2 월 23 일통합기출 30. ***transplantation ( 수술명이기억안나요 ) 한환자가퇴원하면서corticosteroid 처방받았다. 기대되어지는것은 1) 식욕증가 2) 몸무게증가 3 Ib /1wk 3) 포타슘섭취량늘린다 25. Pheochromocytoma 증상 (multi) 25-1 1) Hypertension 2) severe Headache 3) facial flushing 4) weight loss 5) personality change 25-2 1) diaphoresis 2) flushing & headache 3) cold intolerance 4) hypertension 5) miosis 34. Pheochromocytomawhich one is most important to monitor( 단답 ) 1) monitor RR 2) monitor BP 3) monitor SaO2 1
26. pheocomocytoma pt. improvement 1) change the level of hct 2) decrease BP 27. Pheochromocytoma Client가 Adrenalectomy를하였다봐줘야할증상은 1) Dyspnea 2) Urine Output 3) Blood pressure 29. Adrenalectomy 한환자의 adrenal crisis 대비해서 side table에준비해둬야할약은 1) epinephrine 2) hydrocortisone 3) dopamine 30. steroid ( multi) 1) cushing 치료에쓰인다 2) glucose metabolism에 minimal effect 3) low- sodium, high-protein diet 4) medi - alert bracelet 5) it makes infection sx masking 6) screening osteoporosis 할것이다 22. fludrocortisone 먹는환자에게교육을시행하였다. 제대로이해한대답은?(SATA) 1) 나는 Na 대체품을피할것이다 2) 토마토주스를 daily로마실것이다. 3) 약먹는다는 identification 가지고다닐꺼다 4) 2
5) 31.steroid 복용 31-1 1) before meal 2) with meal 31-2 식사와함께오전에 (cold걸린사람피한다 ) 32. steroid 복용시 assess: 1) Body wt 가늘었다. 2) tarry stool 볼것이다. 6. betamethasone 사용하는환자주의할점 1) you should wear sunglass when you go out 2) 면역이감소하게되는상황에주의해야된다 33. steroid 치료 1년간받아온환자에말할수있는증상 1) Wt. 가계속 LOSS되고 ~ 했는데도늘어나질않아요 2) 나는이것으로인해 PUD을얻었어요 3) 나는감기걸려본적없어요. 지난 6개월간 34. dexamethasone long time 먹었을때나타날수있는증상 multi 1) hyperglycemia 2) increase chance of infection 3) weight loss 4) osteoporosis 3
5) appetite 6) anorexia 35. Dr.order 중 concern 1) Parkinson s disease 에게 Levodopa 준다 2) Addison s disease 에게 KCL 처방났다. 36. Fludrocortisone 복용환자가잘이해한것 1) 음식에조미료로나트륨피할것이다. 2) K 많은음식제한할것이다. 1. Iodine reuptake test 틀린것 1) 24 시간동안사람들과 5 미터이상피한다 37.pre- radioactive iodine uptake test concern 1) egg 알러지 2) 밥먹었어요 3) Shellfish allergy 15. ~ iodine test, priority 1) ate hamberger 1hr ago 2) 5주전부터생리하지않는다 3) egg allergy 있음 4) 답아님 41. iodine uptake test 틀린것 1) 방사물질? 먹고난뒤피검사몇차례할것이다 4
2) 다른사람들과 15ft(6m) 떨어져야한다. 3)iodine 먹고한시간뒤에음식을먹을수있다 4) 화장실에서물 fluid 2 번해야한다. 38.post- Radioactive Iodine test 1) 물많이먹겠다 2) 나의 grand children 을 48 시간이후에만나겠다 16. Which of the hypethyroid patients would be closely monitoring for chest pain 1) A patient with goiter 2) A patient with anorexia 3) A patient with exopthalmus 4) A patient with --- (another common symptom of hyperthyroidism) 10. Hyperthyroidism 증상 (SATA) 1) Dry skin 2) Muscle wasting 3) Blurred vision 39.hyperthyroidism (Grave s disease) 39-1 1) Wt loss 2) insomnia 3) irritability 4) exophthalmos 5) heat intolerance 6) amenorrhea 5
39-2 1) restless 2) anorexia & wt gain 3) diaphoresis 39-3 1) TSH 감소 2) WT gain 3) heat tolerance 4) triglyceride 증가 5) pulse 증가 17. Grave's Oz Sx (multi) 1) insomnia 2) coarse hair 3) 튀어나온눈 40. hyperthyroidism concern 1) 나는많이먹어도몸무게증가없어요. 2) infection 때문에처방된항생제먹는데계속 fever. 3) 때때로 irritable해져요. 4) 손톱이가늘고잘부서져요. 13. hyperthyroidism 환자방사능치료후 2주부작용? 먼저봐야하는환자? 1) P : 94회 2) BP : 118/80? 3) BT : 38.7도 4) RR : 16? 6
41. throid storm multi 1) pulse50 2) BT 상승 3) restlessness 4) delirium 59. thyroid strom multi 1) atropin 준다 2) cool blanket 준다 3) iodine 먹는약같았어요. (?) stop 4) tyrenol 준다. 5)? 20. After thyroidectomy, BT 38, RR 120, BP 150/90, RR 24, correct intervention ( 단답 ) 1) synthyroid 2) antithyroid med(ptu) 3. thyroidectomy 하고나서열이 39도 bp가 140/80? PR 100 Resp24? 열은확실하고다른건안확실한데다올라가있는상태였어요. 단답 1)Synthyroid 준다. 2)Fluid stop 한다. 3)Cardiac monitor 한다. 17. thyroidectomy op 한자 24hr 지났고씬지록신처방, 중재해야될것 1) heart running 되는것같다. (Ca 이떨어지는내용은없었음 ) 7
42. hyperthyroidism 환자치료가효과적이었다고할수있는것은 1) constipation 이줄어들었다 2) 몸무게가 1주일동안 0.9파운드줄었다 3) 4) air conditioner 를 turn off 하였다 43. hyperthroidism pt radioactive Iodine Tx 1 ) flush toilet 2~3times after each use 2) 병원에 3 일동안입원하고가족들을만날수없다 53. 갑상선질환으로 oral radial일때, 주의해야할사항은 1) 소대변보고나서화장실물을 2번내린다. 2) 환자가밖으로나올때 lead를착용한다. 3) 환자보호자가환자를만날때 lead를입고만난다. 4) 린넨을 special bag에넣고처리한다. ( 모았다가버린다는내용은아니었습니다.) 44. hyperthyroidism 간호맞는말멀티 44-1. 1) end of hall 에있는방준다. 2) eye drop 3) warm bath로 relax 시킴 44-2 1) warm environment 제공 2) capillary refill time check 2시간마다 3) v/s check 4시간마다한다 4) 조용한환경을제공 8
18.hyperthyroidism pt. care 가장옳은것 1)wt. check 이틀에한번 2) 안약 1-2 drop for dry eyes 3) 따뜻한온도유지위해 blanket 4) 장운동위해변비약 13. Grave`s disease 환자식이중옳은것은 1) several time, high calories 2) decreae total calories 3) nut, -- 먹겠다. 4) -- 대신에 citrus 음료먹겠다. 46. ( 질환명은없었구요.) 환자 irritable, hand tremor, 한달동안 10 lb 체중감소볼 lab 1) platelet 2) sodium 3) thyroxine (T4) 4) WBC 47. hyperthyroidism pt 같이둘수있는사람 ( 여자, 남자명시없음 ) 1) 복도제일끝방 2) semiprivate room, dementia pt 3) semiprivate room, cholecystectomy t-tube 가지고있고남자보호자간호하고있는 pt 48. hyperthyroidm BP 210/, P 110, BP 38.6 줄약 1) antibiotics 2) prescribed BP med 3) cortisol 9
4) Tylenol 3. hypothyroid 환자 admitted for goiter 맞는말 1) Your neck is swollen because thyroid gland tries to produce more thyroid hormon 2). iodine? 이들어간음식조심해야해요 3) 약을한일년정도만먹으면치료될꺼예요 49. hypothyroidism sx 49-1 1) hyperlipidemia 2) Insomnia 3) weight loss 4) heat intolerance 49-2 1) hoarseness 2) intolerance to cold 3) thin nail and easily broken 4) weight loss 5) dry skin and hair 6) slurred speech 7) fast pulse 49-3 1) muscle ache 2) thick & brittle 3) appetite 4) menorrhagia 5) hyperthermia 10
6) dry skin 49-4 1) Anemia 2) 3) Tachycardia 4) Diarrhea 50. 갑상선기능저하환자의치료후 1) 설사를하지않아요. 2) 살이쪘어요. 3) 나갈때옷을더입지않아도돼요,, 9. treatment effect of hypothyroid( 단답 ) 1) increase cardiac output 2) decrease urine output 3) decrease appetite 4) increase TSH 51. hypothyroidism pt 간호 1)High fiber& 물많이 2) cool 한환경 3) 에너지저장을위해활동을제한한다. 4) 식사를자주 6. thyroidectomy 이후올수있는 cirsis( 나열된보기들 2~3 개씩묶어서지문만들어졌어요 ) 1)hypotention 2_hypertension 3)lethergy 11
4)cyanosis 5)chest pain 6)respiratory 52. 갑상선절제술받았다. 우선순위는 52-1 1) hoarseness 2) extremity spasm 52-2 1) dressing에 2cm sero-sangeneous oozing 2) tingling around mouth 52-3 1) hoarseness가있다. 2) carpopedal spasm ( 얼굴주위에 spasm) 3) back pain 53.Thyroidectomy 후 seizure (Kernig s sign) priority 1)I V 량을증가. 2)Private room 54. Thyroidectomy pt. c/o facial twitching. Nurse first action? 1) Synthroid 50mg one a day 2) Calcium gluconate IV 55.subtotal thyroidectomy 한후에환자가하는말중 correct 1) 평생호르몬. 2) 시간이지나면필요없을것이다. 12
3)parathyroid 가제거될것이기때문에약을먹어야할것이다. 56. thyroidectomy priority 56-1 1) Sore throat 2) Tingling around mouth 3) Hct, Hb check 4) edema 56-2 1) stridor 16. 갑상선수술후, 어떤증상주고 - storm 으로생각함먹어야하는약은 1) 씬지로이드 2) PTU 57.Thyroid 기능항진환자 PTU복용후효과 1) increase T4 level 2) decrease pulse rate 3) increase activity 4) decrease TSH 58. PTU 먹을환자교육맞는것 All 1) Checking pulse rate for 1 min 2) I will expect cool intolerant 3) I will check for body bruises during taking medication 41. PTU 먹는환자 F/U 중 priority 증상은 13
1) fever and sore throat 2) diarrhea 3) gastitis 4) photosensitivity 59. tapazole (methimazole ) 1) hyperthyroidism 치료제로평생쓴다 2) TSH 가증가한다 3) sore throat 있으면 notify 하겠다 6.Myxedema coma 맞는것 1) Glucose주겠다 2) 0.9%Normal saline주겠다 3) steroid주겠다 4) Levothyroxin주겠다 25. Levothyroxine 처음복용하는환자 concern해야할 statement는 ( 단답 ) 1) weight gain 1.1kg during last week 2)thick nail 3)sleep 8 hours per day 4) patient states My heart is pacing 60. synthroid 60-1: 1) wt. loss 2) hypotension 3) pulse 저하 14
4) peripheral edema 60-2: 1) 아침에한번복용 2) 저녁에한번복용 - 3) 하루에두번복용 4) 먹기전 pulse check 61. synthroid 투약시 side effect 는 1) insomnia, nervousness 2) bradycardia 25. Levothyroxine 복용하는환자 further teaching이필요한경우는 ( 단답 ) 1)I will take this medication early in the morning at the same time and I will have meal one hour after. 2)If the brand name is changed, I will let my doctor to inform the pharmacist about a chang 3)I am so relieved that my disease can be cured by taking this medication 4) 기억안나네요 16. hypothyroid pt 약복용후 concern할증상 1) wt 2) cold intolerance 3) nervousness 62. Hypothyroidism patient에게 Synthroid가처방이났다. 환자의 PR이 112회 /min로 check되었다. 1) administer as prescribed 2) notify to Dr. before medication 3) check BP 15
4. Synthroid 에대해환자교육후환자가올바르게이해한것은 1) 갑상선항진증으로갈수있다 63. synthroid 처방받아먹고있는 pt fatigue호소한다f/u 1) 음식잘먹고있나 2) 운동매일하나 3)TSH LEVEL CHECK 4) 처방된약 regemen 을지키고있는지 1.chovostek 나오고관련된질환고르시오 1) 쿠싱증후군 2) 부갑상선기능저하 3) 갑상선기능항진증 64. chvostec sigh 1) Facial spasm 2) BP check 팔의 spasm 65. hypoparathyroidsm 시 first 로나갈 lab 1) K 2) Ca 66. Discharge teaching about diet for hypoparathyroid 1) increase eating daily green leaf veggies 2) increase eating food has high Ca and low P 67. hyperparathyroidism 증상 correct 16
67-1 1) Ca 증가 2) deep tendon reflex 감소 3) tingling numbness 4) P 높음 67-2 hypertension renal calculi constipation 12. hyperparathyroidism 증상 ( 단답 ) 1) joint pain 2) swan neck deformity 3) Heberden's node 12. hyperparathyroidsm sx 1)Pathological fx 2) fatigue 3) cold intolerance 4) exphtalmos 7. hyperparathyroism 중재할것은 1) 규칙적으로 weigh bear운동한다. 2) 우유, 유제품섭취를늘린다. 3,4 기억안나요 1. Viagra에대해교육하려한다. include 할것은 ( 멀티 ) 17
1) 2) HA 있을수있다. 3) sexual stimulation효과도있다. 4) should take it approximately 1hr before sex. 32.VIgra pt correct 1)ntg 와같이준다. 2) 지속발기는 common side effect 3) sex 15min전에주고하루 twice준다. 4) 답인데지문이생각안나에요. 6. Viagra 로안나오고 (Sildenafil) SATA 1)hot flushing 기대된당. 2) 효과보기위해성관계직전에투약해라 3) NTG 1hr 간격띄고투약해라 4) notify HCP, 4hr 지속발기 5) notify visual change 71. Levitra 맞는것 1) intercourse 1 시간전에복용하겠다. 2) 만약 headache, face flushing 있으면복용 stop 하겠다. 4.erectile dysfunction 치료방법은 1)viagra를 intercourse 전에복용 2)vaccum device 사용 3)radioactive 물질사용 4)~device 사용 18
37. angina pt 가계단을오르다가 chest pain 이있어 nitroglycerin 을 1 차투여했다. nitroglycerin 투여시 nr 가사정해야하는것은 1) erectile dysfunction 약을먹었냐? 19