Maryville NURS 623

parathyroid correct answer: - 4 glands located on either side of the thyroid, can accidentally be removed in a thyroidectomy. -controls calcium level in the blood- if you have hypercalcemia, your parathyroid is off, and you Probably also have low Vitamin D. first test to run for suspicion of thyroid dysfunction correct answer: tsh, t4 6 months correct answer: after testing thyroid, when should levels be retested? (this is the point when levels should be regulated or at goal) ost...

What are the Stages of Lyme Disease? correct answer: Early localized Early disseminated Late Lyme Early Localized Lyme Disease correct answer: -occurs days to months after exposure -Symptoms nonspecific: malaise, fever, cervical stiffness, myalgias, arthralgias -Can have a " bulls eye rash aka "erythema migrans"which is > 5cm Early diseminated Lyme Disease correct answer: -occurs days to 10 months after infection -Systemic manifestations ie: meningitis, cranial nerve palsies ...

Dan, age 45, is obese and has type 2 diabetes. He has been having trouble getting his glycohemoglobin under control. He's heard that exenatide (Byetta) causes weight loss and wants to try it. What do you tell him? A. "Let's adjust your oral antidiabetic agents instead." B. "That's a myth. People usually change their eating habits when taking this, and that's what causes the weight loss." C. "With type 2 diabetes, you never want to be on injectable insulin." D. "Let's try it. Yo...

What are the typical demographics of a patient with MS (what type of person does this disease normally effect) correct answer: Young, caucasion female of eastern European desent At the onset of alzheimers, what category of medications should be initiated correct answer: Cholinesterase inhibitors What factors contribute to a patient being high risk for falls correct answer: History of falls, medications, vision impairment, heat rate/rhythm abnormalities, footwear issues, home environment...

Mode of transmission for parasitic skin infections correct answer: Close direct skin contact. Clinical presentation for Scabies correct answer: Intense itching, worse at night. Burrows noted between webs of fingers. Commonly prescribed medications for Scabies correct answer: Permethrin Cream 5% (Elimite) is the first-line treatment. Safe in 2 months and older. Apply to all areas from neck down and leave on for 8-12 hours. Repeat application in 1 week. May repeat a third time in another ...

What is important to note when a patient has traumatic injury correct answer: If taking Blood Thinners Define delirium correct answer: Underlying acute cause, abrupt onset, hours to days, reversible, hallucinations, incoherent speech, confusion Define Dementia correct answer: Various causes, gradual change with mental status, months to years, progressive to irreversible (speech, memory, mood, judgment) An older adult with delirium would present with what type of behaviors? correct an...

What is the most common psychiatric disorder in the U.S? correct answer: Anxiety What are the DSM-5 symptom criteria for a diagnosis of general anxiety disorder? correct answer: excessive anxiety and worry of variety of things for at least 6 months What are the DSM-5 symptom criteria for a major depressive disorder? correct answer: Five or more symptoms including at least one depressed mood or loss of interest present in the same two weeks and present nearly every day differential di...

Which of the serum laboratory findings are present in the client with Cushing's syndrome? correct answer: Increased cortisol, HYPERnatremia, and HYPOkalemia Alice, age 48, has a benign thyroid nodule. The most common treatment involves: correct answer: Watchful waiting with an annual follow-up ACE inhibitors are given to clients with diabetes who have correct answer: persistent proteinuria A newly diagnosed client with diabetes who has an HbA1c of 7.5 is started on therapeutic lifes...

Basics with skin conditions correct answer: •Alopecia •Rash •Pruritus •Uticaria •Pigmentation change Skin lesion—New vs. Change HPI questions for skin problems correct answer: Duration of symptoms Precipitating factors •Medications •Food •Occupation •Outdoors •Hobbies/Sport participation •Exposure to insects •Jewelry/metals/chemicals •Family history Is it: Local or systemic Pruritus- all day or worse at night Uticaria - duration Pigmented cha...

What are the Stages of Lyme Disease? correct answer: Early localized Early disseminated Late Lyme Early Localized Lyme Disease correct answer: -occurs days to months after exposure -Symptoms nonspecific: malaise, fever, cervical stiffness, myalgias, arthralgias -Can have a " bulls eye rash aka "erythema migrans"which is > 5cm Early diseminated Lyme Disease correct answer: -occurs days to 10 months after infection -Systemic manifestations ie: meningitis, cranial nerve palsies ...