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Comprehensive Predictor Retake Review questions and answers graded A+ 2024/2025
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Comprehensive Predictor Retake Review questions and answers graded A+ 2024/2025
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Comprehensive Predictor Retake ReviewDelegation to Assistive Personal
- ADLs
- Bathing
- Grooming
- Dressing
- Tioleting
- Ambulating
- Feeding (with out swallowing precautions)
- Positioning
- Rountine Tasks
- Bed making
- Specimen collection
- I&O
- Vital Signs ( for stable customers )
Planning Care for a Client Who Has Hypothyroidism
- Monitor for low Bp & bradycardia
- Monitor for chest pain & peripheral edema
- Monitor clients weight
- reorient the consumer if confusion happens
- provide common relaxation durations to keep away from fatigue & lower myocardial oxygen
needs
- Monitor breathing popularity
- encourage client to cough and breathe deeply to save you pulmonary headaches
- low calorie, high fiber food plan , & encourage fluids to prevent constipation and promote
weight loss
- Administer cathartics and stool softeners as wished. (Avoid fiber laxatives, intervene with
absorption of levothyroxine)
- Provide more apparel and blankets for customers who have reduced bloodless intolerance
- caution use of electric blankets
- Encourage verbalization of feelings and fears about frame adjustments
- Reassure purchaser that most physical manifestations are reversible
- use warning with CNS depressants (barbiturates or sedatives)
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Signs of hypothyroidism
- Fatigue/ lethargy
- irritability
- intolerance to cold
- constipation
- weight benefit
- pallor
- assume brittle fingernails
- despair & apathy
- joint or muscle ache
- bradycardia, hypotension, dysrhythmias
- gradual idea method & speech
- hypoventilation & pleural effusion
- thickening of the pores and skin
- hair loss
- thickening of hair on eyebrows
- dry flaky pores and skin
- decreased acuity of flavor
- impotence
- extraordinary menstrual intervals (menorrhagia/ amenorrhea)
- delayed bodily and intellectual boom in youngsters
Medication for hypothyroidism
levothyroxin (synthetic thyroid hormone alternative)
Risk elements for hypothyroidism
- girls 30 to 60 years of age
- use of lithium & amiodarone medications
- Inadequate intake of iodine
- Radiation Therapy the head and neck
,What is hypothyroidism
underactive thyroid
Hyperthyroidism hazard elements
- Graves' sickness
- Thyroiditis
- Toxic adenoma
- Toxic nodular goiter
- Exogenous hyperthyroidism
What is hyperthyroidism?
Overactive thyroid
Signs of hyperthyroidism
- anxiousness/ irritability
- muscle weak spot
- heat intolerance
- weight reduction
- insomnia
- abnormal menstrual waft
- frequent stools and diarrhea
- decreased libido
- Tremor, hyperkinesia, hyperreflexia
- Exophthalmos
- blurry imaginative and prescient or modifications
- bloodshot look of eyes
- Goiter
- Tachycardia, palpitations, dysthymia
- Elevated blood pressure
- dyspnea
Nursing care for hyperthyroidism
- reduce clients strength
- promote calm environment
- screen intellectual fame
- screen dietary reputation
- screen I&O / weight
- offer eye protection (patches, eye lubricant, tape to close eyelids)
- screen crucial signs and symptoms and hemodynamic parameters
- reduce room temp
, - offer cool shower/ sponge bathtub
- Report a accelerated temp of one*F immediately
- Avoid excessive palpation of the thyroid
Medication for hyperthyroidism
- Methimazole
Reinforcing Teaching About Ostomy Care
stoma should be wet , shinny, and crimson. The peristomal area need to be intact
- use slight soap and water to cleanse the pores and skin, then dry it lightly and completely (
moisturizing soaps intervene with adherence of the pouch)
- Apply paste if important
- degree and mark the desired size for the pores and skin barrier
- reduce the opening zero.15 cm to zero.3 cm ( 1/18 to at least one/eight) in large, allowing the
stoma to appear through the opening
- follow barrier paste to creases
Developing a Improvement Plan for Assistive Personnel
- performance have to reflect the group of workers member's job and description
- diverse assets of facts must be collected
- statistics must be collected through the years and now not just constitute isolated incidents
- actual observed behavior must be documented
- peers can be a valuable supply of statistics
- the employee must take delivery of the possibility to offer enter
- the unit supervisor to host a private meeting with the group of workers member
Monitoring the Performance of Assistive Personnel
- have ap demonstrate the responsibilities earlier than doing it
Reinforcing Teaching About Client Privacy
- most effective health care crew participants without delay liable for a customers care can
access that purchaser record. Nurses can not share information with other clients or staff now
not caring for the client
- Client have the proper to study and obtain a replica in their scientific record
- Nurses can't photocopy any part of a scientific file
- workforce should maintain medical statistics in a secure region.
- body of workers cannot use public display boards toots customers names and diagnostics
- Electronic information are at password protected
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