60 Questions
What is the recommended sodium restriction for a client with heart failure?
2.5 g per day
Which intervention is appropriate for promoting optimal tissue integrity and wound healing?
Inspecting skin daily
What are the priority clinical manifestations of left sided heart failure?
Pulmonary congestion and edema
What is the recommended daily weight gain limit to report to the provider for a client with heart failure?
3 lb over 1-2 days
What is the primary intervention for skin integrity in wounds with well-approximated margins?
Application of occlusive dressings
Which of the following is a priority assessment to identify whether a client is at risk for suicide?
Presence of a plan
What are the clinical manifestations of depression in adolescents?
Anergia, anhedonia, appetite changes, irritability
Which intervention is appropriate for clients experiencing mania?
Provide a safe environment
What are the common manifestations of depression in adults?
Decreased appetite, low energy, poor self-esteem, hopelessness
What is a key nursing intervention to minimize the impact of depression?
Provide small snacks: high protein/calorie
Which medication is used for the treatment of Graves disease and hyperthyroidism?
Propylthiouracil
What adverse reaction is associated with the use of MAOIs?
Tyramine foods induced hypertension crisis
Which medication is used for the relief of symptoms of depression and has a black box warning for suicide risk?
Amitriptyline
What is a nursing implication for the use of SNRIs?
Monitor blood pressure due to cardiac concerns with hypertension
Which medication is used as a mood stabilizer for bipolar disorder and aggression?
Lithium carbonate
Which of the following is a potential adverse effect of antipsychotic medications that can be assessed using the Abnormal Involuntary Movement Scale (AIMS)?
Tardive dyskinesia
What is a potential cue of potential aggressive behavior in clients with psychiatric disorders?
History of violence
What is a characteristic of Wernicke's encephalopathy resulting from a lack of thiamine?
Confusion and disorientation
What is a measure to increase medication adherence among clients with psychotic disorders?
Promoting a safe environment
What is a potential symptom of alcohol withdrawal?
Seizures
Which of the following is a clinical manifestation of Peripheral Arterial Disease (PAD)?
Diminished pulses and intermittent claudication
What is the collaborative care for Venous Insufficiency focused on?
Compression and moist environment dressings
Which hormone is associated with weight loss and tachycardia?
Thyroid hormone
What is the recommended intervention for inflammation management?
Rest, joint pain protection, and heat/cold applications
How is Osteoarthritis distinguished from Rheumatoid Arthritis?
Rheumatoid Arthritis is an autoimmune response, while Osteoarthritis is a non-inflammatory joint disorder
Which of the following is a complication of Ulcerative Colitis?
Hemorrhage
What are the risk factors for urinary tract infections?
Increased urinary stasis
How is obesity defined?
BMI of 30 or higher and waist circumference over 40 inches for men and over 35 inches for women
What are the clinical manifestations of urinary tract infections?
Urinary frequency, urgency, incontinence
What are the goals of nursing care for both Crohn's Disease and Ulcerative Colitis?
Resting the bowel, controlling inflammation, combating infection
Which of the following is a priority assessment to identify whether a client is at risk for suicide?
Previous suicide attempt
What is a key clinical manifestation of depression in adolescents?
Anergia
Which of the following is a characteristic of mania in clients with bipolar disorder?
Decreased need for sleep
What is a priority intervention for clients at risk for suicide?
Providing a safe environment
What is a potential cue of potential aggressive behavior in clients with psychiatric disorders?
Demonstrating impulsiveness
What is the recommended sodium restriction for a client with heart failure?
2.5 g per day
What is a potential symptom of alcohol withdrawal?
Tremors
What is a characteristic of Wernicke's encephalopathy resulting from a lack of thiamine?
Confusion and ataxia
What is a potential cue of potential aggressive behavior in clients with psychiatric disorders?
Increased agitation and irritability
What is a potential adverse effect of antipsychotic medications that can be assessed using the Abnormal Involuntary Movement Scale (AIMS)?
Tardive dyskinesia
What are the primary prevention measures for decreasing problems with intracranial regulation?
Anti-seizure medication and assessing eating utensils
What is a defining characteristic of Metabolic Syndrome?
High triglycerides and low fasting glucose
What is the defining feature of Ulcerative Colitis compared to Crohn's Disease?
Continuous pattern of inflammation and ulcerations
What are the common risk factors for urinary tract infections?
Increased urinary stasis and compromised immune response
What is the defining factor for obesity?
BMI over 30 and waist circumference over 40 inches for men
Which of the following is a potential cue of potential aggressive behavior in clients with psychiatric disorders?
History of violence, poor impulses, and verbal cues such as threats of harm
What are the expected side effects of Electroconvulsive therapy (ECT)?
Confusion and disorientation
What is a potential adverse effect of antipsychotic medications that can be assessed using the Abnormal Involuntary Movement Scale (AIMS)?
Tardive dyskinesia
What is a characteristic of Wernicke's encephalopathy resulting from a lack of thiamine?
May lead to Korsakoff's syndrome characterized by permanent memory loss
What are Peplau's Four Levels of Anxiety?
Mild, moderate, severe, and panic anxiety
Which medication has a potential adverse effect of serotonin syndrome and requires monitoring for mania and serum sodium levels?
Fluoxetine (Prozac)
Which medication category has an adverse effect of tyramine-induced hypertensive crisis and requires avoidance of certain foods and beverages?
MAOIs
Which medication used for bipolar disorder and aggression has a therapeutic use of inducing CNS stimulation and has a contraindication for use with alcohol and certain food and beverages?
Lithium carbonate (Lithobid)
Which medication used for inflammation and allergic reactions has an adverse effect of increased risk of infections and gastrointestinal disturbances?
Hydrocortisone
Which medication category used in the treatment of depression has an adverse effect of jitteriness, low appetite, and hypertension, and requires monitoring of blood pressure due to cardiac concerns?
SNRIs
What are the clinical manifestations of Hypothyroidism?
Iodine deficiency, fatigue, cold intolerance, low T3 & T4 levels
What are the collaborative care interventions for Venous Insufficiency?
Compression, moist environment dressings, high protein diet
What are the clinical manifestations of Hyperthyroidism?
Tachycardia, weight loss, high T3 & T4 levels
What are the clinical manifestations of Peripheral Arterial Disease (PAD)?
Paresthesia, diminished pulses, intermittent claudication, ulcers
What is the characteristic of Osteoarthritis compared to Rheumatoid Arthritis?
Non-inflammatory joint disorder
Study Notes
Common Medical Conditions and Nursing Care
- Crohn's Disease is a chronic, non-specific inflammatory bowel disorder that involves all layers of the bowel wall and can occur anywhere in the GI tract.
- Clinical Manifestations of Crohn's Disease include skip lesions, deep and longitudinal ulcerations with a cobblestone appearance, abscesses, fistulas, diarrhea, fever, weight loss, and colicky abdominal pain.
- Ulcerative Colitis begins at the rectum and spreads up the colon in a continuous pattern, leading to inflammation and ulcerations in mucosa and submucosal layers.
- Complications of Ulcerative Colitis include hemorrhage, strictures, perforation, and toxic megacolon.
- Nursing care for both Crohn's Disease and Ulcerative Colitis involves goals such as resting the bowel, controlling inflammation, combating infection, correcting malnutrition, and managing hygiene.
- Risk factors for urinary tract infections include increased urinary stasis, foreign bodies, compromised immune response, age, and functional disorders like constipation.
- Clinical Manifestations of urinary tract infections include urinary frequency, urgency, incontinence, dysuria, hematuria, and in older adults, non-localized abdominal discomfort and confusion.
- Nursing care for urinary tract infections involves pain management, administering antibiotics, hand hygiene, and patient education on emptying the bladder regularly and proper hygiene.
- Metabolic Syndrome criteria include abdominal obesity, hypertriglyceridemia, low HDL, high blood pressure, and high fasting glucose.
- Obesity is defined by a BMI of 30 or higher and waist circumference over 40 inches for men and over 35 inches for women.
- Factors placing individuals at risk for seizures and strokes include impaired perfusion, compromised neurotransmission, glucose regulation, and pathological states.
- Primary prevention measures to decrease problems with intracranial regulation include anti-seizure medication, assessing eating utensils, and coping with loss.
Peripheral Arterial Disease and Venous Insufficiency
- Peripheral Arterial Disease (PAD) involves progressive narrowing and degeneration of arteries in the extremities
- Clinical manifestations of PAD include paresthesia, diminished pulses, intermittent claudication, and ulcers
- Collaborative care for PAD includes risk factor cessation, diet modifications, medication management, and surgical interventions
- Venous Insufficiency is characterized by edema, hemosiderin staining, and weeping wounds
- Collaborative care for Venous Insufficiency involves compression, moist environment dressings, and high protein diet
- PAD and Venous Insufficiency require diagnostic monitoring and ulcer care
- Hormonal Regulation involves identifying hyper and hypothyroidism risk factors, clinical manifestations, and collaborative care
- Hypothyroidism is associated with iodine deficiency, fatigue, cold intolerance, and low T3 & T4 levels
- Hyperthyroidism presents with tachycardia, weight loss, and high T3 & T4 levels
- Myxedema Coma requires cardiac monitoring, respiratory support, and IV thyroid hormone
- Inflammation management includes interventions like smoking cessation, exercise, and modifying activities
- Osteoarthritis is a non-inflammatory joint disorder, while rheumatoid arthritis is an autoimmune response with specific clinical manifestations and laboratory values. Collaborative care for both involves rest, joint pain protection, and heat/cold applications.
Test your knowledge of common medical conditions and nursing care with this quiz. Explore topics such as Crohn's Disease, Ulcerative Colitis, urinary tract infections, metabolic syndrome, obesity, seizures, and strokes. Gain insight into clinical manifestations, complications, and nursing interventions for these conditions.
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