|
What is the term for stringing together words because of their rhyming sounds, without regard to their meaning? |
Clang Association |
|
What is the term for a false and fixed belief that cannot be corrected by reasoning? |
Delusional thinking |
|
what is the term for a continuos flow of accelerated speech with abrupt changes from one topic to another? |
flight of ideas |
|
What is the term for haphazard and confused thinking that is manifested in jumbled and ilogical speech and reasoning? |
Loose associations |
|
social isolation, difficulty with appetite and sleep and loss of interest in usual activities indicates a high risk for what? |
suicide |
|
Delusions are manifestations of what? |
psychosis |
|
Hyperactivity is seen in what 2 things? |
mania, and ADD |
|
Social withdrawal is a symptom of what? |
depression |
|
Mood disturbances of depression are related to deficiences of what neurotransmitter? |
seratonin |
|
What is the term for a neurotransmitter and hormone involved in local immune responses, in regulating stomach acid and in allergic reactions? |
Histamine |
|
What is the term for a neurotransmitter associated with Parkinsons and may be involved in the development of depression but is not the primary contributor? |
Dopamine |
|
A decrease in ____ is associeted with anxiety disorders, schizophrenia, and huntingtons? |
GABA |
|
What is the term for the deelopmental change from behavior that is externally controlled to behavior that is controlled by internal standards and principles? This term is concerned with self-generated standards and not with the effects of behavior on others. |
internalization |
|
"Following socially sanctioned guidelines when making decisions" is an example of ______ reasoning which occurs in the 2nd level in Kohlberg's theory of moral development |
Conventional Reasoning |
|
A CNS stimulant should be administered at what time of the day? |
early in the day so it doesnt interfere with sleep |
|
What nursing measures should be used to address the vegetative signs of major depression? |
monitor the patients eating and sleeping |
|
A standard antipsychotic medication such as haldol is most effective in modifying which symptom of schizophrenia? |
delusions of persecution |
|
A severe reduction in emotional expressiveness is known as what? |
flat affect |
|
WHat three sx of schizophrenia is effectively treated by the newer atypical antipsychotics such as clozapine, risperidone, and olanzapine? |
flat affect, social withdrawal, & lack of motivation |
|
Social withdrawal caused by schizophrenia is commonly treated by what 3 drugs? |
clozapine, risperidone, and olanzapine |
|
Which drug is the traditional antipsychotic that targets the sx of schizophrenia such as hallucinations, delusions, disordered thinking, and paranoia? |
Haldol |
|
A patient taking lithium who experiences NVD should stop taking the medication why? |
because dehydration can raise lithium levels |
|
A. Should a patient taking lithium follow a low Na+ diet? B. Why or why not? |
A. No |
|
How often are lithium levels monitored from the blood? |
monthly |
|
Can a patient taking lithium take OTC meds? |
no |
|
What action would be an appropriate foucs of therapy for a nurse working with the family of a patient with anorexia nervosa? |
improve communication among family members |
|
Persistant feelings of detachment from others is a common sx of what disorder? |
PTSD |
|
The manic symptoms of a patient with bipolar disorder can be managed by which drug? |
tegretol |
|
What is the therapeutic blood level for tegretol? |
6-8 mg/dl |
|
Amitriptyline is what kind of drug and how long does it take to start working? |
trycyclic antidepressant, 10-14 days |
|
Which direction should the nurse provide to someone who complains of fatigue while taking an antidepreessant? |
take the medication at bed time |
|
How can setting limits with a patient who is manipulative benefit the patient? |
at 1st the pt will result in having negative feelings but then the patient will gain self-empowerment in relationships with others. The pt will understand of how the minupulative behavior is based on immediate gratification and the associated disregard for the rights of others. |
|
"A pt w/ depression suddenly seems less depressed and more cheerful and active on the unit." What would be an appropriate nursing response to this change? |
Reassess the patient for suicide potential |
|
A person with borderline personality disorder would most likely engage in self-destructive behavior if faced with which stressor? |
threat of seperation or rejection |
|
What are the internal feelings of a person with borderline personality disorder? |
they feel bad or unworthy, feels unfairly misunderstood or mistreated, bored, empty and have little idea who they are. |
|
A patient with borderline personality disorder who feels isolated or rejected may act on what type of behavior? |
self destructive behavior |
|
Signs of autism are able to be seen as early as what age? |
4 months old, such as lack of social responsiveness |
|
Autism is usually diagnosed by what age? |
3 |
|
When a person has unresolved anger what can it become? |
depression |
|
WHen anxiety is suppressed how may it present? |
as anger |
|
What is the term for disruptions of consciousness such as memory, identity, and perception of the environment? |
Dissociative sx |
|
"I must not gain weight or I will never get a date" is an example of what type of thinking? |
catastrophizing (magnifying the outcome of an event) |
|
What is the term for which a single event affects an unrelated situation? |
overgeneralization |
|
WHat is the term for overinterpretation of events as having personal meaning? |
personalization |
|
What is most important for a nurse to evaluate in a patient who is manic? |
nutritional status, if pt is dehydrated or malnourished along with having faulty judgement, the pt will be at risk for injury |
|
What is the term for fusion or blending together of individuals so the distinct person fails to emerge? |
enmeshed boundaries |
|
A person stateing "You dont know how hard it is for me to trust you anymore" is an example of what? |
double blind |
|
A person stating "if you bring that up again I will tell everyone about your drug problem" is an example of what? |
triangulation |
|
A person stating "I would live up to your expectations if you didn't make me so nervous" is an example of what? |
scapegoating |
|
What is the term for a rare and potentially fatal side effect of antipsychotic medications? |
neuroleptic malignant syndrome |
|
What are 3 sx for nueroleptic malignant syndrome? |
1. High fever |
|
What is the term for thickened bile or bile plugs in the small biliary passages of the liver? |
cholestatic jaundice |
|
Cholestatic jaundice can be a side effect of what? |
antipsychotic medication |
|
What is depersonalization disorder? |
alteration in the perception of self so that the usual sense of one's own reality is temporarily lost or changed; it may be a manifestation of a neurosis or another mental disorder or can occur in mild form in normal persons |
|
What would a desired outcome be for a person with depersonalization disorder? |
expresses satisfaction of interactions with friends, related to the alleviation of social isolation |
|
What is generalized anxiety disorder? |
a pattern of frequent , persistent worry and anxiety about several events during at least a 6 month period. The worry/anxiety is out of proportion to the actual impact of the event |
|
What is a pain disorder? |
persistent and chronic pain unrelated to a medical condition |
|
What is somatization disorder? |
multiple physical complaints that persists for years involving any body system. Most fequently, the complaints involve chronic pain and problems with the digestive, nervous, & reproductive systems |
|
What are the 3 initial nursing diagnosis that take priority in a pt with borderline personality disorder? |
1. self-mutilation |
|
A need for sameness is a charaacterics of which mental disorder? |
autism |
|
What diagnostic tool is used to reveal structural and biochemical abnormalities associated with mental illness by using radioactive tag material to trace physiological and biochemical changes in brain tissue? |
PET scan |
|
Which scan provides gross anatomical details through a series of slice x rays of the brain? |
CT scan |
|
What provides a record of electrical activity in the brain? But not commonly used for mental illness. |
EEG |
|
What provides gross anatomical details through a 3 dimensional visualization of brain structure generated by applying a magnetic field? |
MRI |
|
What are 2 sx of the depressive phase of bipolar disorder? |
psychomotor retardation & anhedonia |
|
What are 2 sx associated with severe lithium toxicity? |
acute confusion & ataxia |
|
What is the term for a loss of the ability to coordinate muscular movement? |
ataxia |
|
A lithium level of what indicated a maintenance level indicating that the mania would be reduced? |
1.2 |
|
What is the blood level range for lithium? |
0.4-1.3 |
|
A therapeutic outcome of lithium allows what? |
a modulation of mood and ability to solve problems |
|
What is involved with an ECT? |
patient iis restrained in a supine position, procedure takes about 30 minutes, under general anesthesia, may feel groggy & disoriented & may experience memory loss upon awakening |
|
Regular engagement in what type of activiity is most therapeutic for a pt with chronic acute anxiety. |
physical exercise |
|
Short-term dynamic psychotherapy is appropriete for what type of person? |
a relatively well functioning person who has a specific area of difficulty |
|
What is the most important nursing measure for a patient who is experienciing an acute episode of mania? |
to prevent physical exhaustion |
|
1. In the 2nd stage of dementia pts begin losing what? |
1. instrumental ADL's |
|
What is the term for reawakening an older adults interest in their environment so that they may consider an alteration of lifestyle practices? |
remotivation therapy |
|
What is an expected outcome of reminiscing therapy for an older adult? |
increased self-esteem |
|
What is an appropriate discharge instruction for the family of a patient who has dementia? |
provide a structured, consistent environment |
|
Understanding the statement "Birds of a feather flock together" requires what type of thinking? |
abstract |
|
In early-stage alzheimer dementia is the pt aware of their lost abilities? |
yes |
|
What factor is associated with increased physical and mental health problems among older adults? |
having limited financial resources |
|
What term involves making up answers to preserve self-esteem? |
confabulation |
|
What term involves repetetive behavior (ex. using the same phrase or asking the same question) especially in the presence of stress. |
perseveration |
|
What cognitive disorder has the strongest evidence of genetic involvement includiing 4 genes? |
alzheimers disease |
|
Major depression must include what 2 factors in order to occur? |
environmental and genetic |
|
What causes personality disorders? |
there is no singlle cause, there are intersecting environmental, biological, and psychological influences |
|
If a patient in a nursing home suddenly becomes withdrawn, resistant, and disoriented the nurses initial assesment should focus on what? |
is the patient physically ill |
|
A day treatment center is a good opportunity for what type of cognitively impaired patient? |
alzheimers |
|
Esophageal Varices is usually caused by what? |
portal hypertension--which in turn is due to the obstruction of the portal venous circulation within the damaged liver |
|
What are the earliest sx of hepatic encephalopothy? |
minor mental chances such as disorientation |
|
What 3 things can cause jaundice? |
1. impairment of hepatic uptake |
|
What nursing measure should a nurse perform for a patient with ascites? |
measure patients abdominal girth, pt should be weighed on a daily basis, monitor serum ammonia and electrolyte levels, keep pt in a lying position |
|
Why should a patient with ascites never be in an upright position? |
it could cause the activation of the renin-angiotensin-aldosterone system and may reduce renal glomerular filtration and sodium excretion |
|
What % of a diet for a patient with diabetes should be in the form of carbohydrates? |
50-60% |
|
What is the purpose of administering pancrelipase (pancrease) to a patient with pancreatitis? |
to aid in digestion of fats, carbs, and tryglicerides, proteins |
|
What is pancrease is used to treat? |
pancreatic enzyme deficiency |
|
Pancrease is often prescribed to people with what type oof medical problems? |
cystic fibrosis, chronic inflammation of the pancreas, or blockages of the pancreas or common bile duct caused by cancer, & also taken by people who have had gastrointestinal bypass surgery |
|
Which is an advantage of the glycosylated hemoglobin test over the fasting blood sugar test for patients with diabetes? |
it allows for an assesment of patient compliance with treatment regimen, it provides a record of the patients blood sugar control over the past 2 to 3 months |
|
fasting blood sugars and glycosylated hemoglobin are tested by which route? |
from the blood |
|
What test measures the amount of glucose in the blood that binds itself to the hemoglobin (not the amount of insulin)? |
glycosylated hemoglobin test |
|
What are daily insulin needs guided by? |
daily blood glucose monitoring |
|
Postop nursing care for a patient who has a T-tube in place following an open cholecystectomy should include which intervention? |
monitor the stool for return of pigmentation |
|
How often should a T Tube be monitored & emptied? |
when full |
|
Postop nursing care for a patient who has a T-tube in place following an open cholecystectomy should follow what type of diet? |
NPO or on a clear liquid diet |
|
Is the t tube attached to a drainage bag or a wall suction? |
drainage bag |
|
What intervention will improve respiratory function in a patient with acute pancreatitis? |
maintain patient in semi-fowlers position to decrease pressure on the diaphragm |
|
What is the best way to improve pulmonary function? |
have patient perform coughing and deep breathing techniques every 2 hours |
|
WHat type of diet should a patient with acute pancreatitis be on? |
NPO |
|
Diabetes type II is usually diagnosed in people over what age? |
30 |
|
Who is at risk for diabetes type II? |
a. this person is not at risk |
|
patient admiteed in an acute state of cirrhosis of the liver would exhibit what main sign? |
ascites related to fluid volume excess |
|
Demerol is rarely used because of what side effects? |
seizures, and central nervous system irritability |
|
What is the drug of choice for pain management in patients with pancreatitis? |
morphine |
|
What is Talwin used for? |
For the relief of moderate to severe pain. It may also be used for preoperative or preanesthetic medication and as a supplement to surgical anesthesia. |
|
What is sublimaze used for? |
anesthesia and sometimes in a patient with pancreatitis for pain control |
|
What are the health benefits of nutrititional supplements? |
they provide calories for energy and protein for healing |
|
What type of medications should be questioned when ordered for a patient with end stage hepatic dysfunction? |
analgesics and sedatives, can precipitate hepatic encephalopathy and should be monitored closely |
|
Is it appropriate for a patient with end stage hepatic dysfunction to take antihypertensives? |
yes |
|
What is the best diagnostic test for diagnosing chronic pancreatitis? |
(ERCP) endoscopic retrograde cholangiopancreatography |
|
Why is a serum amylase dx test not the best test for diagnosing chronic pancreatitis? |
becuase an elevated serum amylase signifies that the pt has acute pancreatitis. The amylase level will not be elevated with chronic pancreatitis unless there is an acute exacerbation |
|
What does an ERCP allow visulazation of? |
structuures and visualization of the pancreatic ductal system |
|
WHy should a nurse plan to meet with a diabetic pt at frquent intervals who neglects to follow the diet or check blood sugar levels? |
to provide support and assistance and to identify barriers to following the diet and checking blood sugar levels. |
|
What should a nurse do befor accepting adherance level for a noncompliant diabetic pt in regards to checking b.s. levels and diet? |
first try to meet with the patient to provide support and assistance regularly |
|
Whhat would be a great indicator that a patient is participatng well in a therapeutic relationship when being treated for diabetes? |
pt asks nurse questions about insulin administration |
|
What lab test should be monitored during treatment of diabetic ketoacidosis to avoid a serious potential complication of rapid fluid infusion and why? |
serium potassium |
|
WHat information does glycosolated hemoglobin levels provide? |
a record of the patients blood sugar control over the past 2-3 months |
|
What coexisting condition should a nurse recognize as a problem in the patient with acute pancreatitis? |
pleural effusion |
|
Will a pt with acute pancreatitis by hypo or hypertensive? |
hypotensive |
|
WHat type of blood sugar will a pt with acute pancreatitis usually have? |
greater than 200 |
|
Will a pt with acute pancreatitis usually have renal stones? |
no, unrelated |
|
A pt with diabetes with a serum glocose of 500 an elevated blood urea nitrogen (BUN) and a PH of 7.4 with hypotension, dry mucous membranes, tachycardia, and somnolence indicate what diagnoses? |
hyperglycemic hyperosmolar nonketotic syndrome |
|
When does a diabetic coma occur? |
in a severe stage of hypoglycemia that occurs when a patients blood sugar gets too low and stays low |
|
WHat 3 sx would a pt in diabetic ketoacidosis show? |
1. hyperglycemia |
|
What blood glucose level indicates hypoglycemia? |
less than 50-60 |
|
A pt with HHNS will exhibit what type of blood glucose level, ph level, bun, and creatinine? |
blood glucose >500 |
|
What is the rationale for using inderal in the management of pts with cirrhosis of the liver? |
prevent bleeding from esophageal varices |
|
What are varicosities that develop from elevated pressure transmitted to all of the veins that drain into the portal system? And what med is prescribed for this? |
varices, inderal will reduce the portal pressure by its beta-adrenergic blocking action |
|
In a pt with diabetes type 2 what med creates a high risk for a hypoglycemic reaction? |
glucovance, it could cause hypoglycemia |
|
What are the most common side effects of Orinase? |
gastrointestinal sx and dermatological reactions |
|
What is the indication for orinase? |
an oral hypoglycemic agent in non-insulin-dependent (type 2) Diabetes with adult onset |
|
What is a common side effect of Precose? |
lowering of hemoglobin A1c levels |
|
What is the indication for precose and prandin? |
management of type 2 diabetes |
|
What is a S.E. of prandin and glucovance? Which is more serious? |
1. hypoglycemia |
|
What is a cholecystectomy? |
removal of the gallbladder |
|
What is the best way to manage pain in the right shoulder following a cholecystectomy? |
apply a heating pad for 15 minutes hourly, and when able pt should sit up or take a walk |
|
What is steatorrhea? |
fatty, oily stools, malabsorption of fats and proteins |
|
WHat form of vitamin A, D, and E should be given to a patient with hepatic cirrhosis? |
water soluble vitamin for pts with malabsorption |
|
In what procedure will a patient be given a sedative followed by the oral insertion of a scope into the GI tract? |
(ERCP) ednoscopic retrograde cholangiopancreatography |
|
During what procedure does a patient swallow some barium? |
a barium enema |
|
When a patient recovering from hepatic encephalopathy is being discharged from the hospital what teaching should the nurse give the family to help them assess for signs of recurrent encephalopathy? |
obtain a sample of the pts handwriting on a daily basis. In reoccurency they would not be able to drw a symple star figure. |
|
What would be checked daily in an unconscious pt? |
Babinski response |
|
What are the 3 main concerns for a discharging pt? |
1.prevent injury |
|
Why would you incorporate massage into the plan of care for a pt who has impaired liver function? |
a massage with emolients and being turned every 2 hours will promote moobilization of edema |
|
What would you do to avoid ammonia deposits in the skin in a pt w/ impaired liver function? |
avoid using soaps and alcohol based lotions |
|
How could a nurse decrease ascitic fluid production in a pt with impaired liver function? |
low Na+ diet |
|
A pt with hypothyroidism who is takin HRT may be at risk for the development of which health problem and why? |
hyperglycemia because thyroid hormones increase blood glucose levels |
|
DO thyroid hormones affect K+ levels? |
no |
|
What is a physiological effect of thyroxine (T4)? |
increased neuromuscular response because, thyroxine makes the muscles more responsive to catecholamines |
|
What does thyroxine do to the metabloic rate? |
increases it |
|
What hormone is most associate with K+ aand regulates its excretion? |
aldosterone |
|
A deficiency of thyroid hormones (hypothyroidism) is associated with what in relation to oxygen? |
impaired oxygen utilization |
|
What finding should the nurse expect in a patient with hyperparathyroidism? |
fatigue & apathetic, because calcium is concentrating in the blood stream |
|
pts with hyperparathyroidism are likely to experience what in relation to the gastrointestinal tract? |
constipation |
|
pts with hyperparathyroidism are likey to have what type of BP? |
high |
|
What should be the main concern/intervention in a pt with a thyroid storm with a nsg diagnosis of altered body temp? |
apply hypothermia blanket to quicky reduce pt's fever |
|
Which drug is contraindicatd in a pt with hyperthyroidism and why? |
aspirin because, it adversely affects thyroid hormones and may exacerbate the metabolism excess |
|
What type of nutritional problem is commonly found in pts with addisons? |
anorexia and some other metabolic disorders |
|
Peoplle with thyroiditis have problems with what in relation to food? |
dysphagia |
|
In a pt who has edema associated with nephrotic syndrome, the nurse must carefully monitor the used of diuretics for which reason? |
reduced plasma volume may precipitate acute renal failure |
|
WHat does the diuretic Aldactone do to the effectiveness of ace inhibitors |
enhances the effect |
|
What can the volume of extracellular fluid removed by use of diuretics bring on? |
hypovolemia (shock) leading to acute renal failure |
|
The excretion of excess albumin is a defining feature of what ? |
nephrotic syndrome |
|
what intervention is 1st priority for a pt with hyperthyroidism who is started on inderal? |
monior pulse and pulse pressure, because inderal is a beta blocker that reduces pt's tachycardia and palpitations. A pt with hyperthyroidism who is takin this med should be monitores for signs related to congestive heart failure |
|
Does inderal affect prothromin and bleeding time? |
no because it is a beta blocker |
|
Does inderal have a side effect of postural hypertension? |
no |
|
Hypocalcemia is associated with what type of disorders? |
disorders of the parathyroid |
|
A pt with adrenal insufficiency has what tpe of electrolyte problem? |
hyperkalemia |
|
a pt that is dizzy, is experiencing neuromuscular irritability and confusion has classic signns of what electrolyte problem? |
hypomagnesemia |
|
A pt with adrenal insufficiency is like to have an excess or decrease in magnesium? |
excess |
|
A pt with adrenal insufficiency that is dizzy is experiencing neuromuscular irritability and confusion probably has what type of electrolyte problem? |
hyponatremia |
|
WHat is the expected affetc of epoetim alfa in a pt with chronic renal failure? |
increase in hematocrit |
|
What are Na+ levels regulated through? |
fluid levels and diet |
|
Older adult pts' with hyperthyroidism commonly present with which clinical manifestation? |
diffuse pruritus |
|
Moon face is a characteristic of what? |
cushings syndrome |
|
What type of heart rate is usually found in hypothyroidism? |
bradycardia |
|
A patient with a hx of renal calculi should be discouraged from taking what? |
vitamin and mineral supplements, especially vit D and C to prevent further stone formation |
|
High fluid intake is especially important in a pt with what? |
renal calculi, especially if pt does lots of physical exertion |
|
Heavy physical exertion and overheating can cause excessive sweating and temporary dehydration which can contribute to what? |
the formation of renal calculi |
|
Why is it important to take in sufficient fluid at bedtime? |
so that urine concentration is not excessive overnight |
|
What nursing diagnosis is appropriate for a pt with hyperthyroidism (graves disease) who develops exopthalmos |
body image disturbance |
|
Lovothyroxine sodium (synthroid) may take u to how long to reach the full level of concentration comparable to the natural thyroid hormone that its replacing? |
10 days |
|
What is one oof the most common sx of graves disease? |
nervousness |
|
gross tremors are associated with what metabloic problem? |
hypoparathyroidism |
|
What will a pt's skin look like in hypo and hyperthyroidsim? |
hypo=pale |
|
What would be a good outcome for a pt with renal calculi? |
maintain urinary output that is equivalent to fluid intake to avoid concentrated urine. |
|
Can renal calculi be accompanied by a fever? |
yes |
|
What nursing intervention would be most helpful in providing comfort of a patient with hyperthroidism? |
provide a cool environment |
|
How does a pt with hyperthyroidism constantly lose fluid? |
through diarrhea and perspiration, encourage fluid intake |
|
Would a moist humidifier be appropriate for a pt with hyperthyroidism? |
no, their skin is already moist and sweaty |
|
Is it necessary to restrict the positioning of a patient with hyperthyroidism? |
no |
|
Why does a pt with hyperparathyroidism need to remain as physically active as possible? |
because decreased mobility may lead to renal calculi because of the kidney involvement. This coupled with excess calcium secretion associated with immobility places the patient at risk for renal calculi |
|
Hyperparathyroidism causes what type of blood pressure? |
hypertension |
|
A characterisitc of hyperparathyroidism is what? |
muscle weakness |
|
It is dangerous for a pt with renal calculi to consume excessive amouts of which liquid? |
milk because renal calculi are usually composed of calcium |
|
WHat liquid should pts w/ renal calculi drink? |
water because it flushes the kindeys |
|
What is pheochromocytoma caused by? |
it is caused by the pts catecholamine producing tumor |
|
Is pheochromocytoma benign or cancerous? |
benign, It can have associated hypertension which can be chronic from damage to blood vessels |
|
what medical condition results in hypersecretion of hormones of the adrenal cortex? |
cushings syndrome |
|
What manifestation would the nurse expect to obsrve in a patient with decreased erythropoetin production secondary to end stage renal disease |
shortness of breath |
|
The musculoskeletal pain associated with ESRD is what? |
bone pain |
|
joint pain is associated with which medical condition? |
hyperpituitarism |
|
Headache is a classic sx of what medical condition? |
pheochromocytoma |
|
To improve nutritional status of a pt with graves disease the nurse should do what? |
provide patient with a quiet atmosphere during meals |
|
following a thyroidectomy, it is important for the nurse to ask the patient which qquestion to assess for bleeding? |
"do you have a feeling of fullness at your incision site?", this couuld indicate swelling that could lead to acute respiratory obstruction |
|
Is a sore throat normal after surgical removal of the thyroid gland? |
yes |
|
A pt is likely to have a drainage tube following a throidectomy whcih will what? |
need to be checked |
|
What sx is most characteristic of acute pyelonephritis? |
flank pain |
|
pain radiating to the shoulder coud indicate what? |
gall bladder inflammation or myocardial infarction |
|
Pelvic pain often occurs with what urinary problem? |
UTI |
|
In a pt with diabetes should fluid be restricted? |
yes intake should be limited to output |
|
What is a progressive condition resulting from overproduction of growth hormone? |
acromegaly, pics of the past should be provided by the pt |
|
WHy is exercise likely to be restricted in a pt with acromegaly? |
bone density is decreased |





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