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Stack #117613
NCLEX-PN-Diseases & Disorders
| Question | Answer |
|---|---|
| Acute pancreatitis common ss | low fluid volumn |
| diabetus insipidus is | ADH deficiency |
| autonomic dysreflexia- | (full bladder) |
| myasthenia gravis caused by | lower motor neuron lesion |
| myasthenia gravis-Genetic? | no |
| myasthenia gravis-ss | chronic fatigue and muscle weakness, esp. face & throat |
| ARDS | hypoxemia from low Pa02 |
| addisonian crisis-pt needs a | private room bc of low ability to cope w/stress |
| autonomic dysreflexia-common symptom is | HA; brought on by bowel or bladder sidtension. (check foley for kinks) |
| autonomic dysreflexia occurs after: | injury to spinal cord above T6; |
| addisonian crisis-no___ is produced: | corticosteroids-so low stress enviro is needed; |
| Post Thyroidectomy - pt at risk for: | hypocalcemia (low calcium) |
| sign of hypocalcemia | m. twitching & numbness or tingling of lips, & extremities |
| multiple sclerosis(MS) ss | vision changes (diplopia, nystagmus & b.vision), deep tendon reflexes-hyperactive, muscles are spastic; urinary hesitancy (from nerve damage), intention tremor (tremor when doing an activity), Positive babinski sign |
| Babinski sign | ? |
| multiple myeloma TX | relieve pain, prevent bone injury & infection, and maint hydration |
| multiple sclerosis TX | fatigue, (use AC to decrease temp), no extreme cold, use hot baths |
| pernicious anemia ss | pallor, tachycardia, sore tongue, wt. loss, a smooth beefy red tongue, a wide pulse pressure, palpitations, angina, weakness, fatigue and parenthesias of hands and feet |
| iron deficiency anemia ss | dyspnea,tachycardia, pallor, fatigue, listless, irritable & HA |
| acute pancreatitis: pts have | low fluid volumn which may lead to hypovolemic shock |
| Fluid loss may be from: | homorrheage, vomiting or plasma leaking into peritoneal cavity |
| renal failure-watch for | drug toxicity |
| scleral buckling | sclera is flattened against retina. Position pt prone with head toward affected eye. |
| obstructive jaundice ss | clay colored stools |
| labyrinthitis is | inflammation of inner ear |
| labryinthitis is sudden onset: | bad vertigo w/N&V |
| Hemorrhage: ss | weak, irregular pulse, cool moist skin & hypytension. May cause cyanosis, N/V, dilated pupils |
| osteoarthritis ss | joint pain, crepitus, Heberden's nodes, Bochard's nodes & enlarged joints |
| Adrenal crisis is an under | secretion of glucocorticoids resulting in profound hypoglycemia, hypovolemia & HTN |
| Cushing's syndrome is excessive | glucocorticoid secretion resulting in soduim and water retention |
| Wilms tumor: ss | may be HTN from renin |
| Wilms tumor DO NOT | palpate abdomen be it may increase risk of mestastasis; |
| hypospadias-after surgery | elevate the scrotal sac |
| cystic fibrosis ss | excessive fat in stool, perform chest physiotherapy q 4 hours |
| cystic fibrosis diet | hi protein, hi calorie |
| Chvosteks sign-tap pt's face litely over facial nerve just below temple: | Muscle twitch indicates hypo calcemia |
| Thyroid crisis- may occur within | 12 hours of thyroidectomy |
| Thyroid crisis ss | exaggerated sign of hyper thyroidism (hi fever, tachycardia & extreme restlessness) |
| Stapedectomy | hearing may be worse during healing and get better in 6 weeks |
| hypoglycemia ss | anxiety, restless, HA, irritable, confused, diaphoreses, cool skin, tremors, reduced LOC and seizures |
| Guillian-Barr syndrome | respiratory failure from paralysis of thoracic area |
| Hircchsprung's DZ is a | aganglionic megacolon |
| Hircchsprung's DZ repair is a | two surgery operation;1st a colestomy (temporary while healing occurs); 2nd fixes and final; |
| after Hircchsprungs surgery | ausculate lung sounds |
| Cerebral palsy | encourage independence, give extra time to eat, and sit up for a while to prevent gag & aspiration |
Created by:
jeanl
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