Across
- 9. The peritoneal membrane is used for peritoneal dialysis (PD), and is permeable to proteins. This causes the client doing this procedure to lose large amounts of protein. This is the reason clients who perform PD must ensure adequate intake of daily protein in the diet.
- 11. Gout clients on medications should avoid this drug, these such as aspirin along with diuretics can trigger gout attacks.
- 12. This therapy is a secondary cause of osteoporosis when taken for long-term use.
- 16. The advantage of this continuous dialysis includes fewer dietary and fluid restrictions as hemodialysis and has greater flexibility in scheduling exchange times.
- 18. Bone marrow suppression is part of this condition that would be considered a contraindication to administering carbamazepine for seizure activity.
- 19. This is decreased to painful stimuli with age, and since pain is an important warning signal, older clients may be burned or suffer frostbite before being aware of any discomfort with hot or cold packs.
- 21. Normal intraocular pressure is 10-21mmHg, in this incurable disease process, pressures are elevated and require life-long medications to prevent blindness.
- 22. This medication which is often the choice for treatment of partial seizures, affects GABA activity and inhibits sodium channels to stop action potentials.
- 24. The first action for someone having this tonic-clonic episode should be to take the ABC approach and turn the client's head to the side, this action keeps the client's airway clear of secretion to prevent aspiration. Also noted to loosen restrictive clothing which aids in respiratory and abdominal expansion, also include a pillow or rolled blanket to protect the head from injury.
- 26. The most common adverse effect associated with barbiturates relate to CNS depression and the central cognition function along with dose dependent respiratory depression.
- 27. A diet rich in Calcium and Vitamin D helps protect against this skeletal process that leads to osteoporosis.
- 28. Stages of this disease are progressive and degenerative, as so the client experiences postural instability. The goal of treatment is to maximize function and optimize the quality of life. Medication does not halt the disease nor has it proven to be neuroprotective.
Down
- 1. MS is chronic, degenerative, progressive disease of the CNS, characterized by the occurrence of small patches of this in the brain and spinal cord.
- 2. Although mental processing time decreases with age, memory, language, and judgement capacities remain intact, and any changes in mental status should never be assumed as normal part of aging and should be considered pathological.
- 3. Colchicine can cause this condition, therefore monitor and report muscle pain.
- 4. Older adults with MS are this about increasing disability, family burden, marital concern, and the possible future need for nursing home care.
- 5. Upright positioning is necessary to prevent aspiration during feeding in MS clients with this condition.
- 6. Short-term prescription muscle relaxants (cyclobenzaprine are effective in relieving acute lower back pain.
- 7. Loss of this, is a symptom most commonly prompts clients to seek medical care along with fatigue, weakness, numbness loss of balance, spasticity and pain.
- 8. This medication for seizures requires regular bloodwork to evaluate serum drug levels to evaluate therapeutic range, as well as kidney and liver function tests. Toxic levels increase likelihood of adverse effects like liver toxicity, bone marrow suppression, and serious dermatological/membrane reactions and changes in BP.
- 10. This procedure is noninvasive and is used to break up stones in the calyx of the kidney, afterward the stones are as small as grains of sand and are then voided. It is normal to expect hematuria in the first 4-5 days after the procedure. Bruising is also normal on the back of the side treated, BP, HR and temp are all returned to normal signifying adequate fluid volume resusitation.
- 13. This medication can cause renal damage if the gout client does not drink 2 liters of fluid a day.
- 14. This medication is the choice in treating spasms secondary to an MS exacerbation.
- 15. The nurse should encourage the client to drink fluids because a lack of adequate this is a risk factor for renal calculi.
- 17. These strategies to maintain kidney health are very similar to those for cardiovascular health such as physical activity, smoking cessation and maintaining a healthy weight. The DASH diet has been effective in lower the risk of kidney disease, in combination with limiting fluids, protein, potassium, phosphorus and sodium the DASH diet may prolong kidney function.
- 20. Drugs used to adjust the balance of these in Parkinsons disease that INCREASE levels of dopamine or INHIBIT the actions of acetylcholine (ie anticholinergic agents) in the brain.
- 23. Mormal saline (0.9% sodium in water) is the fluid of choice for clients with mild to moderate hyponatremia. High concentrations of sodium are indicated for sodium levels less than 120mEq/L. Isotonic fluid boluses are preferable for fluid replacement.
- 25. Bisphosphonates such as this, increase bone mass and decrease bone loss by inhibiting osteoclast function.