3IS Review on PID and Type 1 Diabetes

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

Which nursing diagnosis is appropriate for a patient with right ventricular heart failure showing signs of ascites?

Risk for impaired physical mobility related to permanent joint fixation

Activity intolerance related to arthralgia

Risk for infection related to open skin lesions

Risk for impaired skin integrity related to pruritus and scratching (correct)

What is a potential cause of impaired skin integrity in a patient with pruritus?

Increased pressure within the circulatory systems (correct)

Loss of cellular constituents of the blood

Rapid diffusion of solutes and solvent into the plasma

Rapid osmosis from tissue space to the cells

In teaching clients with Congestive Heart Failure, which statement indicates effective understanding of a low sodium diet?

I choose tossed salad with sardines and tomato sauce. (correct)

I choose a baked potato.

I avoid all processed foods.

I choose chicken soup with chicken meat.

What is the significance of the patient's history of using illicit intravenous drugs in relation to rheumatic fever?

It suggests a history of untreated streptococcal infections. Signup and view all the answers

Which statement best reflects a risk factor for impaired mobility in a patient with rheumatic fever?

Suffering chest trauma with a fractured rib during a fight Signup and view all the answers

Which statement would likely indicate that a patient's nutrition plan has failed?

I eat fast food regularly. Signup and view all the answers

In managing a patient with rheumatic fever, which of the following complications should be monitored?

Myocarditis due to inflammatory processes Signup and view all the answers

Which dietary choice is not appropriate for a patient with high blood pressure and congestive heart failure?

Processed meat with high sodium content Signup and view all the answers

What is the commonest age group affected by acute rheumatic fever?

5-15 years Signup and view all the answers

Which organism is primarily responsible for acute rheumatic fever?

Group A Beta-hemolytic streptococci (GAS) Signup and view all the answers

What serious complication can arise from untreated streptococcal pharyngitis, as explained to a patient?

Rheumatic heart disease Signup and view all the answers

Which of the following symptoms may indicate a complication in a child with rheumatic fever during admission assessment?

Third heart sound (S3) Signup and view all the answers

What is a common misconception about the consequences of untreated streptococcal infection?

It can affect cardiovascular health. Signup and view all the answers

What should a nurse highlight to encourage a patient to adhere to antibiotic treatment for streptococcal infection?

You need to prevent rheumatic fever to avoid further complications. Signup and view all the answers

Which of the following is NOT a sign that may suggest the development of rheumatic fever in a child?

Abrupt vision changes Signup and view all the answers

Which cardiac alteration is primarily indicated by the presence of a third heart sound (S3)?

Ventricular dilation Signup and view all the answers

Which symptom might indicate a serious complication from mitral valve stenosis?

Left hemiparesis and visual changes Signup and view all the answers

What is a common symptom of aortic regurgitation that requires immediate intervention?

Orthopnea Signup and view all the answers

Which valve disorders are associated with a systolic murmur?

Aortic stenosis and mitral regurgitation Signup and view all the answers

What is the most common cause of an abdominal aortic aneurysm?

Atherosclerosis Signup and view all the answers

During auscultation, which sound is distinctly heard over the abdomen in case of an abdominal aortic aneurysm?

Bruit Signup and view all the answers

Which group of symptoms might indicate a ruptured abdominal aortic aneurysm?

Severe lower back pain, decreased BP, decreased RBC Signup and view all the answers

What dietary recommendation should be made for someone with mitral valve disease?

Increase potassium-rich foods Signup and view all the answers

Which of the following symptoms would NOT typically require immediate attention in a patient with aortic regurgitation?

Headache Signup and view all the answers

Study Notes

3IS REVIEWER - Study Notes

Sexually active female with lower abdominal pain, fever, and abnormal vaginal discharge: Most likely Pelvic Inflammatory Disease (PID).
Common causative organism of PID: Neisseria gonorrhoeae.
PID treatment instruction: Complete the full course of antibiotics, even if feeling better. Avoid alcohol for 48 hours after taking metronidazole.
PID complication (untreated): Ectopic pregnancy.
PID treatment reason for avoiding sexual intercourse: To prevent transmission to the partner.
Type 1 Diabetes Mellitus cause: Autoimmune destruction of pancreatic beta cells.
Type 1 Diabetes Mellitus symptom: Polyuria.
Hypoglycemia in Type 1 Diabetes Mellitus: Symptoms include tachycardia and sweating.
Long-term glucose control monitoring: Hemoglobin A1c.
Insulin Purpose in Type 1 Diabetes Mellitus: Promote glucose uptake into cells.
Poorly controlled Type 1 Diabetes Mellitus complication: Diabetic ketoacidosis.
Diabetic ketoacidosis laboratory findings: Elevated blood glucose and low pH.
Hypersensitivity reaction (bee sting): Type I (IgE-mediated).
Antihistamine use in allergic rhinitis: Alleviates nasal congestion.
Latex allergy precaution: Use latex-free gloves and equipment.
Epinephrine auto-injector use: At the first sign of anaphylaxis.
Kidney transplant rejection (acute): Fever, graft tenderness, and decreased urine output.
Immunosuppressive medication for transplant rejection: Prednisone.
Transplant rejection monitoring: Drug levels of immunosuppressive agents.
Heart transplant complication (suspected): Infection.
Immunosuppressive therapy side effect: Hypertension.
Chronic rejection in lung transplant symptom: Decreased oxygen saturation.
Kidney transplant patient instruction (mycophenolate mofetil): Take on an empty stomach. Avoid sunlight. Use effective contraception/
Normal serum magnesium level: 1.3-2.1 mg/dL.
Hypermagnesemia risk factors: Alcoholism.
Hypomagnesemia risk factor: Chronic alcohol consumption.
Hypomagnesemia symptom (NOT): Tall T-wave and depressed ST segment.
Hypomagnesemia electrolyte imbalance: Hypokalemia
Magnesium sulfate IV priority intervention: Assessing for hypertension.
Dietary advice for chronic hypomagnesemia: Increase intake of leafy green vegetables.
Medication contributing to hypomagnesemia: Proton pump inhibitors.
Priority intervention for patient with low magnesium levels: Administer IV magnesium sulfate.
Magnesium sulfate administration condition: Eclampsia
Normal serum magnesium level range: 1.3-2.1 mg/dL.
Rheumatic fever etiology: Group A β-hemolytic streptococci (GAS) infection.
Rheumatic fever age group affected: 5-15 years
Rheumatic fever symptom indicative of complication: Sore throat/fever within 2 months.
Teaching aplastic anemia patient: Avoid exposure to others with acute infection.
Discharge teaching for aplastic anemia: Discuss potential need for blood transfusions and/or blood product support and/or medications.
Diagnostic findings for Aplastic anemia: Decreased levels of white blood cells, red blood cells, and platelets.
Risk for complications of Rheumatic fever: Rheumatic heart disease
Acute Rheumatic Fever Symptoms: Subcutaneous nodules, erythema marginatum, polyarthritis.
High cholesterol medication function: Decreases LDL levels and increases HDL levels.
Cardiomyopathy complication: Heart failure.
Hypertension complication: Risk of injury to the arteries
Patient with a history of coronary artery disease (CAD) and newly diagnosed cardiomyopathy: Patient teaching should include lifestyle modifications, medication adherence, and monitoring of symptoms.
Treatment for hypermagnesemia: Loop diuretics.
Diagnostic findings for suspected ruptured abdominal aortic aneurysm: Sudden, severe low back pain, decreased BP, decreased RBC, decrease WBC.
Nursing intervention for Post-Aortic Aneurysm Repair: Monitor fluid intake and urine output; Check the abdominal incision for redness.
Nursing care for patient with mitral valve stenosis: Monitor for signs and symptoms of complications like hypotension and syncope.
Nursing teaching for post-valve replacement patient: Teach the patient about the need for anticoagulant therapy and/or antibiotics prior to medical procedures (dental).

Studying That Suits You

Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

Description

This quiz covers essential notes on Pelvic Inflammatory Disease (PID) and Type 1 Diabetes Mellitus. It includes information on symptoms, treatment, complications, and monitoring techniques related to these conditions. Perfect for healthcare students and professionals preparing for exams.