Comprehensive Predictor Retake Review QUESTIONS AND ANSWERS GUIDE- BEST GRADES GUARANTEED.

Comprehensive Predictor Retake Review
QUESTIONS AND ANSWERS GUIDE- BEST
GRADES GUARANTEED.




1. Delegation to Assistive Personal: - ADLs
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- Bathing

- Grooming

- Dressing

- Tioleting

- Ambulating

- Feeding (without swallowing precautions)
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- Positioning


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, - Rountine Tasks X5




- Bed making X5




- Specimen collection X5




- I&O

- Vital Signs ( for stable clients )
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2. Planning Care for a ClientWho Has Hypothyroidism: - Monitor for
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low Bp & bradycardia
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- Monitor for chest pain & peripheral edema X5 X5 X5 X5 X5 X5




- Monitor clients weight X5 X5




- reorient the client if confusion occurs X5 X5 X5 X5 X5




- provide frequent rest periods to avoid fatigue & decrease myocardial
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oxygen demands
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- Monitor respiratory status X5 X5




- encourage client to cough and breathe deeply to prevent pulmonary
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complications
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- lowcalorie,highfiberdiet,&encouragefluidstopreventconstipationand
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promote weight loss
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- Administercatharticsandstoolsoftenersasneeded.(Avoidfiberlaxatives,
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interfere with absorption of levothyroxine)
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- Provideextra clothing and blanketsfor clientswho have decreased cold
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intolerance
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- caution use of electric blankets X5 X5 X5 X5




- Encourage verbalization of feelings and fears about body changes X5 X5 X5 X5 X5 X5 X5 X5




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, - Reassure client that most physical manifestations are reversible
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- use caution with CNS depressants (barbiturates or sedatives)
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3. Signs of hypothyroidism: - Fatigue/ lethargy
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- irritability

- intolerance to cold X5 X5




- constipation

- weight gain X5




- pallor

- think brittle fingernails
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- depression & apathy X5 X5




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, - joint or muscle pain
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- bradycardia, hypotension, dysrhythmias X5 X5




- slow thought process & speech
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- hypoventilation & pleural effusion X5 X5 X5




- thickening of the skin X5 X5 X5




- hair loss X5




- thickening of hair on eyebrows X5 X5 X5 X5




- dry flaky skin
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- decreased acuity of taste X5 X5 X5




- impotence

- abnormal menstrual periods (menorrhagia/ amenorrhea)
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- delayed physical and mental growth in children
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4. Medicationfor hypothyroidism:levothyroxin (synthetic thyroid hormone re- X5 X5 X
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placement)
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5. Risk factors for hypothyroidism: - females 30 to 60 years of age
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- use of lithium & amiodarone medications
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- Inadequate intake of iodine X5 X5 X5




- Radiation Therapy the head and neck X5 X5 X5 X5 X5




6. What is hypothyroidism: underactive thyroid
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