HONDROS NUR 212 COMPREHENSIVE QUESTIONS
AND ANSWERS SET A+
✔✔Diet for parkinsons - ✔✔- adequate fiber and fruit
- 6 small meals a day
- thickened liquids if patient has dysphagia
✔✔What can impair levodopa absorption? - ✔✔protein, limit protein intake to evening
meals to decrease this problem
✔✔guillain barre - ✔✔characterized by an autoimmune process that occurs a few days
or weeks following a viral or bacterial infection
✔✔When does Guillain Barre present? - ✔✔ascending , rapidly progressive, symmetric
weakness of the limbs. maximal weakness is reached in 4 weeks, can fully recover from
this.
✔✔First symptoms of Guillain Barre? - ✔✔pain, parasthesia (numbness and tingling),
and hypotonia (reduced muscle tone) of the limbs. Areflexia (lack of reflexes), and
paralysis.
✔✔Most serious complication of GBS? - ✔✔Respiratory Failure, patient may need
intubated
✔✔Possible complications from patient being intubated and immobilized? - ✔✔-
respiratory infection (intubation)
- UTI (foley)
- Pressure ulcers/DVT (immobilzation)
- peg tube/ feeding tube (due to paralysis)
✔✔When is immunoglobulin most effective, when treating Guilain Barre? - ✔✔if
administered within the first 2 weeks of symptom onset
, ✔✔Pt comes in with crohns exacerbation, what do we anticipate being part of the care
plan? - ✔✔- skin care
- NPO
- small sips of clear liquids (bowel rest)
✔✔Rhabdomyolysis - ✔✔in which damaged skeletal muscle breaks down rapidly,
releasing myoglobin into the kidneys, in which the kidneys are unable to filter due to
size of the protein leading to AKI.
✔✔Are you always on dialysis with an AKI and a CKD? - ✔✔AKI - no, can get better
CKD - yes
✔✔Does hospice accept dialysis patients? - ✔✔no, if continuing dialysis need to do
palliative care, must stop dialysis to do hospice
✔✔Main population at risk for CKD? - ✔✔African Americans
✔✔Leading causes of CKD? - ✔✔diabetes, hypertension
✔✔Uremia - ✔✔decline in kidney function, causing blood to be more acidic
✔✔Urinary changes in patient with CKD - ✔✔- early on patient will not have changes in
output
- polyuria may be present
- difficulty with fluid retention
- after dialysis pt may develop anuria (no pee)
✔✔lab changes in CKD? - ✔✔GFR decreases
BUN/Creatnine - increase
✔✔Metabolic changes in patient with CKD? - ✔✔-mild/moderate hyperglycemia
-hyperinsulinemia (may not need as much insulin before dialysis)
-hyperkalemia
-increase in triglycerides
-anemia (due to decreased production od erythropoietin) - give pt iron
- platelet/WBC levels dont change but wont function as well
✔✔What is the most common cause of death in a patient with CKD? - ✔✔CV disease
✔✔GI symptoms in a patient with CKD? - ✔✔stomatitis
metallic taste
uremic factor
anorexia
nausea vomiting
AND ANSWERS SET A+
✔✔Diet for parkinsons - ✔✔- adequate fiber and fruit
- 6 small meals a day
- thickened liquids if patient has dysphagia
✔✔What can impair levodopa absorption? - ✔✔protein, limit protein intake to evening
meals to decrease this problem
✔✔guillain barre - ✔✔characterized by an autoimmune process that occurs a few days
or weeks following a viral or bacterial infection
✔✔When does Guillain Barre present? - ✔✔ascending , rapidly progressive, symmetric
weakness of the limbs. maximal weakness is reached in 4 weeks, can fully recover from
this.
✔✔First symptoms of Guillain Barre? - ✔✔pain, parasthesia (numbness and tingling),
and hypotonia (reduced muscle tone) of the limbs. Areflexia (lack of reflexes), and
paralysis.
✔✔Most serious complication of GBS? - ✔✔Respiratory Failure, patient may need
intubated
✔✔Possible complications from patient being intubated and immobilized? - ✔✔-
respiratory infection (intubation)
- UTI (foley)
- Pressure ulcers/DVT (immobilzation)
- peg tube/ feeding tube (due to paralysis)
✔✔When is immunoglobulin most effective, when treating Guilain Barre? - ✔✔if
administered within the first 2 weeks of symptom onset
, ✔✔Pt comes in with crohns exacerbation, what do we anticipate being part of the care
plan? - ✔✔- skin care
- NPO
- small sips of clear liquids (bowel rest)
✔✔Rhabdomyolysis - ✔✔in which damaged skeletal muscle breaks down rapidly,
releasing myoglobin into the kidneys, in which the kidneys are unable to filter due to
size of the protein leading to AKI.
✔✔Are you always on dialysis with an AKI and a CKD? - ✔✔AKI - no, can get better
CKD - yes
✔✔Does hospice accept dialysis patients? - ✔✔no, if continuing dialysis need to do
palliative care, must stop dialysis to do hospice
✔✔Main population at risk for CKD? - ✔✔African Americans
✔✔Leading causes of CKD? - ✔✔diabetes, hypertension
✔✔Uremia - ✔✔decline in kidney function, causing blood to be more acidic
✔✔Urinary changes in patient with CKD - ✔✔- early on patient will not have changes in
output
- polyuria may be present
- difficulty with fluid retention
- after dialysis pt may develop anuria (no pee)
✔✔lab changes in CKD? - ✔✔GFR decreases
BUN/Creatnine - increase
✔✔Metabolic changes in patient with CKD? - ✔✔-mild/moderate hyperglycemia
-hyperinsulinemia (may not need as much insulin before dialysis)
-hyperkalemia
-increase in triglycerides
-anemia (due to decreased production od erythropoietin) - give pt iron
- platelet/WBC levels dont change but wont function as well
✔✔What is the most common cause of death in a patient with CKD? - ✔✔CV disease
✔✔GI symptoms in a patient with CKD? - ✔✔stomatitis
metallic taste
uremic factor
anorexia
nausea vomiting
