adaptive quizzing practice

Acute Poststreptococcal Glomerulonephritis (APSGN)

-Caused by strep. injury to glomeruli. usually follows an infection (commonly upper respiratory or skin infection) -Common in males, >2 yo around 5-6 yo Assessment -Fever -Lethargy -HA -Anorexia -Abdominal pain -Low urine output -Tea/Cola Colored urine -Hematuria -Increase BP -Mild Edema -Recent Strep infection Management -Maintain Fluid Balance: monitor I&O, daily weights -Maintain BP: anti-hypertensives, diuretics -Bedrest

oliguria

Decreased urine output

What are the cardiovascular manifestations observed in a client with adrenal insufficiency?

Hyponatremia is a decrease in serum sodium levels, which is the cardiovascular manifestation of adrenal insufficiency. Fatigue is a neuromuscular manifestation observed in clients with adrenal insufficiency, while salt cravings and weight loss are the abdominal manifestations observed in clients with adrenal insufficiency.

After abdominal surgery a client suddenly reports numbness in the right leg and a "funny feeling" in the toes. What should the nurse do first?

Instruct the client to remain in bed. Localized sensory changes may indicate nerve damage, impaired circulation, or thrombophlebitis. Activity should be limited. Bed rest is indicated to prevent the possibility of further damage. S

Cranial Nerve III: Oculomotor

Motor nerve that innervates four of the extrinsic eye muscles Passes through the superior orbital fissure to enter the orbit.

CN VI: Abducens Nerve

Motor: eye movement, lateral rectus muscle

CN VIII: Vestibulocochlear Nerve

Sensory: equilibrium (vestibular portion) Hearing (cochlear portion)

Hyponatremia

low sodium in the blood

periorbital edema

swelling of the tissues surrounding the eye or eyes

stoma

the result of an operation that is meant to remove disease and relieve symptoms. It is an artificial opening that allows faeces or urine either from the intestine or from the urinary tract to pass.

lochia

vaginal discharge after childbirth

isosorbide dinitrate

vasodilator

A client has a colon resection with an anastomosis. What assessments by the nurse support a suspicion of impending shock? Select all that apply. Oliguria Lethargy Irritability Hypotension Slurred speech

Oliguria Irritability Hypotension

A 5-year-old child is admitted to the pediatric unit with a diagnosis of acute poststreptococcal glomerulonephritis. What assessment data lead the nurse to conclude that the child has a fluid volume excess? Dysuria, rash, pruritus Diarrhea, polyuria, weight loss Hypotension, tachycardia, proteinuria Periorbital edema, smoky urine, headaches

Periorbital edema, smoky urine, headaches

Cranial Nerve X: Vagus

Sensory from visceral organs (Heart, Lungs, Digestive system) and smooth muscle contraction.

CN IX: Glossopharyngeal Nerve

Sensory: posterior tongue (taste) and throat Motor: Swallowing (pharyngeal muscles) and salivary gland secretions

CN VII (facial nerve)

Sensory: taste, anterior tongue Motor: facial muscles, facial expressions , closure of eyelid

A client is admitted to the hospital with the diagnosis of myocardial infarction. The nurse should monitor this client for which signs and symptoms associated with heart failure? Select all that apply. Weight loss Unusual fatigue Dependent edema Nocturnal dyspnea Increased urinary output

Unusual fatigue Dependent edema Nocturnal dyspnea

Tetralogy of Fallot

a congenital malformation of the heart involving four distinct defects

hypotension

abnormally low blood pressure

diabetes insipidus

antidiuretic hormone is not secreted adequately, or the kidney is resistant to its effectis an uncommon disorder that causes an imbalance of water in the body. This imbalance leads to intense thirst even after drinking fluids (polydipsia), and excretion of large amounts of urine (polyuria).

cyanosis

bluish discoloration of the skin

unstable angina

chest pain that occurs while a person is at rest and not exerting himself

vasopressin deficiency

diabetes insipidus; Vasopressin regulates fluid level and blood pressure. A vasopressin deficiency causes hypotension

Dyspnea

difficulty breathing

polydipsia

excessive thirst

polyuria

excessive urination

Abducens (VI)

eye movement

CN XI accessory nerve

motor fibers to neck and upper back

CN 5: Trigeminal Nerve

motor: this nerve is responsible for jaw movement & facial sensation

Cranial Nerve XII: Hypoglossal

movement of tongue

dysuria

painful urination

Hydrstatic Pressure

pressure of fluid in a system

Sildenafil (Viagra)

s/s: headache, heartburn, diarrhea, flushing, nosebleeds, parathesias, changes in color vision Contradicted in clients taking nitrates, anticoags, anti HTN

Cranial Nerve I: Olfactory

sensory, smell

Cranial Nerve II: Optic

sensory, vision

Gardner's Tasks of Leadership

-Motivate -Achieve Unity -Develop Trust -Envision Goal -Symbol -Affirm Values -Manage -Explain -Represent Group -Renew

An infant with tetralogy of Fallot begins to cry frantically and exhibits worsening cyanosis and dyspnea. In which position should the nurse place the child? Knee-chest Orthopneic Lateral Sims Semi-Fowler

Knee-chest; The knee-chest position decreases circulation to and from the extremities, thereby improving circulation to the heart and lungs and increasing oxygenation. The knee-chest position has the same effect as the squatting that is seen in the older child with tetralogy of Fallot.

A 3-year-old child is scheduled for cardiac catheterization. What is the priority nursing care after this procedure?

Monitoring the site for bleeding; Hemorrhage is a major life-threatening complication because arterial blood is under pressure and a catheter has been inserted into an artery. The child is kept in bed for 6 to 8 hours after an arterial catheterization. Fluids may be given as soon as they are tolerated. Pulses, not blood pressure, must be compared for quality and symmetry.