Questions and Answers
What is the hormone responsible for bone growth in children?
What are common mechanical causes of low back pain?
What are age-related changes in mobility that typically occur?
What factors can contribute to poor circulation?
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What are expected findings regarding sensation for a client who has had a transection of the spinal cord?
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What are common complications associated with spinal cord injuries?
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What client education is critical for managing newly diagnosed Parkinson’s disease?
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What behaviors are commonly associated with sundowning in dementia patients?
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What are the risk factors for the development of pericarditis?
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What might atrial fibrillation look like on an ECG?
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What are the signs of changes in vision that may indicate the development of a cataract?
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What are the clinical manifestations of shingles?
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What is the client's education about drug-drug interactions with nitrates?
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What are the characteristics of moisture-related skin conditions?
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What is the high priority client education for the medication sildenafil (Viagra)?
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What are the nursing interventions when caring for a client with erectile dysfunction?
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Study Notes
Mobility
- Growth hormone (GH) promotes bone growth in children.
- Mechanical causes of low back pain include poor posture, heavy lifting, and repetitive strain.
- Age-related changes in mobility involve decreased muscle strength, balance issues, and reduced flexibility.
- Older adults may require adjustments like new prosthetics or rehabilitation programs to enhance mobility.
- Negative outcomes of immobility can include muscle atrophy, pressure ulcers, and increased risk of deep vein thrombosis.
- Priority concerns for clients with an open fracture include assessing circulation, nerve function, and pain management.
- Clinical manifestations of synovitis include joint swelling, pain, warmth, and stiffness.
- Client education for preventing chronic back pain involves ergonomic practices, regular exercise, and avoiding prolonged sitting.
- Factors contributing to poor circulation encompass obesity, smoking, diabetes, and sedentary lifestyle.
- Risk factors for delirium include advanced age, pre-existing cognitive impairment, and medication side effects.
- Reversibility of delirium is dependent on underlying causes, prompt treatment, and patient age.
- Pathophysiology of dementia includes neurodegeneration, inflammation, and amyloid plaque accumulation, with a progressive decline in cognitive function.
- To avoid relocation syndrome in clients with Alzheimer’s, maintain routine, provide familiar items, and involve them in the transition process.
- Sundowning behaviors include increased agitation and confusion during the late afternoon and evening.
- Laboratory abnormalities contributing to delirium may involve electrolyte imbalances and infections.
- Safety interventions for clients with delirium include creating a calm environment, ensuring adequate supervision, and preventing falls.
Neurological Function
- Pathophysiology of cerebral edema includes increased intracranial pressure due to fluid accumulation due to trauma, infection, or tumor.
- Risk factors for osmotic cerebral edema involve conditions that affect osmotic balance, like diabetes and renal failure.
- Common risk factors for both tension-type and cluster headaches include stress, lack of sleep, and dietary triggers.
- Blood pressure management for stroke risk targets levels below 130/80 mmHg.
- Side effects of anticholinergics for Parkinson’s may include dry mouth, constipation, and blurred vision.
- Nursing interventions to prevent cerebral aneurysm rupture include blood pressure control and avoiding straining activities.
- Common reasons for head injuries in older adults include falls, motor vehicle accidents, and sports injuries.
- Client education for newly diagnosed Parkinson’s disease focuses on medication adherence, therapy options, and lifestyle modifications.
Spinal Cord
- Expected findings for a client with spinal cord transection might include loss of sensation below the injury level and motor deficits.
- Risk factors for spinal stenosis include age, genetics, and prior spinal injuries.
- The most common cause of spinal cord injuries in clients aged 65 and older is falls.
- Triggers for multiple sclerosis flare-ups may include stress, infections, and temperature extremes.
- Expected findings of cauda equina syndrome include saddle anesthesia, bowel or bladder dysfunction, and severe radicular pain.
- Nursing interventions for spinal cord injury clients with absent bowel sounds involve monitoring for bowel movements and addressing constipation.
- Common complications of spinal cord injuries include autonomic dysreflexia, respiratory infections, and pressure ulcers.
- Triggers for autonomic dysreflexia may include bladder distension, skin irritation, or tight clothing.
Sensory
- Client manifestations of Meniere’s disease include vertigo, tinnitus, and hearing loss.
- Risk factors for developing glaucoma include age, family history, and elevated intraocular pressure.
- Lifestyle modifications to decrease hearing loss risk involve avoiding loud noises, managing ear infections, and regular hearing tests.
- Education for post retinal reattachment care includes activity restrictions, follow-up appointments, and recognizing warning signs.
- Signs of vision changes indicating cataract development include blurred vision, glare sensitivity, and difficulty with night vision.
- Symptoms of retinal detachment consist of sudden flashes, floaters, and a shadow or curtain effect over the visual field.
- Client teaching for tinnitus includes sound therapy options and stress management techniques.
- Amsler grid usage education entails monitoring for visual distortions and reporting changes immediately.
Cardiac
- Risk factors for pericarditis include infections, autoimmune diseases, and post-myocardial infarction.
- Atrial fibrillation on an ECG presents as irregularly spaced QRS complexes and absent P waves.
- In atrial fibrillation, the heart experiences disorganized electrical activity leading to ineffective atrial contractions.
- Dilated cardiomyopathy can result from genetic factors, alcohol abuse, or viral infections.
- Peripheral artery disease is caused by atherosclerosis leading to narrowed arteries.
- Risk factors for atrial fibrillation include hypertension, diabetes, and older age.
- Hypertrophic cardiomyopathy risk factors include genetic mutations and family history of heart disease.
- Clients at highest risk for atrial flutter often have underlying heart disease, prior atrial fibrillation, or structural heart abnormalities.
- Education on managing symptoms of peripheral vascular disease includes lifestyle modifications, such as exercise and smoking cessation.
Sexual Function
- Complications in male clients with UTIs may include prostatitis or epididymitis.
- The pathophysiology of primary syphilis involves Treponema pallidum bacterium causing ulcerated lesions.
- Client education on fibrocystic breast changes post-menopause includes understanding benign cysts and monitoring for new changes.
- Risk factors for bacterial vaginosis include multiple sexual partners, douching, and hormonal changes.
- High-priority education for sildenafil usage emphasizes contraindications with nitrates and potential side effects.
- Treatment for genital herpes typically includes antiviral medications and lifestyle adjustments to manage outbreaks.
- Client outcomes of gender-affirming care often include improved psychological well-being and reduced gender dysphoria.
- Client education regarding drug-drug interactions with nitrates emphasizes avoiding concurrent use with phosphodiesterase inhibitors.
- Gonorrhea testing typically involves urine tests or swabs from infected areas.
- Clinical manifestations of genital herpes in females include painful sores and vaginal discharge.
- Nursing interventions for clients with erectile dysfunction focus on a holistic approach, addressing both physical and psychological factors.
Tissue Integrity
- Characteristics of moisture-related skin conditions include erythema, maceration, and irritation.
- Non-healing pressure injuries often result from age-related factors such as decreased skin elasticity and circulation.
- Clinical manifestations of shingles include painful rash, blisters, and neuropathic pain.
- Electrical burn characteristics involve deep tissue damage, potential internal injury, and variable surface appearance.
- Post-chemical burn safety includes decontamination, monitoring for respiratory distress, and avoiding secondary contamination.
- Protocol for hyperbaric chamber use involves patient assessment, contraindication review, and monitoring during therapy.
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Description
Test your knowledge on mobility-related topics, including hormones affecting bone growth, causes of low back pain, and age-related changes. This quiz also covers client care considerations for fractures and synovitis, as well as prevention strategies for back pain. It's essential for healthcare professionals and caregivers to understand these concepts.