Blueprint final Flashcards
The RN is reviewing blood pressure readings for a group of pt’s. Which patient is
the highest risk for complications related to hypertension?
Middle- aged African American male who has a serum creatinine level of 2.9
Rationale: normal serum creatinine
men: .74-1.35
women: .59-1.04
What should be taught with a patient taking medications for hypothyroidism?
- Take in am
-No antacids - On empty stomach absorbs better
- 30 min before or 2 hours after food helps absorption.
- meds should be at therapeutic level to avoid depression
Hypothyroidism- sleep/depression - Depression can result from untreated hypo
- falling/staying asleep difficult = avoid sedation
- frequent rest but stay action
What can untreated hypothyroidism result in?
depression
What are the S/S of diverticulosis - LLQ pain
- bowel pattern changes
- bloating
- fever
-N/V - Constipation
What are the S/S of diverticulosis
- LLQ pain
- bowel pattern changes
- bloating
- fever
-N/V - Constipation
What Interventions are used for a patient taking allopurinol for gout?
Gout medication- allopurinol
- bone marrow depression, vomiting, abd. pain
- Avoid starting/ increasing med during active flare up
- AFTER MEALS
- Increase fluid intake to prevent kidney stones
- increase movement
- avoid caffeine, alcohol, and dairy
- may take several weeks to work
- stop if rash develops.
- NO HIGH PURINE FOODS (organ meats, shellfish, fructose)
- avoid starting/ increasing med during active flare ups
- bone marrow depression
what tests Glucose and gets the best result?
A1C should be greater than 7%
- Dip stick for ketones turns purple when ketones are present.
- type 1 complications, serum glucose is 250+, ketonuria in large amounts in urine
What are right sided heart failure symptoms
Systemic
- congestion
- peripheral edema
- ascites
- JVD
- hepatomegaly
What are left-sided heart failure signs and symptoms?
Lungs
- congestion
- dyspnea
- crackles
- fatigue
- pink/frothy sputum
what kind of exercise should someone with osteoarthritis do?
Low impact exercises
- yoga
-swimming
- small amounts of walkin
what should you assess for a small bowl obstruction?
Auscultate bowel sounds
- IV fluids will be given to replace depleted water, sodium, chloride and potassium
What is the first intervention for a patient with positive small bowel obstruction?
NG tube to suction placement with X-ray to confirm correct placement
what are the second lines of interventions for small bowel obstructions
- Barium enema study
What to do for a patient with pneumonia?
- antibiotics started
- Start o2
What tests are used to confirm pneumonia?
PCV 13= 19-64 YEAR OLDS
PPSVV 23=19-64 YEAR OLDS WHO SMOKE/ HAVE ASTHMA
What is the treatment for pneumonia?
- oxygen therapy
- hydration
- bed rest
- elevated Head of bed
- Deep breathing
- humidified air
- Chest physiotherapy
- suctioning PRN
What are the interventions for COPD?
low concentrated oxygen
<2-3L nasal canula
No petroleum-based lip products
DO NOT WANT Ph TO FALL.
ORAL OR IV CORTICOSTEROIDS
