adult health 2 (WGU D446)
glomerulonephritis (teaching and interventions) - ANSWER: limit proteins in diet and ensure patient finishes all
antibiotics
glomerulonephritis (meds) - ANSWER: A - ace and arbs (-pril and -sartan)
D - diuretics (-ide)
bypass surgery post-op (diet) - ANSWER: small frequent meals 4-6x daily
wait 30min pre/post eating to drink
consume protein first
NO SUGAR, ALCOHOL, CAFFEINE
liquid diet first 48hrs then pureed diet for 1month
bypass surgery post-op (teaching) - ANSWER: pouch holds 1-2oz at a time (size of egg)
NO NSAIDS
will need to consume multivitamins and supplements (B12, calcium, iron)
medications should either be crushed or chewable
GERD (teaching and interventions) - ANSWER: low-fat diet, small frequent meals, avoid alcohol and caffeine,
no tight clothes around waist, DO NOT lie down 2-3hrs after eating, avoid eating 3hrs before bed, HOB
elevated 30 degrees
TURP - ANSWER: transurethral resection of prostate
TURP post-op (normal) - ANSWER: immediate - bloody urine
24hrs - light red / pink urine
36hrs (max) - small blood clots
TURP post-op (abnormal) - ANSWER: output less than or equal to input (want it to be more than input)
,cast care (risks) - ANSWER: hot spots, compartment syndrome, infection, pain, neuro change, capillary refill
change
compartment syndrome - ANSWER: increased pressure in muscle compartment of extremity causing impaired
circulation and ischemia
fat embolism - ANSWER: disruption to blood supply caused by fat globules in vessel
fractures (interventions) - ANSWER: control bleeding, immobilize, ice, elevate, neurovascular check, assess
pain & sensation, assess skin temp & color, capillary refill, pulses, movement
HSV (herpes simplex virus) - ANSWER: cold sores and genital warts
non-curable, active lesions (pain, itch, burn)
genital warts/lesions are priority to report during pregnancy
treatment: acyclovir, compress, and petroleum jelly
liver failure (initial sign) - ANSWER: often changes in cognitive function
liver failure (interventions) - ANSWER: low protein, sodium, and fluid diet
avoid alcohol and NSAIDs
drug therapy for hepatitis
tuberculosis (signs and symptoms) - ANSWER: night sweats, blood tinged sputum, productive persistent
cough, weight loss
tuberculosis (diagnostic) - ANSWER: intradermal injection, chest x-ray, sputum cultures
tuberculosis (precautions) - ANSWER: airborne
seizures (priority) - ANSWER: airway safety, turn to side, prepare suction, lower to floor (if not in bed)
NO RESTRAINING AND NOTHING IN MOUTH
, ischemic stroke (interventions) - ANSWER: thrombolytics w/in 3 hours w/ anticoagulants, antiplatelets, and
emolectomy
hemorrhagic stroke (interventions) - ANSWER: antihypertensives, surgical aneurysm repair
pain assessment (unconscious patient) - ANSWER: facial expressions, vocalization (groans, etc), change in
vitals, restlessness
SIADH (long meaning) - ANSWER: syndrome of inappropriate antidiuretic hormone
SIADH (simple meaning) - ANSWER: "soaked inside"
SIADH (signs and symptoms) - ANSWER: stops urination (low output)
sticky, thick urine
sodium low
seizure
severe high BP
SIADH (intervention) - ANSWER: stop IV and give salt
radiation therapy (interventions and teaching) - ANSWER: loose clothes, mild soap and lukewarm water,
topical steroid, semipermeable dressing if indicated, electric razor only, avoid aftershave and cosmetics, no
heat or cool packs
hypothyroidism (signs and symptoms) - ANSWER: hypotension, bradycardia, lethargy, cold intolerance,
constipation, weight gain, thin hair, brittle fingernails, depression
hyperthyroidism (signs and symptoms) - ANSWER: hypertension, tachycardia, heat intolerance, exothalamos,
weight loss, insomnia, diarrhea, warm and sweaty, anxiety
glomerulonephritis (teaching and interventions) - ANSWER: limit proteins in diet and ensure patient finishes all
antibiotics
glomerulonephritis (meds) - ANSWER: A - ace and arbs (-pril and -sartan)
D - diuretics (-ide)
bypass surgery post-op (diet) - ANSWER: small frequent meals 4-6x daily
wait 30min pre/post eating to drink
consume protein first
NO SUGAR, ALCOHOL, CAFFEINE
liquid diet first 48hrs then pureed diet for 1month
bypass surgery post-op (teaching) - ANSWER: pouch holds 1-2oz at a time (size of egg)
NO NSAIDS
will need to consume multivitamins and supplements (B12, calcium, iron)
medications should either be crushed or chewable
GERD (teaching and interventions) - ANSWER: low-fat diet, small frequent meals, avoid alcohol and caffeine,
no tight clothes around waist, DO NOT lie down 2-3hrs after eating, avoid eating 3hrs before bed, HOB
elevated 30 degrees
TURP - ANSWER: transurethral resection of prostate
TURP post-op (normal) - ANSWER: immediate - bloody urine
24hrs - light red / pink urine
36hrs (max) - small blood clots
TURP post-op (abnormal) - ANSWER: output less than or equal to input (want it to be more than input)
,cast care (risks) - ANSWER: hot spots, compartment syndrome, infection, pain, neuro change, capillary refill
change
compartment syndrome - ANSWER: increased pressure in muscle compartment of extremity causing impaired
circulation and ischemia
fat embolism - ANSWER: disruption to blood supply caused by fat globules in vessel
fractures (interventions) - ANSWER: control bleeding, immobilize, ice, elevate, neurovascular check, assess
pain & sensation, assess skin temp & color, capillary refill, pulses, movement
HSV (herpes simplex virus) - ANSWER: cold sores and genital warts
non-curable, active lesions (pain, itch, burn)
genital warts/lesions are priority to report during pregnancy
treatment: acyclovir, compress, and petroleum jelly
liver failure (initial sign) - ANSWER: often changes in cognitive function
liver failure (interventions) - ANSWER: low protein, sodium, and fluid diet
avoid alcohol and NSAIDs
drug therapy for hepatitis
tuberculosis (signs and symptoms) - ANSWER: night sweats, blood tinged sputum, productive persistent
cough, weight loss
tuberculosis (diagnostic) - ANSWER: intradermal injection, chest x-ray, sputum cultures
tuberculosis (precautions) - ANSWER: airborne
seizures (priority) - ANSWER: airway safety, turn to side, prepare suction, lower to floor (if not in bed)
NO RESTRAINING AND NOTHING IN MOUTH
, ischemic stroke (interventions) - ANSWER: thrombolytics w/in 3 hours w/ anticoagulants, antiplatelets, and
emolectomy
hemorrhagic stroke (interventions) - ANSWER: antihypertensives, surgical aneurysm repair
pain assessment (unconscious patient) - ANSWER: facial expressions, vocalization (groans, etc), change in
vitals, restlessness
SIADH (long meaning) - ANSWER: syndrome of inappropriate antidiuretic hormone
SIADH (simple meaning) - ANSWER: "soaked inside"
SIADH (signs and symptoms) - ANSWER: stops urination (low output)
sticky, thick urine
sodium low
seizure
severe high BP
SIADH (intervention) - ANSWER: stop IV and give salt
radiation therapy (interventions and teaching) - ANSWER: loose clothes, mild soap and lukewarm water,
topical steroid, semipermeable dressing if indicated, electric razor only, avoid aftershave and cosmetics, no
heat or cool packs
hypothyroidism (signs and symptoms) - ANSWER: hypotension, bradycardia, lethargy, cold intolerance,
constipation, weight gain, thin hair, brittle fingernails, depression
hyperthyroidism (signs and symptoms) - ANSWER: hypertension, tachycardia, heat intolerance, exothalamos,
weight loss, insomnia, diarrhea, warm and sweaty, anxiety
