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