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PNVN – Exam 2, 2026 – Study guide and practice material-8.docx
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What's the difference between an ileostomy and a colostomy and what do you look out for with an ileostomy? - correct answer ✔✔ Colostomy has stool that is more formed in nature. Ileostomy has more liquid formed stool-Pay special attention and care to the skin integrity. What is dyspepsia? - correct answer ✔✔ Upset stomach and other vague GI complaints (Indigestion) What is hematemesis? - correct answer ✔✔ Vomiting bright red blood What's the difference between a peptic ulcer and a duodenal ulcer? - correct answer ✔✔ Peptic ulcer-Pt will complain of pain while eating Duodenal ulcer-Pt will complain of pain hours after eating What do you use an O&P test for? - correct answer ✔✔ An ova and parasites (O&P) test checks stool for parasites and their ova (eggs) or cysts and should be sent to a lab for 3 separate/consecutive days for accurate results. What is paralytic ileus? - correct answer ✔✔ Obstruction of the intestine due to paralysis of the intestinal muscles (non-mechanical bowel obstruction) What's the difference between a tap-water enema, glycerin suppository, and a regular stool suppository? - correct answer ✔✔ Tap-water enema-An injection of plain water into the rectum in order to stimulate a bowel movement. Usually given to relieve constipation or to clear the colon before a medical procedure.
Glycerin suppository-It works by drawing water into the intestine and relieving occasional constipation Regular stool softener-to relieve constipation by people who should avoid straining during bowel movements because of heart conditions, hemorrhoids, and other problem Which stool softener/laxative is used for bowel training? - correct answer ✔✔ Glycerin suppository What happens to the nephron in the kidney as we age? - correct answer ✔✔ Healthy adults lose almost half of their nephrons What is TURP-spasm pain caused from and what interventions should you use? - correct answer ✔✔ The urethra will be swollen and sore. Administer anti-cholinergic medications to reduce bladder spasms What's another term for kidney stones and what should you do to prevent kidney stones? - correct answer ✔✔ Urolithiasis-Stay hydrated What do you measure for placement of an NG tube? - correct answer ✔✔ Distance from the tip of the nose to earlobe to xiphisternum What drug class is Tagamet (Cimetidine)? - correct answer ✔✔ H2-receptor antagonist Why do we give Ranitidine (Zantac) after surgery? - correct answer ✔✔ It inhibits histamine at H2 receptor site in a gastric parietal cells, which inhibits gastric secretion.
What are some big influence factors of eating habits? - correct answer ✔✔ Appetite Cost/income Taste Time constraints What is the desired outcome for Xanax and what patient education should be involved? - correct answer ✔✔ Decreased anxiety with depressive symptoms (muscle depression)-may cause drowsiness, do not take larger than the dose prescribed, do not operate dangerous machinery, do not take with alcohol. Drugs that end in -pram are what kind of drug class? - correct answer ✔✔ Sedatives How is psychological drug dependence treated? - correct answer ✔✔ Patient- centric, meaning they put a strong focus on the specific needs of each patient. Through individual and group counseling sessions, rehabs enable patients to adopt healthier coping mechanisms in the presence of triggers that are used to propel their substance abuse. Advantages of SSRIs - correct answer ✔✔ Minimal dose titration Tolerable side effect profile Increased safety in overdose vs TCA Favorable once a day dosing Complications of MAOIs - correct answer ✔✔ CNS stimulation - anxiety, agitation, hypomania, mania; orthostatic hypotension; hypertensive crisis - resulting from intake of dietary tyramine: severe HTN as a result of intensive vasoconstriction and stimulation of the heart;
localized rash associated with transdermal preparation What should you expect if you give Thiazide to a type 2 diabetic? - correct answer ✔✔ The use of thiazides was associated with an increased risk of stroke in type 2 diabetic patients, specifically those receiving intensive BP control. What electrolyte do you need to look for when giving Thiazide? - correct answer ✔✔ Sodium Potassium What should you document when caring for a mentally-ill patient? - correct answer ✔✔ "Deviation from reality" What should you assess first with a mentally-ill patient? - correct answer ✔✔ Emotional state of mind What's the difference between bipolar disorder and schizophrenia? - correct answer ✔✔ Bipolar disorder primarily causes extreme mood shifts, whereas schizophrenia causes delusions and hallucinations. What should you do for a patient who is having a panic attack? - correct answer ✔✔ Instruct them to breath deeply in through the nose and out through the mouth. Teach them the grounding method. What is OCD? - correct answer ✔✔ A condition characterized by obsessions and/or compulsive behavior that he or she feels the urge to repeat over and over.
Erickson's stages - correct answer ✔✔ Trust vs mistrust (birth-18 months)- basic needs will be met Autonomy vs shame and doubt (2-3)-a sense of independence Initiative vs guilt (3-5)-take initiative and develop guilt when Something done wrong Industry vs inferiority (6-11)-develop self confidence Identity vs role confusion (12-18)-identity roles Intimacy vs isolation (19-40)-develop relationships Generativity vs stagnation (40-65)-contribute to society Integrity vs despair (65-death)-meaning of contributions Object permanence - correct answer ✔✔ The understanding that objects continue to exist even when out of view. Paget's cognitive development theory - correct answer ✔✔ Children are motivated to make sense of their experiences. Symptoms of celiac disease - correct answer ✔✔ Abdominal pain Bloating Gas Fat in stool Weight loss Malnutrition Constipation What nutrition would you give with someone who has nephrotic syndrome? - correct answer ✔✔ A low salt diet whilst having relapses so not to retain any further fluid on the body
S/S of dehydration - correct answer ✔✔ Increase in pulse rate Decreased BP Flat neck veins Edema Weakness Poor skin turgor Weight loss. Warning signs of suicide. - correct answer ✔✔ Feeling hopeless Withdrawing from family and friends Neglecting basic needs Experiencing loss of energy Taking more risks Using alcohol and drugs Giving away personal things