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NUR 316 Final Exam – Questions With Fully Solved Solutions

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NUR 316 Final Exam – Questions With Fully Solved Solutions

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NUR 316 Final Exam – Questions With Fully Solved
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Terms in this set (163)



which effect does the nurse expect to reduction of scar tissue formation
see in a patient receiving
hydrocortisone, the drug form of
cortisol


- hydrocortisone (cortisol) has anti-inflammatory
effects including reduction of inflammatory
leukocyte functions and scar tissue formation. it also
promotes renal retention of sodium leading to
edema and htn


when administering octreotide blood glucose
(Sandostatin) to a patient, it is most
important for the nurse to assess
which parameter - octreotide (Sandostatin) may cause alterations in
blood glucose levels, closely monitor blood glucose
during therapy


a patient will be receiving somatropin. hypopituitary dwarfism
the nurse expects that the pt has
which disorder


- somatropin is human GH used for the treatment of
hypopituitary dwarfism. Cosyntropin is used for the
diagnosis of adrenocortical insufficiency. Octreotide
is used for esophageal varices. Vasopressin is
indicated for septic shock.

,a patient is in pulseless cardiac arrest. vasopressin
which medication does the nurse
anticipate administering
- vasopressin is also a potent vasoconstrictor in
larger doses and is used in hypotensive emergencies
such as vasodilatory shock (septic shock) also used in
pulseless cardiac arrest. desmopressin is useful in
treating certain blood disorders. Cosyntropin is used
in the diagnosis of adrenocortical insufficiency.
somatropin and somatrem are effecting In stimulating
skeletal muscle growth with inadequate GH secretion


a patient has been taking The patients thyroid hormone levels are within
levothyroxine for 6 months. After this normal limits
months laboratory work, the nurse
practitioner tells the nurse that the
patient is euthyroid. What does that
term mean?


a patient who is taking thyroid inadequate doses of the medication bc symptoms
replacement medication tells the have returned
nurse that she is starting to
experience cold intolerance,
depression, constipation and dry skin.
What potential cause does the nurse
assume


which information will the nurse take the medication in the morning on an empty
include when teaching a patient about stomach, they are best on an empty stomach 1/2-1 hr
thyroid replacement therapy before to enhance absorption


which would be the best menu choice pasta with marinara. Avoid foods high in iodine i.e.
for a patient who is taking an soy, tofu and seafood
antithyroid medication


A woman who has type 2 DM is now She will be switched to insulin therapy while she is
pregnant. She wants to know whether pregnant.
to take her oral antidiabetic
medication. What instructions will she
receive?

, the nurse has just administered the give the patient food, such as cereal and skim milk,
morning dose of a patients Humalog and juice b/c it is essential they eat or profound
insulin. Just after the injection the hypoglycemia may occur
dietary department calls to inform the
patient care unit that breakfast trays
will be 45 min late. what will the nurse
do next


a patient with type 1 DM is admitted to the corticosteroid
the medical unit with an acute
exacerbation of COPD. He is placed
on IVPB antibiotics, neb treatments
with albuterol, and an IV
corticosteroid, and he is also taking a
proton pump inhibit for GERD. He
takes a dose of glargine insulin every
evening. This evening the nurse notes
that his blood glucose level is 170
mg/dL. The next morning his fasting
glucose is 202 mg/dL. What is the
most likely cause of his elevated
glucose levels.


after the 0700 report, the day shift Ask the charge nurse to call the night nurse at home
nurse notices that a patient has a 0730 to clarify whether the insulin was given.
dose of insulin due and goes to the
automated dispensing machine to
retrieve the insulin. The nurse sees that
the night shift nurse had removed the
0730 dose of insulin, but the
medication administration record has
not even signed by the nurse. the
patient is confused and says she thinks
the night nurse gave her the insulin.
The patients blood glucose level is
142 mg/dL. What will the dayshift
nurse do?


when should oral corticosteroids be in the morning to minimize renal suppression
taken?

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