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Client Centered Care Exam
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what are indications for a foley catheter? - CORRECT ANSWER✔✔urinary retention, sudden complete inability to void what is NOT an indication for a foley catheter? - CORRECT ANSWER✔✔incontinence What procedures can not be performed on the same arm with an AV fistula? - CORRECT ANSWER✔✔blood pressures and blood draws Urge incontinence - CORRECT ANSWER✔✔involuntary leakage of urine with a sudden, strong desire to urinate stress incontinence - CORRECT ANSWER✔✔leaking of urine after coughing, sneezing, laughing overflow incontinence - CORRECT ANSWER✔✔urine builds up and leaks neurological incontinence - CORRECT ANSWER✔✔loss of urination control due to a neurological disorder functional incontinence - CORRECT ANSWER✔✔unable to get to the bathroom in time
What is the cause of acute glomerulonephritis? - CORRECT ANSWER✔✔caused by an antigen-antibody reaction, usually is due to untreated strep throat hydropnephrosis - CORRECT ANSWER✔✔swelling of one or both kidneys hydronephrosis causes - CORRECT ANSWER✔✔urinary tract obstruction (e.g. renal stones, BPH, cervical cancer, injury to ureter) occurs from blockage or defect that doesnt allow urine to drain properly peritoneal dialysis-location - CORRECT ANSWER✔✔abdomen cavity (peritoneum) what is a major risk in patients with peritoneal dialysis? - CORRECT ANSWER✔✔major risk of peritonitis due to the risk of pathogens entering the abdominal dialysis catheter what is the normal BUN range - CORRECT ANSWER✔✔10-20 mg/dL (cook buns for 10-20 min) what is the normal creatinine range - CORRECT ANSWER✔✔0.6-1.2 mg/dL (612) hospital acquired pneumonia - CORRECT ANSWER✔✔a type of pneumonia contracted during a stay in the hospital when a patient's defenses are impaired community acquired pneumonia - CORRECT ANSWER✔✔a type of pneumonia that results from contagious infection outside of a hospital or clinic bacterial pneumonia - CORRECT ANSWER✔✔often caused by Streptococcus pneumoniae; is the only form of pneumonia that can be prevented through vaccination (antibiotics)
cystic fibrosis cause - CORRECT ANSWER✔✔Genetic defect What is the definition of cystic fibrosis - CORRECT ANSWER✔✔"Cystic Fibrosis is a hereditary disease affecting the exocrine (mucus) glands of the lungs, liver, pancreas and intestines, causing progressive disability due to multisystem failure." Cystic fibrosis diagnostic tests - CORRECT ANSWER✔✔sweat chloride test and genetic test (detects chromosomal mutations) what is the main cause of COPD - CORRECT ANSWER✔✔smoking what are other causes of COPD - CORRECT ANSWER✔✔exposure to irritants or pollutants, genetics positioning thoracentesis - CORRECT ANSWER✔✔position with legs dangling leaning over bedside table thrombocytopenia priority interventions - CORRECT ANSWER✔✔protect from injury, risk for bleeding bronchodilator side effects - CORRECT ANSWER✔✔increased heart rate, nervousness, and open up airways when should you take a sputum sample - CORRECT ANSWER✔✔first thing in the morning risk factors for ARDS - CORRECT ANSWER✔✔life threatening trauma, sepsis, alcoholism, pneumonia
what is the tests done to screen for tuberculosis - CORRECT ANSWER✔✔skin test=PPD, blood test=Quantiferon gold hypertension complications - CORRECT ANSWER✔✔hypertensive emergency, stroke, heart attack, kidney failure interventions for an aortic aneurysm - CORRECT ANSWER✔✔monitor vitals, watch for increase in BP, monitor cardiac rythym , monitor output, maintain IV access, administer hypertensive medication what is the priority intervention for hyperkalemia - CORRECT ANSWER✔✔ priority interventions for hyperkalemia - CORRECT ANSWER✔✔prevent falls, collect data for cardiac complications and reinforce health teaching Patient education for raynauds disease - CORRECT ANSWER✔✔disease is worsened from smoking, stay out of the cold, avoid caffeine and stress cor pulmonale causes - CORRECT ANSWER✔✔COPD, untreated pulmonary hypertension, clots, tissue damage, CF, sleep apnea normal BP - CORRECT ANSWER✔✔120/ hypertension non modifiable risk factors - CORRECT ANSWER✔✔gender, age, family history hypertension modifiable risk factors - CORRECT ANSWER✔✔alcohol, smoking, diabetes, obesity, stress, elevated serum lipids
hemophilia interventions - CORRECT ANSWER✔✔• Factor replacement therapy (replacing the deficient factor minimize bleeding indications for enoxaparin injections - CORRECT ANSWER✔✔clients who are not regularly ambulating with DVT prophylaxis what is the cure for sickle cell disease - CORRECT ANSWER✔✔there is not one cause of sickle cell disease - CORRECT ANSWER✔✔caused by mutation in gene (HBB gene) embolus - CORRECT ANSWER✔✔travelling clot causes of leukemia - CORRECT ANSWER✔✔unknown, exposures, heredity, viruses Leukemia Pathophysiology - CORRECT ANSWER✔✔Undifferentiated, Immature, nonfunctional Leukocytes present and multiply uncontrollably in the bone marrow. pernicious anemia causes - CORRECT ANSWER✔✔inability to absorb B12 because of absent intrinsic factor blood transfusion reaction symptoms - CORRECT ANSWER✔✔back pain, bloody urine, chills, fever, dizziness, flushing blood transfusion interventions - CORRECT ANSWER✔✔monitor vitals and signs of reaction
DIC signs and symptoms - CORRECT ANSWER✔✔bleeding from IV sites, catheters, high D-dimer, low platelet count thrombocytopenia interventions - CORRECT ANSWER✔✔protect from injury hemophilia prevalence - CORRECT ANSWER✔✔"sex linked" generally men, women are carriers polycythemia vera treatments - CORRECT ANSWER✔✔therapeutic phlebotomy priority interventions for sickle cell disease - CORRECT ANSWER✔✔pain control DIC risk factors - CORRECT ANSWER✔✔blood transfusion reaction, cancer, pancreatitis, liver disease sickle cell disease pathophysiology - CORRECT ANSWER✔✔hemoglobin S causes red blood cells to become sickled or moon shaped which creates a blockage anemia symptoms - CORRECT ANSWER✔✔fatigue, weakness, dyspnea (SOB), pallor testicular self exams - CORRECT ANSWER✔✔Should be started at age 15 and performed monthly complications of HIV/AIDs - CORRECT ANSWER✔✔Infections (thrush, TB, meningitis) lymphoma, wasting syndrome, kidney and liver disease expected diagnostics for trauma to groin - CORRECT ANSWER✔✔ultrasound
cervical cancer diagnostic tests - CORRECT ANSWER✔✔pap smear screenings trichomoniasis symptoms - CORRECT ANSWER✔✔grayish/green "frothy" discharge penile cancer risks - CORRECT ANSWER✔✔HPV uterine cancer symptoms - CORRECT ANSWER✔✔Vaginal bleeding, spotting (especially post menopause) Pelvic pain Weight loss toxic shock syndrome risks - CORRECT ANSWER✔✔sepsis, leaving tampons in over 4 hrs, bacteria staph aureas entering body causes of erectile dysfunction - CORRECT ANSWER✔✔antihypertensives, diabetes, psychological factors causes of endometriosis - CORRECT ANSWER✔✔- Retrograde flow of menstrual endometrium
- Endometrium from the uterus can spread to distant sites via blood vessels & lymphatics endometriosis pathophysiology - CORRECT ANSWER✔✔growth of uterine tissue outside of the uterus cervical cancer risks - CORRECT ANSWER✔✔HPV, STIs, early intercourse, multiple pregnancies causes of HPV - CORRECT ANSWER✔✔skin to skin contact
HPV risk factors - CORRECT ANSWER✔✔number of sexual partners, age, weakened immune system, personal contact HPV interventions - CORRECT ANSWER✔✔papillomo vaccine, sex educations BPH causes - CORRECT ANSWER✔✔urinary retention enlargement of prostate is a ________ part of aging - CORRECT ANSWER✔✔normal prostate screening tool - CORRECT ANSWER✔✔PSA and rectal exam uterine fibroids causes - CORRECT ANSWER✔✔genetic changes, hormones, extracellular matrix why is ovarian cancer called the silent killer - CORRECT ANSWER✔✔typically no symptoms until cancer has spread BRCA gene indicates increased risk for what diseases - CORRECT ANSWER✔✔breast, uterine, and ovarian cancer priority data collection for imaging with contrast - CORRECT ANSWER✔✔clients should be screened for shellfish allergy (contrast contains iodine) loop diuretics should be given with a _________ supplement - CORRECT ANSWER✔✔potassium clients with renal failure are anemic because - CORRECT ANSWER✔✔damaged kidneys cant make erythropoieten
