IN ADDITION TO THAT MESS!!

ADDISON’S DISEASE

addisons-disease-symptoms

Autoimmunity-induced condition resulting in a decrease in secretion of the adrenal cortex hormones, decreased physiologic response to stress, vascular insufficiency, and hypoglycemia can cause an alteration in adrenal androgen secretion necessary for secondary sex characteristics.

CAUSES

Occurs after bilateral adrenalectomy or abrupt withdrawal from long-term corticosteroid therapy. Adrenal crisis may be precipitated by client’s failure to take medications, AIDS, septicemia, tuberculosis, or increased emotional stress without appropriate hormone replacement.

ASSESSMENT

Fatigue, weakness, weight loss, gastrointestinal disturbances, hypoglycemia, postural hypotension, hyponatremia, hyperkalemia, bronze pigmentation of the skin, and Addison crisis.

NURSING INTERVENTIONS

Focus on replacement of adrenal hormones and safely administering steroid replacement. Assess sodium and water retention, serum potassium levels, and keep client immobilized and quiet.

WHAT YOU DIDN’T KNOW? IT’S THE AGE OF INFORMATION!!!

INFORMATICS

informatics

 

What is informatics? Isn’t is just about computers? Taking care of patients¬† is nursing’s primary concern, not thinking about computers! These are not unusual thoughts for nurses to have. Transitions are always difficult and a transition to using more technology in managing information is no exception. The use of information technology in healthcare is known as informatics and its focus is information management, not computers.

Back in the day was to record and keep the information for a patient’s current admission in a paper chart. Today, with several specialties, consults, medications, laboratory reports, and procedures, the paper chart is inadequate. A well designed information system, developed with you and for you, can facilitate finding and using information that you need for patient care.

I’M BUSTED!!!!

DIABETES

diabetic-ulcer

Why do clients with diabetes have trouble with wound healing? High blood glucose contributes to damage of the smallest vessels, the capillaries. This damage causes permanent capillary scarring, which inhibits the normal activity of the capillary. This phenomenon causes disruption of capillary elasticity and promotes problems such as diabetic retinopathy, poor healing of breaks in the skin, and cardiovascular abnormalities.

RIDICULOUS!!!!

PEDICULOSIS

lice

 

Pediculosis is an infestation of lice on humans. The most common form is head lice, which affects the scalp and hair. Head lice appear as small white flakes along the shaft of the hair. Treatment is directed toward killing the adult lice, combing out the nits and using a hair product containing permethrin or pyrethrin. Anything that is in direct contact with the infestation has to be treated to decrease spread of the lice.

I HAVE A LEGION OF 300 CLONES!!!

LEGIONNAIRE’S DISEASE

Rex_and_company

A severe form of pneumonia and lung inflammation usually caused by an infection.

CAUSES

Legionella pneumophila and inhaling bacteria. Older adults, smokers, and clients with weakened immune systems are particularly susceptible. Sources of the organism include contaminated cooling water and warm stagnant water supplies (including water vaporizers, water sonicators, showers, and whirlpool spas

ASSESSMENT

Influenza like symptoms with chills, high fever, muscle aches, and headaches that may progress to pleurisy, dry cough, and occasionally diarrhea

NURSING INTERVENTIONS

A. Treatment is supportive

B. Antibiotic therapy may be initiated

Left untreated, Legionnaires disease can be fatal

YOU INCOMPETENT IDIOT!!!

INCOMPETENT CERVIX

Idiot

It’s the premature dilation of the cervix

CAUSES

Cervical defects in the structure and function

ASSESSMENT

A. Dilation of cervix (usually in 4th or 5th month)

B. Vaginal bleeding

NURSING INTERVENTIONS

A. Monitor vital signs and fetal heart rate

B. Prepare client for cervical cerclage

C. Postsurgical teaching

D. Avoid intercourse, prolonged standing, and heavy lifting

E. Instruct client to report vaginal bleeding or increased uterine contractions to healthcare provider

CONSIDERATION

Cervical cerclage removed at 37 weeks to allow for normal dilation of cervix in preparation of delivery

THE WINTER SOLDIER!!

STRATEGIES FOR MASTERING COMPUTER-BASED STANDARDIZED NURSING TESTS PART II

 

computeroverload

STRATEGY 8

A. Avoid answers containing qualifying words

1. Always

2. Never

3. All

4. None

STRATEGY 9

A. Look for answers that are somehow different

1. If 3 options give a specific age, but the fourth option generalizes (ex. adult), the general option is usually the correct one

STRATEGY 10

A. Look for answers that facilitate something such as:

1. Client teaching

2. Assisting the client toward independence

3. Look for facilitative words: Assist=Help, Aid=Reinforce, Support=Foster, Encourage=Nurture, and Facilitate=Endorse

STRATEGY 11

A. Look for relationships between answers

1. Item writers usually write the question first, the right answer next, then the distracters

2. Usually the correct answer has a connection with the other options

3. Incorrect answers don’t have a relationship with each of the other answers

STRATEGY 12

A. Select the answer that is most inclusive

1. If more than one answer looks to be correct, see if one of the contains the other

2. The more comprehensive an answer is, the more likely it is the correct one

STRATEGY 13

A. When given the option to medicate or use a non-pharmacologic treatment, select the non-pharmacologic treatment

1. Alternative methods of treating a problem should be attempted before administering medications

STRATEGY 14

A. For each option not if it’s a true statement (+), a false statement (-), or a not sure (?)

B. If there are 2 matching options left, select the more familiar

C. If there is 1 matching and 1 not sure, pick the matching one

D. GO WITH YOUR GUT

STRATEGY 15

A. Practice, Practice, Practice

1. Using practice tests in a timed environment helps reduce anxiety when it’s time for the real thing