Adult Health NR-325 Exam 1
- do not go more that 2 days without exercising
- BG levels need to be > 100 mg/dL because exercise can cause hypoglycemia
- do not exercise when your insulin is peaking
-increases HDLs (good cholesterol) which decreases risk of heart disease - ANS-What
are some teaching considerations for a diabetic patient when concerning exercise?
- dont blow nose
-dont brush teeth
-dont bend down
-watch for visionary changes - ANS-What are precautions for after removing the
parathyroid?
- GFR
- uric acid
- BUN/creatinine - ANS-How do you check renal function?
- let the patient know that they will feel a warm, flushed feeling like they wet their pants
- check for allergies (iodine, shellfish etc.)
- check renal function - ANS-What are 3 nursing responsilbities/teaching moments when
preparing someone who will be receiving contrast dye?
- monitor for s/s of fluid overload
- I & O every 4 hours
- daily weight
- assess for edema
- monitor fluid restriction
- frequent small meals, low protein if increased BUN - ANS-What are some important
things that should be in a nurses plan of care for someone with glomerulonephritis?
- monitor thyroid hormones (very important)
- watch iodine intake
- avoid high environmental heat
- decrease calories - ANS-What are some post op considerations for someone who just
underwent a thyroidectomy?
- removal of nitrogenous waste
- erythropoeitein production
, - activate vitamin D
- fluid and electrolyte balance
- BP regulation
- removal of drugs and toxins - ANS-What are the 6 functions of the kidney?
- semi fowlers, don't flex their neck
- check for signs of tetany
- assess for bleeding and tracheal compression
- trach tray at bedside
- know there may be potential complications of laryngeal nerve damage - ANS-What are
some important nursing care considerations when caring for someone with a
thyroidectomy?
- they should be in a cool environment (because they are always hot from increased
ATP production)
- they should decrease their activity level
- if they are experiencing exopthalamus (bulging eyeballs) teach them to wear
sunglasses and to use moisturizing eyedrops and close eyes throughout day to help
combat dryness - ANS-What are 3 important teaching/interventions for someone with
hyperthyroidism (that aren't medications)
-kussmaul respirations- rapidly blowing off excess CO2
-altered LOC (may seem intoxicated)
-increased potassium (because H+ is going into the cell, forcing potassium out of the
cell)
- the 3 P's
- sweet fruity smelling breath - ANS-What are some signs that a person is experiencing
diabetic keto acidosis?
-you can do it at home/anywhere because it is portable and don't need to go to a
dialysis center meaning you can have it fit your schedule better
- less nutritional restrictions - ANS-What are some benefits of peritoneal dialysis
compared to hemodialysis?
*Think that everything is hyper right now*
- monitor heart rhythm
- oxygen
- IV fluids (if they are vomiting and diarrhea)
- cool room
-calm room
- do not go more that 2 days without exercising
- BG levels need to be > 100 mg/dL because exercise can cause hypoglycemia
- do not exercise when your insulin is peaking
-increases HDLs (good cholesterol) which decreases risk of heart disease - ANS-What
are some teaching considerations for a diabetic patient when concerning exercise?
- dont blow nose
-dont brush teeth
-dont bend down
-watch for visionary changes - ANS-What are precautions for after removing the
parathyroid?
- GFR
- uric acid
- BUN/creatinine - ANS-How do you check renal function?
- let the patient know that they will feel a warm, flushed feeling like they wet their pants
- check for allergies (iodine, shellfish etc.)
- check renal function - ANS-What are 3 nursing responsilbities/teaching moments when
preparing someone who will be receiving contrast dye?
- monitor for s/s of fluid overload
- I & O every 4 hours
- daily weight
- assess for edema
- monitor fluid restriction
- frequent small meals, low protein if increased BUN - ANS-What are some important
things that should be in a nurses plan of care for someone with glomerulonephritis?
- monitor thyroid hormones (very important)
- watch iodine intake
- avoid high environmental heat
- decrease calories - ANS-What are some post op considerations for someone who just
underwent a thyroidectomy?
- removal of nitrogenous waste
- erythropoeitein production
, - activate vitamin D
- fluid and electrolyte balance
- BP regulation
- removal of drugs and toxins - ANS-What are the 6 functions of the kidney?
- semi fowlers, don't flex their neck
- check for signs of tetany
- assess for bleeding and tracheal compression
- trach tray at bedside
- know there may be potential complications of laryngeal nerve damage - ANS-What are
some important nursing care considerations when caring for someone with a
thyroidectomy?
- they should be in a cool environment (because they are always hot from increased
ATP production)
- they should decrease their activity level
- if they are experiencing exopthalamus (bulging eyeballs) teach them to wear
sunglasses and to use moisturizing eyedrops and close eyes throughout day to help
combat dryness - ANS-What are 3 important teaching/interventions for someone with
hyperthyroidism (that aren't medications)
-kussmaul respirations- rapidly blowing off excess CO2
-altered LOC (may seem intoxicated)
-increased potassium (because H+ is going into the cell, forcing potassium out of the
cell)
- the 3 P's
- sweet fruity smelling breath - ANS-What are some signs that a person is experiencing
diabetic keto acidosis?
-you can do it at home/anywhere because it is portable and don't need to go to a
dialysis center meaning you can have it fit your schedule better
- less nutritional restrictions - ANS-What are some benefits of peritoneal dialysis
compared to hemodialysis?
*Think that everything is hyper right now*
- monitor heart rhythm
- oxygen
- IV fluids (if they are vomiting and diarrhea)
- cool room
-calm room
