HESI/NCLUX

liothyronine education

increases metabolic rate acts as synthetic T3 check hormone levels regularly avoid food containing iodine

Hct values

male 0.42-0.52 female 0.37-0.47

Hgb values

male 14-18 female 12-16 pregnant 11

Iron

male 14-32 female 11-29

RBC values

male 4.7-6.1 female 4.2-5.4

SED rate, ERS

male up to 15 female up to 20 pregnant up to 10

nursing management of cushing's syndrome

monitor for s/s of infection, skin lesions, elvated WBC wear mediac alert bracelet avoid extreme temperatures, infections, emotional disturbances diet low in Na and carbohydrates

Cushing's syndrome s/s

moon face and edema of lower extremities flat affect, irritability, anxiety, depression, psychosis truncal obesity abdominal striae buffalo hump muscle atrophy, weakness thin, dry pale skin hypertension osteoporosis immunosuppressed hirsutism hyperglycemia hypernaturemia hypokalemia increased plasma cortisol levels

nursing interventions for hypothyroidism

myxedema coma--maintain airway teach medication regimen monitor for side effects of medications monitor bowel program for s/s of constipation

side effects of ketorolac (TORADOL)

neruo, fall, othostatic hypotension don't use for more than 2 weeks

Addison's disease s/s

progressive weakness wt. loss Nausea and vomiting hypovolemia hyperkalemia hyponaturremia loss of body hair postural hypotension hyperpigmentation

The nurse is caring for a client who has been diagnosed with glomerulonephritis. Which initial urinary finding supports this diagnosis?

proteinuria hematuria

S/S of malignant hyperthermia

rapid rise in core body temp sever muscle contractions tachycardia hypercarbia metabolic and respiratory acidosis myoglobinuria increase creatine kinase r/t anesthesia

six rights of medication administration

right med right dose right route right time right pt. right documentation

Addison's disease etiology

sudden withdraw from corticosteroids hypersecreation of adrenal cortex hormones lack of pituitary ACTH

levothyroxine education

take first thing in morning monitor HR hold if HR >100

acromegaly s/s

thickened lips coarse facial features increased head size lower jaw protrusion enlarged hands and feet joint pain barrel shaped chest hyperglycemia sleep apnea enlarged heart, lungs, and liver

hyperpituitarism

vision disturbances sever headaches change in menstrual cycle

AST

0-35 females slightly lower

INR value

0.8-1.2

BUN

10-20

PT

11-12.5 seconds pregnant slightly decreased

Sodium

135-145

Platelet count

150-400 thousand/uL

HCO3

22-26

K

3.5-5

APTT

30-40

alkaline phosphatase

35-120

PCO2

35-45

albuimin

35-50 pregnant slightly decreased

glucose

36-108

What is the range of central venous pressure

4-12 mmHg

ALT

4-36

what is the max amount of acetaminophen in 24hr and what is the antidote

4000 acetylcystine--used for renal preservative, mix with juice

what is the max amount of salicylates in 24hr

4g

WBC values

5,000-10,000

PTT value

60-70 pregnant slightly decreased

Protein total

64-83

pH

7.35-7.45

Calcium

9-10.5

O2 saturation

95-100

Chloride

98-106

cholesterol

<5

care for pt. postoperative of thyroidectomy

high fowler's check behind neck for drainage support neck when moving client aovoid flexion of neck assess for laryngeal edema have tracheotomy set, O2, and suction equipment at bedside have calcium gluconate or gluceptate at bedside

What is the role of carbohydrates in wound healing

Carbohydrates increase the metabolic energy required for inflammation

Cushing's syndrome etiology

excesss adrenocorticoid activity caused by adrenal, pituitary, or hypothalamus tumors. most common cause is iatrogenic administration of exogenous corticosteroids

Which vaccines are Toxoid vaccines

Diphtheria Tetanus

Which vaccines are toxoid vaccines

Diphtheria Tetanus

What herbal medications increase the risk of bleeding

Ginko Bilboa Ginger St. Johns Wart Ginsing Garlic

what lab values measure heparin and warfarin and what are the reversal agents

Heparin--PTT--protamine sulfate Warfarin--INR--Vitamin K

Which vaccinations are Inactivated vaccines

Hepatitis A Flu (shot only) Polio (shot only) Rabies

Which types of vaccines are Subunit, recombinant, polysaccharide, and conjugate vaccines

Hib (Haemophilus influenzae type b) disease Hepatitis B HPV (Human papillomavirus) Whooping cough (part of the DTaP combined vaccine) Pneumococcal disease Meningococcal disease Shingles

What are the systemic and local manifestations of acute osteomyelitis?

Malaise, restlessness, and night sweats are systemic manifestations of acute osteomyelitis Warmth and swelling at the infection site are local manifestations of acute osteomyelitis.

creatinine

Male: 0.6-1.2 Female: 0.5-1.1

Triglycerides

Male: 40-160 Female: 35-135

Which vaccinations are Live-attenuated vaccines

Measles, mumps, rubella (MMR combined vaccine) Rotavirus Smallpox Chickenpox Yellow fever

What condition does Papillomavirus causes

Papillomavirus causes warts

What condition does Parvovirus causes

Parvovirus causes gastroenteritis.

What is the role of protein in wound healing

Protein helps in the synthesis of immune factors

What are the s/s of toxoplasmosis encephalitis and what is the causative agent

The symptoms of toxoplasmosis encephalitis are speech, gait, and vision difficulty along with confusion and lethargy Toxoplasmosis encephalitis is an opportunistic infection caused by Toxoplasma gondii

A client with a family history of goiter is experiencing changes in voice and breathing. Which diagnostic study does the nurse consider to be beneficial in confirming a diagnosis?

Thyroid antibodies Changes in voice and breathing can be seen in Hashimoto's thyroiditis if the thyroid gland enlarges rapidly and constricts the trachea and laryngeal nerves. Clients with a family history of goiter may have this condition. A thyroid antibody test is used diagnose Hashimoto's thyroiditis by differentiating thyroid dysfunction from thyroiditis.

The nurse is caring for a client with a diagnosis of trachoma. Which drug does the nurse expect to be prescribed by the primary healthcare provider to manage the client's condition?

Trachoma is a chronic conjunctivitis that scars the conjunctiva, and it is the most common cause of preventable blindness worldwide. The most effective antibiotic used for the treatment of trachoma is oral azithromycin.

What is the role of vitamin A in wound healing

Vitamin A aids in the process of epithelialization

A client is being treated for pressure ulcers. The primary healthcare provider advises the client to eat foods with high amounts of vitamin C. What is the role of vitamin C in wound healing?

Vitamin C is required for collagen production by fibroblasts`

s/s of hypothyroidism

fatigue bradycardia wt. gain constipation periorbital edema cold intolerance low T3/T4

Biliruibin total

adult 0.3-1 newborn 1-12

Nursing management of Addison's disease

diet high in sodium, low in potassium, high in carbohydrates, 3L of fluids per day wear medial alert bracelet carry emergency kit with 100mg of IM corticosteroids

nursing interventions for hyperthyroidism

diet: high in protein and calories, low caffine and fiber thyroidectomy iodne

assessment of hyperthyroidism

enlarged thyroid gland exophthalmos weight loss T3 / T4 elevation diarrhea tachycardia bruit over thyroid