Bmm7203

1. A male client with stomach cancer returns to the unit following a total gastrectomy. He has a nasogastric tube to suction and is receiving Lactated Ringer’s solution at 75 mL/hour IV. One hour after admission to the unit, the nurse notes 300 mL of blood in the suction canister, the client’s heart rate is 155 beats/minute, and his blood pressure is 78/48 mmHg. In addition to reporting the finding to the surgeon. Which action should the nurse implement first? a. Measure and document th...

1. The nurse is reviewing medical prescriptions for newly admitted clients. It would be a priority for the nurse to follow up with the physician if a client with (a) a potassium level of 4.5mEq/L has Kayexalate (sodium polystyrene) prescribed (b) a Dilantin (phenytoin) level of 8 mcg/ml is placed on seizure precautions(c) sensitivity to Aspirin (acetylsalicylic acid) is prescribed Tylenol (acetaminophen) (d) sensitivity to Penicillin is prescribed Zithromax (azithromycin) 2. The nurse shou...

1) A client is admitted to the ICU with diagnosis of a brain tumor complicated by transient diabetes insipidus. Which client data related to this complication should the nurse expect? Select all that apply. 1. Dark, amber urine with sediment 2. High serum osmolality 3. Low urine specific gravity 4. Recent weight gain 5. Reports of excessive thirst 2) A hospitalized patient is diagnosed with a pheochromocytoma, a tumor of the adrenal medulla. Which clinical manifestation should the nur...

LUPUS ERYTHEMATOSUS (DLE/SLE) >>> PATHO  Lupus is probably caused by a complex combo of genetic and environmental factors  2 main classifications: o Discoid lupus erythematosus (DLE) – effects only the skin o Systemic lupus erythematosus (SLE) – more common  Systemic lupus erythematosus (SLE): o Chronic, progressive, inflammatory connective tissue disorder that can cause major body organs/systems to fail o Spontaneous remissions and exacerbations o Onset may b...

Lungs Physiology  2 Pleural, 1 attached to outside of lungs and 1 attached to inside of ribs.  Space between the 2 pleural is negative to atmosphere  When inhale becomes more positive and atmosphere more negative. Exhaling is passive  Most of lower lobes are posterior, must listen to lungs posteriorly  Breath sounds o Bronchial: High pitched & loud, normal in tracheal & larynx o Bronchovesicular: Moderate pitched & amplitude, normal over major bronchi o Vesicular: Low pi...

TBI ● One of the biggest things we see in TBI or anyone that has a head injury even if they have a tumor or something they are going to have a late sign of ICP called Cushing’s Triad ● What do we see when we see Cushing’s Triad? Severe hypertension, widened pulse pressure, bradycardia or decrease or alteration in respiratory rate or pattern(late sign) ● Early signs: alterations in neuro status, lethargic, restlessness or irritability, pupil changes (oval, become sluggish or big...

MONITORING FOR INCREASED INTRACRANIAL PRESSURE  Most at risk for increased ICP resulting from edema during the first 72 hr. after onset of a stroke  May have worsening neuro changes starting within 24-48 after their endovascular procedure from increased ICP  Assess these pt. Q 1-4 hr. CHART 45-6 KEY FEATURES  Decreased LOC (lethargy to coma)  Behavior changes: restlessness, irritability, and confusion  HA  N/V (may be projectile)  Change in speech pattern/slu...

COURSE TITLE: MENTAL HEALTH AND PSYCHIATRIC NURSING CHAPTER ONE: ETIOLOGY OF PSYCHIATRIC ILLNESS Student learning objectives At the end of the chapter the student should be able to: a. Discuss the difficulties associated with etiology in psychiatry. b. Discuss the nature vs. nurture controversy c. Classify cause of psychiatric illness d. Explain some specific etiological factors to psychiatric illness Etiology deals with the science or philosophy of causation of disease. It‘s concerne...

Chapter 01: Practicing the Science and the Art of Psychiatric Nursing MULTIPLE CHOICE 1. Which outcome, focused on recovery, would be expected in the plan of care for a patient living in the community and diagnosed with serious and persistent mental illness? Within 3 months, the patient will: a. deny suicidal ideation. b. report a sense of well-being. c. take medications as prescribed. d. attend clinic appointments on time. ANS: B Recovery emphasizes managing symptoms, reducing ...

Test Bank: Essentials of Psychiatric Mental Health Nursing (3rd Edition by Varcarolis) 2 Chapter 01: Practicing the Science and the Art of Psychiatric Nursing MULTIPLE CHOICE 1. Which outcome, focused on recovery, would be expected in the plan of care for a patient living in the community and diagnosed with serious and persistent mental illness? Within 3 months, the patient will: a. deny suicidal ideation. b. report a sense of well-being. c. take medications as prescribed. d. attend...