Final Exam Review (NURS 3661) Questions With Complete
Solutions
adverse effects of low molecular weight heparin (enoxaparin)
- confusion
- fever
- pain
- edema
- peripheral edema
- nausea
- diarrhea
- bleeding complications
- thrombocytopenia
- irritation
- pain
arterial ulcer general characteristics
- pain: intermittent claudication to sharp, unrelenting constant
- pulses: diminished or absent
- skin characteristics: dependent rubor with elevation pallor of
foot; dry, shiny skin; cool-to-cold temperature; loss of hair over
toes and dorsum of foot; nails thickened and ridged
arterial ulcer location
tip of toes, web spaces, heel or other pressure points if patient is
immobile
arterial ulcers pain
very painful
,arterial ulcers depth of ulcer
deep, often involving joint space
arterial ulcer shape
circular
arterial ulcer base
pale to black and wet to dry gangrene
hyperthyroidism is going to have what kind of labs?
high T3 and T4 and low TSH
hypothyroidism is going to have what kind of labs?
low T3 and T4 and High TSH
signs and symptoms of hyperthyroidism
- nervousness
- hyperexcitability
- irritable
- apprehensive
- palpitations
- tolerates heat poorly
- skin is flushed
- exophthalmos (bulging eyes)
- weight loss
- atrial fibrillation
- sinus tachycardia or dysrhythmias
- increase blood pressure
,- increase heart rate
- diarrhea
- decrease attention span
signs and symptoms of hypothyroidism
- extreme fatigue (no energy)
- hair loss
- brittle nails
- dry skin
- numbness and tingling of the fingers
- menorrhagia or amenorrhea
- loss of libido
- gains weight even if they dont increase food intake
- face becomes expressionless and masklike
- complains of being cold even in a warm environment
- decreased heart rate
- decreased blood pressure
Care of the patient post thyroidectomy
- monitor vitals
- control pain
- monitor for parathyroid removal
- monitor for difficulty of breathing
- the nurse should check the patients incision when they are in
recumbent position
- tracheostomy kit should be kept in the bedside
- when moving and turning the patient the nurse should support
the patients head and avoid tension of the sutures
- they should be in semi fowlers position
, - patient should talk as little as possible
- patient should get out of bed as soon as possible and eat foods
that are easy to swallow
- assess for signs of hemorrhage, tracheal compression, irregular
breathing, neck swelling, swallowing, chocking
If the patient just had a thyroidectomy and the nurse wants to
monitor for signs and symptoms of parathyroid removal what
will the nurse monitor for?
signs and symptoms of hypocalcemia
- tetany (muscles spasms all over)
- chvosteks's
post op complications of thyroidectomy
- vocal cord paralysis
- airway obstruction
- hemorrhage
- tracheal compression
- hypocalcemia
side effects of chemotherapy
- nausea/vomiting (may persist 24-48 hours or delayed after up
to 1 week after administration)
- stomatitis (because of the rapid turnover of epithelium that
lines the oral cavity)
- entire GI tract susceptible to mucositis
- myelosuppression (decreased WBCs, anemia, low platelets,
increased risk of infection and bleeding)
Solutions
adverse effects of low molecular weight heparin (enoxaparin)
- confusion
- fever
- pain
- edema
- peripheral edema
- nausea
- diarrhea
- bleeding complications
- thrombocytopenia
- irritation
- pain
arterial ulcer general characteristics
- pain: intermittent claudication to sharp, unrelenting constant
- pulses: diminished or absent
- skin characteristics: dependent rubor with elevation pallor of
foot; dry, shiny skin; cool-to-cold temperature; loss of hair over
toes and dorsum of foot; nails thickened and ridged
arterial ulcer location
tip of toes, web spaces, heel or other pressure points if patient is
immobile
arterial ulcers pain
very painful
,arterial ulcers depth of ulcer
deep, often involving joint space
arterial ulcer shape
circular
arterial ulcer base
pale to black and wet to dry gangrene
hyperthyroidism is going to have what kind of labs?
high T3 and T4 and low TSH
hypothyroidism is going to have what kind of labs?
low T3 and T4 and High TSH
signs and symptoms of hyperthyroidism
- nervousness
- hyperexcitability
- irritable
- apprehensive
- palpitations
- tolerates heat poorly
- skin is flushed
- exophthalmos (bulging eyes)
- weight loss
- atrial fibrillation
- sinus tachycardia or dysrhythmias
- increase blood pressure
,- increase heart rate
- diarrhea
- decrease attention span
signs and symptoms of hypothyroidism
- extreme fatigue (no energy)
- hair loss
- brittle nails
- dry skin
- numbness and tingling of the fingers
- menorrhagia or amenorrhea
- loss of libido
- gains weight even if they dont increase food intake
- face becomes expressionless and masklike
- complains of being cold even in a warm environment
- decreased heart rate
- decreased blood pressure
Care of the patient post thyroidectomy
- monitor vitals
- control pain
- monitor for parathyroid removal
- monitor for difficulty of breathing
- the nurse should check the patients incision when they are in
recumbent position
- tracheostomy kit should be kept in the bedside
- when moving and turning the patient the nurse should support
the patients head and avoid tension of the sutures
- they should be in semi fowlers position
, - patient should talk as little as possible
- patient should get out of bed as soon as possible and eat foods
that are easy to swallow
- assess for signs of hemorrhage, tracheal compression, irregular
breathing, neck swelling, swallowing, chocking
If the patient just had a thyroidectomy and the nurse wants to
monitor for signs and symptoms of parathyroid removal what
will the nurse monitor for?
signs and symptoms of hypocalcemia
- tetany (muscles spasms all over)
- chvosteks's
post op complications of thyroidectomy
- vocal cord paralysis
- airway obstruction
- hemorrhage
- tracheal compression
- hypocalcemia
side effects of chemotherapy
- nausea/vomiting (may persist 24-48 hours or delayed after up
to 1 week after administration)
- stomatitis (because of the rapid turnover of epithelium that
lines the oral cavity)
- entire GI tract susceptible to mucositis
- myelosuppression (decreased WBCs, anemia, low platelets,
increased risk of infection and bleeding)
