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NUR 600 EXAM 5 QUESTIONS AND ANSWERS 100% SOLVED

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NUR 600 EXAM 5 QUESTIONS
AND ANSWERS 100% SOLVED

the lower esophageal sphincter is incompetent causing gastric acid to g up into the

esophagus.—ANSWER--Gastroesophageal Reflux (GERD)


GERD Diagnosis—ANSWER--Endoscopy biopsy and pH of esophageal contents (normal pH is

close to 7.0)


GERD Prevention—ANSWER--AVOID full stomach, eat small portions every 3hrs, HOB

elevated, AVOID coffee, alcohol, fats, smoking!


GERD Medications—ANSWER--(-ZOLE), Proton pump inhibitors: Omeprazole, Lansoprazole,

Pantoprazole, metoclopramide (Reglan). (Produces anticholinergic effects, Peripheral

nervous system is stimulated -FAST, DRY, DILATED)


.First-Line treatment for Type 2 Diabetes Mellitus—ANSWER--Metformin


Metformin


is recommended as initial pharmacologic treatment for—ANSWER--type 2 diabetes.


It has been shown to decrease triglycerides and LDLs.—ANSWER--Metformin


Metformin Most common side effects is—ANSWER--LACTIC ACIDOSIS


Symptoms of lactic acidosis include—ANSWER--nausea abdominal pain, and tachycardia.

, lACTIC ACIDOSIS Test should include—ANSWER--electrolytes, ketones, and serum glucose.


Obese Patients with normal renal function and elevated fasting plasma glucose may be

started on—ANSWER--combination of Metformin & a second-generation sulfonylurea.


should be considered for patients with diabetes during times of physical stress, such as

illness or surgery.—ANSWER--Insulin


Do NOT Use oral hypoglycemic meds in the—ANSWER--perioperative period.


to Prevent onset or delay onset of diabetes: Patients with impaired glucose should be

advised to lose—ANSWER--5% to 10% (10-15 lbs) of body weight.


Testing for type 2 diabetes should be considered in all adults with BMI GREATER then—

ANSWER--25


A patient with a triglycerides greater then 250mg/dL or a HDL less than n 35mg/dL is a risk

for developing—ANSWER--type 2 diabetes


A fasting plasma lever greater then 126mg/dL indicates .—ANSWER--diabetes


A fasting plasma of what level indicates diabetes—ANSWER--126 mg/dL


Peptic Ulcer: Caused by—ANSWER--Helicobacter pylori infection.


Peptic ulcer treatment: Combination of—ANSWER--2 Abx (Amoxicillin + clarithromycin or

Metronidazole and PPI (protonix)


eradicate H.Pylori by triple or quad therapy for—ANSWER--3-4 weeks.


Peptic ulcer treatment for patient who have allergic to penicillin, clarithromycin or

metronidazole.—ANSWER--Tetracycline


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