Question | Answer |
Appropriate rate of weight gain for underweight adolescent client | slow, steady weight gain of no more than 2lb/week; rapid wt. gain can put undue stress on heart, which already has diminished output from starvation |
Client diagnosed with conversion reaction utilizes which defense mechanism? | repression |
Conversion reaction/repression means | instinctive drives and their accompanying anxiety are repressed and converted into a physical symptom |
Displacement | redirecting emotion or feelings to a subject that is more acceptable or less threatening |
Identification | unconscious process in which one assumes characteristics of an authority or parent figure |
Introjection | one symbolically takes characteristics of another |
BRCA 1 genetic mutation | related to breast cancer |
risk factor for cancer | african american ethnicity; history of smoking |
complications/symptoms of cancer | facial and neck edema/respiratory infections |
s/s that may indicate dementia | poor judgement, memory deficit, irritability |
When will you be able to hear the baby's breathing in utero? | 38 weeks; lungs acquire definitive shape at 12 weeks |
When will fetus begin to suck thumb and weigh about 11+ ounces? | 20 weeks |
Disseminated herpes zoster precautions | airborne AND contact precautions |
Appropriate care for circumcision | sterile gauze with petroleum jelly |
torsion of spermatic cord s/s | scrotum appears enlarged and red, can palpate a thickened swollen spermatic cord...very painful; most common cause of testicular loss in young males; surgery untwists and stabilizes the cord; requires immediate intervention by the hcp |
inguinal hernia | scrotum appears enlarged and red; soft mass palpated, nurse unable to insert above the mass |
varicocele | scrotal mass due to enlarged veins of spermatic cord; may require scrotal support if uncomfortable; major cause of infertility |
transiet gynecomastia, how long does it usually last in adolescent boys? | occurs in approximately in half of adolescent boys; can be uni or bilateral, usually lasts about 1 year |
What is the problem with mothers-to-be owning cats? | cats present toxoplasmosis, a risk to pregnant women and her unborn/newborn infant. |
Toxoplasmosis | parasitic disease transmitted in the feces of cats who have eaten infected mice and animals |
Preventative measures for toxoplasmosis | handwashing, change litter box daily (takes 1-5 days for the cat's feces to become infectious) by someone other than the pregnant woman, prevent cats from eating raw meat or wild animals, wear gloves when gardening, do not garden in areas frequented by cats, avoid undercooked meat and contact with stray animals |
symptoms of meningitis | nuchal rigidity and photophobia, place on droplet precautions until diagnosis is confirmed to protect other clients and staff |
Common electrolyte imbalances for cushings | hypokalemia and dilutional hyponatremia and hyperglycemia |
| memorize |