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1.An adult diagnosed with pancreatic cancer is having a consultation with  the nurse about nutrition and hydration. Which of the following suggestion might the nurse include when providing educations to this client?

①Drink clear water. progress diet rapidly as tolerated. and weigh daily

②Puree foods. choose low protein foods for easier digestion and weigh weekly

③Take  herbal therapies . avoid  vitamins and don't monitor weight

④Use spices t stimulate taste buds. eat cool foods to decrease odor.

and eat small but frequent high protein and high carbohydrate meals#.

2.The nurse is caring for an elderly client who has been on long term nutritional support. The nurse is reviewing the infusion procedure with the client's daughter.

The nurse states which of the following  as the rationale for removing the formula from the refrigerator and infusing it through the gasterostomy tube at rooom temperature?

①"The formula tastes better at room temperature"

②"This method will be the least likely to give your father gastric discomfort"#

③"There is no need to bring the formula to room temperature"

④"Room temperature prepared formula reduces aspiration..

3.The nurse is working with  a middle aged female after knee injury.Ambulation is still difficult  for the client. and the physical therapist has suggested the client use a cane. The nurse states which of the following with respect to using a cane rather than a walker for this injury?

①"The cane is just a reminder to use good posture"

②"The cane can be more dangerous than helpful. and another type of assistive device should be considered for this client"

③"The cane will help with fatigue while assisting the client with balance and support" #

④"A cane does not offer any relief on weight bearing joints"

1.38.2도 환자 4명주고 누구먼저 볼건지

갑상선항진증 환자,

라식스 쓰는 H/F,

하루 2번 스테로이드 인할러 하는 천식 환자

몇 시간 전 op 열나는 환자

2. cephalohematoma right response?

①It will disappear few weeks after.

②It is cross the hair line

③it is continue it cause something bad thing(not remember)

④Is cause she take a C/S

3.애기 봉합선 넘는거 잇는데 뭐야?

Encephalohematoma

caput succedaneum

molding

crniosynostosis

4.애기 태어낫는데 suture line 안보인다.무슨질병?

If an infant suture line is not palpable, it could indicate craniosynostosis(두개골 조기 유합증), a condition where the skull bones fuse prematurely. This prevents the skull from growing properly, potentially leading to an abnormal head shape and, in some cases, increased pressure within the head.

treat- hydration . electrolyt balance.allopurinoal. dialysis

5.우선순위 문제중에

1시간뒤 심장수술인데 샌드위치 먹고있다

유치도뇨 꽂았는데 10분후 가려움증

수술후 pain

6.Assertive communication 포함된 답

나는 네가 제시한 제한들 중 할 수 있는 게 없는 것 같아

당신이 제안한 방법들은 괜찮긴 하지만 제가 실행할 수 없을거 같아요.

부모님이 절 비판하면 화가 나요.

이 그룹에서 개인적인 얘기를 하는 것이 불편해요.

7.Benztropine 약 부작용 고르기

.Benztropin 약 먹고 보호자 require f/u

이 약은 mental improve

천천히 일어났다 앉는다

muscle weakness 는 예상한다

may dry mouth symptom

Benzatropine is an anticholinergic drug used in patients to reduce the side effects of antipsychotic treatment, such as parkinsonism and dystonia. Benzatropine is also a second-line drug for the treatment of Parkinson's disease. It improves tremor, but not rigidity and bradykinesia. Benzatropine is also sometimes used for the treatment of dystonia, a rare

Blurred vision

Cognitive changes

Constipation

Urinary retention

Tachycardia

Anorexia

Psychosis (in overdose)

8.Parkinson benzotropin 옳은 것 sata

나는 아침에 일어날 때 힘들 것이란 걸 알아요.

약을 밥 먹을 때 같이 먹을 거예요

take on an empty stomach

밖이 더울 땐 나가지 않고 집 안에서 에어컨을 틀어 놓고 있을 꺼에요

9.Benztropine 복용 환자의 adverse effect SATA

Tachycardia#

U/O이 많아짐

diarrhea

RR이 감소함

blurred vision

penicilline allergy

10.Alendronate 먹는 여성 환자에게 생길 수 있는 부작용

chin bone paine

약 먹고 sitting position for 30min

물 많이

공복에 복용해야하고 복용 후 눕지않고 30분간 앉기,

칼슘, 마그네슘, 철분 보충제 또는 제산제와 30~1시간 간격두고 먹기

11. dronate S/E

1)esophagitis with swallowing

•Problems with swallowing

•Stomach or digestive problems

•Low blood calcium

•Kidney problems

•Malabsorption syndrome, which causes trouble absorbing minerals in your stomach or intestines

12.Insulin aspart / glargine → 언제, 어떻게 주는지

.IDDM lispro . glargine투여시 맞는 것?

same time에 준다

seperately injection.

lispro 먼저 주고 (아침에 )glargine 다음 준다

other site에 injection한다

13. IDDM 처방된 lispro와 glargine 투여 맞는것?

①한쪽에 lispro 다른쪽에 glargine 투여한다

②lispro를glargine주기30분 전에 투여한다

③lispro를 먼저 주사하고glargine식후 30분에 투여한다

④lispro와glargine를 같은syringe에 투여한다

#But from experience, patients can also use Lantus in the morning

14.Hypothyroidism 예상되는 예

Addison 환자

설사

구토 환자

infection

Risk factors

•Are a woman.

•Are older than 60.

•Have a family history of thyroid disease.

•Have an autoimmune disease, such as type 1 diabetes or celiac disease.

•Have been treated with radioactive iodine or anti-thyroid medications.

•Received radiation to your neck or upper chest.

•Have had thyroid surgery (partial thyroidectomy)

A chronic illness — such as congestive heart failure or liver or kidney disease — can increase your risk of edema.

15. In changes in visions for elderly pts, which are considered abnormal findings? sata

Constricted pupil

Seeing colored halo around lights

Difficulty with driving at night because of lights

Sudden pain around the eyes

White glossy ring around the iris

16. glaucoma Sx?

밤에 운전시 퍼져 보인다

blurred vision

눈에 뭐가 떠다니는 느낌

tunnel vision

17.페니토인 복용중인데 followed up할것(sata)

rash있다

monitor  drug level 위해 clinic에 진료 follow하기

dental care 받기

18.phenytoin S/E

muscle spasm,

ecchymosis.

pupura인지..

Call your doctor at once if you have:

•fever, swollen glands, sore throat, trouble breathing, painful mouth sores, sores around your eyes;

•skin rash, easy bruising or bleeding, severe weakness;

•severe muscle pain;

•nausea, vomiting, upper stomach pain, loss of appetite, dark urine, jaundice (yellowing of the skin or eyes);

•bone pain (especially in your hips, legs, or lower back), trouble with walking; or

•severe skin reaction--fever, sore throat, swelling in your face or tongue, burning in your eyes, skin pain, followed by a red or purple skin rash that spreads (especially in the face or upper body) and causes blistering and peeling.

Quadriplegia 환자 → bed → wheelchair transfer (정답: 3번 mechanical lift with assistance)

19.Lumbar puncture 전·후 포지션

lateral recumbent fetal position

flat position

Head up

prone

20.Osteomyelitis vs Osteoporosis 관리 중 틀린 것

. Osteoporosis definition

cartiliage demage -osteoarthritisOA is the result of damage to cartilage and usually occurs with aging or overuse.

inflammatory disease

decreased density (mass/volume) of normally mineralized bone

connective issue에서 inflammation

degeneration of cartilage

Osteoporosis is a skeletal condition characterized by decreased density (mass/volume) of normally mineralized bone. The reduced bone density leads to decreased mechanical strength, thus making the skeleton more likely to fracture.

inflammatory bowel disease show a significant reduction of their bone mass during the course of their chronic inflammatory disease

Osteomyelitis 환자에게 heat (감염 확산 위험)

Osteomyelitis is a serious infection that happens when bacteria or fungi infect your bone marrow. Infections usually start on your skin at a wound or surgery site then spread to your bones through your bloodstream. It can cause permanent bone damage if it's not treated right away.

21.Botulism precaution & 전파 경로

standard

GI absorption

contact

droplet