MILESTONE 2 RETAKE 2024 QUESTIONS WITH COMPLETE SOLUTIONS GRADED A+
MILESTONE 2 RETAKE 2024 QUESTIONS WITH COMPLETE SOLUTIONS GRADED A+ 1. Continuous bladder irrigation: A three-way (lumen) irrigation is used to de- crease bleeding and to keep the bladder free from clots—one lumen is for inflatingthe balloon (30 mL); one lumen is for instillation (inflow); one lumen is for outflow. Continuous irrigation may be used with TURP. The amount of fluid recovered in the drainage bag must equal the amount of fluidinstilled -- secondary hemorrhage may occur from overdistension 2. Urethritis: Common in postmenopausal women Low estrogen levels decrease moisture and secretions in the perineal area, predis-posing it to the development of infection Testing: STI, multiple dipstick, leukocyte esterase, nitrite testing, x-ray, CT, ultra-sonography, kidney scans 3. Renal Calculi Risk Factors: 1. Kidney diseases: Polycystic kidney disease,horseshoe kidneys, chronic strictures, and medullary sponge disease 2. IBD, ileostomy, bowel resection 3. Medications: Antacids, acetazolamide (Diamox), vitamin D, laxatives, and highdoses of aspirin 4. Calculi pain: Requires immediate attentionIV or IM opioids IV NSAIDs If pain increases, notify HCP 5. Imitrex contraindications: Ischemic heart diseaseSt.John's wort 6. Seizures: Assessment · History, factors/precipitating events, alcohol, aura Planning and Goals MILESTONE 2 RETAKE 2024 QUESTIONS WITH COMPLETE SOLUTIONS GRADED A+ · Prevention of injury, control seizures, psychosocial adjustment, understanding,absence of complications Nursing Interventions · Prevent injury, seizure precautions Reducing Fear of Seizures · Adhere to prescribed treatment, take on a regular basis, monitor for drug resistancePrecipitating factors: · Emotional disturbances, new environmentalstressors, onset of menstruation,fever,change in lifestyle routine, bright flickering lights, stress, alcohol Monitoring and Managing Potential Complications · Status epilepticus · Toxicity of meds 7. Hyperthyroidism signs/symptoms: Ophthalmopathy - exophthalmos (abnor-mal protrusion of one or both eyeballs), (not always reversible) Nervousness: Hyperexcitable, irritable, apprehensive, · cannot sit quietly, fine handtremor Cardiac: palpitations, rapid pulse, A-fib (new onset in adults), fatigability, weaknessSkin: tolerate heat poorly, perspire, flushed skin, dry skin, diffuse pruritus GI: · amenorrhea, changes in bowel function, increased appetite, weight loss 8. Exophthalmos-POC: Assessment: - Vision changes, trauma, visual acuit
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