NSG 4800 STUDY EXAMS GUIDE QUESTIONS AND
ANSWERS SET A+
✔✔Type 1 diabetic exercise - ✔✔Should aim for at least 150 minutes of moderate-
vigorous intensity aerobic exercise per week (may have to gradually work up to this
amount)(swimming, cycling, walking, weight lifting)
Take BS before
100-250 is good
stop exercise if shaky, weak, or confused
eat a small snack with carbs after
Do not exercise if there are ketones in your urine or you took insulin within the hour
✔✔external radiation - ✔✔Avoid direct sunlight on the radiation area
No PERCAUTIONS
Protect skin from heat or cold
Do not remove the radiation markings unless instructed to by their physician
Wear loose, soft clothing
When washing the radiation site, do it with water. no lotions and pat dry
✔✔DKA - ✔✔Type 1
BG 350-500 mg/dL
Metabolic acidosis b/c of ketone production
Fruity breath odor
Kussmaul respirations
✔✔HHS - ✔✔Type 2
BG >800 mg/dL
No metabolic acidosis
No ketones
Altered mental status, significant dehydration
✔✔laproscopic surgery - ✔✔Low fowlers post op
right shoulder or chest pain from gas used during procedure, patient may think they are
having MI- educate patient
, AMBULATE ASAP
✔✔liver cirrhosis - ✔✔Main cause is DRINKING
Complication is esophageal varices, ascites, coffee ground emesis
may have petechiae or spider angiomas
✔✔pancreatitis - ✔✔Upper admonial pain that radiates to the back
Can lad to diabetes and will need to be treated with insulin
✔✔ERCP - ✔✔NPO 8 hours before
Monitor gag reflex to make sure it comes back
lozenges, saline gargle, and oral analgesics for discomfort
DO NOT DELEGATE
✔✔glomerulonephritis - ✔✔Acute- occurs 2-3 weeks after a streptococcal infection
Chronic- may occur after the acute phase or slowly over time
low sodium and low potassium diet
diuretics
✔✔Hemophilia - ✔✔Abnormal bleeding response
Easy bruising
Joint bleeding-pain, tenderness, swelling, decrease ROM
Replacement of specific clotting factors (factor VIII), analgesics, corticosteroids
DDAVP (Vasopressin)-increases plasma factor VIII
Monitor for joint pain-if present, immobilize affect extremity.Control joint bleeding by
immobilization, elevation, ice, and pressure
✔✔sickle cell anemia - ✔✔episodes of pain, swelling in hands and feet, frequent
infections
During a crisis, 1st priority is administering IV bolus of fluids. Regular pain
medications(Narcotics) needed to help with pain
✔✔Hirschsprung disease - ✔✔missing nerve cells in the large intestine, which causes
difficulty passing stool
Delayed meconium stool (after 48hrs), chronic constipation, abdominal bloating,
vomiting, diarrhea
Surgery to bypass or remove section of colon without nerve cells
High-fiber diet, increased fluids, and laxatives as rxn for those who still experience
symptoms
✔✔STAGE 1 Early - ✔✔0-5cm
Early contractions, initial labor is usually 6-8 hrs but can last longer
Intensity is mild to moderate, duration is 30-40 seconds, frequency is q2-30 minutes,
very irregular
ANSWERS SET A+
✔✔Type 1 diabetic exercise - ✔✔Should aim for at least 150 minutes of moderate-
vigorous intensity aerobic exercise per week (may have to gradually work up to this
amount)(swimming, cycling, walking, weight lifting)
Take BS before
100-250 is good
stop exercise if shaky, weak, or confused
eat a small snack with carbs after
Do not exercise if there are ketones in your urine or you took insulin within the hour
✔✔external radiation - ✔✔Avoid direct sunlight on the radiation area
No PERCAUTIONS
Protect skin from heat or cold
Do not remove the radiation markings unless instructed to by their physician
Wear loose, soft clothing
When washing the radiation site, do it with water. no lotions and pat dry
✔✔DKA - ✔✔Type 1
BG 350-500 mg/dL
Metabolic acidosis b/c of ketone production
Fruity breath odor
Kussmaul respirations
✔✔HHS - ✔✔Type 2
BG >800 mg/dL
No metabolic acidosis
No ketones
Altered mental status, significant dehydration
✔✔laproscopic surgery - ✔✔Low fowlers post op
right shoulder or chest pain from gas used during procedure, patient may think they are
having MI- educate patient
, AMBULATE ASAP
✔✔liver cirrhosis - ✔✔Main cause is DRINKING
Complication is esophageal varices, ascites, coffee ground emesis
may have petechiae or spider angiomas
✔✔pancreatitis - ✔✔Upper admonial pain that radiates to the back
Can lad to diabetes and will need to be treated with insulin
✔✔ERCP - ✔✔NPO 8 hours before
Monitor gag reflex to make sure it comes back
lozenges, saline gargle, and oral analgesics for discomfort
DO NOT DELEGATE
✔✔glomerulonephritis - ✔✔Acute- occurs 2-3 weeks after a streptococcal infection
Chronic- may occur after the acute phase or slowly over time
low sodium and low potassium diet
diuretics
✔✔Hemophilia - ✔✔Abnormal bleeding response
Easy bruising
Joint bleeding-pain, tenderness, swelling, decrease ROM
Replacement of specific clotting factors (factor VIII), analgesics, corticosteroids
DDAVP (Vasopressin)-increases plasma factor VIII
Monitor for joint pain-if present, immobilize affect extremity.Control joint bleeding by
immobilization, elevation, ice, and pressure
✔✔sickle cell anemia - ✔✔episodes of pain, swelling in hands and feet, frequent
infections
During a crisis, 1st priority is administering IV bolus of fluids. Regular pain
medications(Narcotics) needed to help with pain
✔✔Hirschsprung disease - ✔✔missing nerve cells in the large intestine, which causes
difficulty passing stool
Delayed meconium stool (after 48hrs), chronic constipation, abdominal bloating,
vomiting, diarrhea
Surgery to bypass or remove section of colon without nerve cells
High-fiber diet, increased fluids, and laxatives as rxn for those who still experience
symptoms
✔✔STAGE 1 Early - ✔✔0-5cm
Early contractions, initial labor is usually 6-8 hrs but can last longer
Intensity is mild to moderate, duration is 30-40 seconds, frequency is q2-30 minutes,
very irregular
