do? Hold it, call provider tp hold it for 3 days after wards metformin has contrast with kidney function Addison disease making a discharge plan, has a risk for injury orthstaic hypotension teach to get up slowly s/s of inadequate steroid levels, meds keep away from infection no stress pt with stable coronary artery disease. prescribed . nitro what does nitro do. it increases blood flow to the heart muscle. side effects, headache, hypotension pt has cardiac cath. is going to have heart cath. with dye and has a shellfish allergy. what are your going to do. tell the charge nurse and surgery team. iron def. anemia. what foods are high in iron liver and muscle meats green leafy veg. dried fruits apricots, figs, eggs legumes whole grain and enriched breads and cereals. pt with blood glucose regulation. takes bilberry and horse chesnut. for vericose veins what is the priority nursing action. they interact with the blood glucose ask your doctor pt has CHF weigh pt and he weighed 3.5 more pounds more than the day before. what are you going to do next check the for edema in the ankles and feet. and jugler vein distention. by having the pt. in semi fowers state. African American has history of hypertension. she is admited with chest pain that radiated to abdomen, SOB and dyspnea what do you worry about the most MI diabetes incipidus, classic symptoms profound diuresis (pass lots of urine), heartrate goes up has tachycardia, weak, have as much of 3-20 L, thirst, fatigue, nocturia, hypotension, weight loss, constipation and poor skin turgor teaching about a bone marrow transplant which one needs further insturction i can go on a 5/6 week condition regime after the procedure pt with PAD talk about the plan of care should include. what nursing actions keep leg below the heart level keep warm and wear warm cloths no heat and no ice prevent wound infection crushing injuries and bleeding from mouth, rectum, why does he have so much bleeding DIC Addisons disease, adreanal crisis s/s? Hypotension tachacardia nausea decreased LOC also abdominal and flank pain endocrine sysem, have the priincipal glands and hormone function as what. a distingushing feature negative feedback mechanism thrombocytopenia what would you see in your pt if they have this. bleeding under the skin petachiae, little dots bleeding gums under 150,000 pt complains of chest pain with low dose oxygen therapy. what would you report immediately heart rate increases pt has irrability and altered conciousness pt with a venous thrombosis they are going to get a thrombolitc agent why? breaks up the clot DKA, pick the set of vital signs. someone with DKA will have increased res. rate and depth Kussmals breathing acetone uria ketoniauria and fuity breath infection is most common cause why do they use idoize salt with a history of a goiter it will stopslow it from getting bigger. normal hemocrit level in they realation of volume of blood cells to the relation to the value of fluid. if you are dehydrated will they go up or down. it goes up becuase the blood is more concentrated. 1. ? It will go up because it is more concentrated (HCT will be high in relationship to the amount of plasma in the blood stream diabetes, type 2 pt why is my body able to produce insulin but it is not being used. becuase the cells become resistant to the insulin what lab value confirm polycythemia vera RBC value 4.5-6 ruddy complection developing teaching plan for sickle cell anemia stay hydrated Caring for someone with sickle cell and a sick cell crisis happens? they want to know why sickle cell shape, clump together and can block blood vessels and form thrombi and cause organ damage. staff inservice on bone marrow aspiration illiac creast, sternum infective endocarditis plan of care, include what type of intervention bacteria, fungi, virus antibiotics and antibiotic before dental care heart failure/meds for heart NOT LIFE LONG