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PNR 309 TEST 2 QUESTIONS WITH COMPLETE ANSWERS

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PNR 309 TEST 2 QUESTIONS WITH COMPLETE ANSWERS

Institution
PNR 309
Module
PNR 309











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Institution
PNR 309
Module
PNR 309

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Uploaded on
December 19, 2025
Number of pages
56
Written in
2025/2026
Type
Exam (elaborations)
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What if pt experiences hypomobility after 3-5y w PD?


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Treat with apomorphine (and ensure is taken w antiemetic- NOT 5-HT3
serotonin receptor antagonist class (severely LOW BP))




Diabetic ketoacidosis (DKA)


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An acute metabolic complication of DM occurring when fats are
metabolized in the absence of insulin

,Examples of macrovascular complications in DM (3)


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CAD, CVD, PVD




A client reports having dry mouth and asks for some liquid to drink. The nurse reasons
that this symptom can most likely be attributed to a common adverse effect of which
of the following medications?


a) Digoxin
b) Esomeprazole
c)Famotidine
d)Promethazine


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D - A common adverse effect of promethazine, an antihistamine antiemetic
agent, is dry mouth; another is blurred vision.




ACUTE DM Complications (3)


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DKA, HypERosmolar HypERglycemic syndrome (HHS), hypoglycemia




Complications of GBS:

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most serious complication of this syndrome is respiratory failure, which
occurs as the paralysis progresses to the nerves that innervate the thoracic
area, watch for infections (UTI, URI etc), immobility can also cause: paralytic
ileus, atrophy, PE, skin breakdown, ortho hypOTN.




The nurse should instruct the client to do which of the following to best enhance the
effectiveness of a daily dose of docusate sodium?


a) Take a dose of mineral oil at the same time.
b) Add extra salt to food on at least one meal tray.
c) Ensure dietary intake of 10 g of fibre each day.
d) Take each dose with a full glass of water or other liquid.


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D - Docusate sodium (Colace) lowers the surface tension of stool,
permitting water and fats to penetrate and soften the stool for easier
passage, and must be taken with adequate fluids.




Diabetic retinopathy


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microvascular damage to the blood vessels in the retina as a result of
chronic hyperglycemia, presence of nephropathy, and hypertension in
patients with DM. Two types!




Treatment for hypERptism

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Hydration therapy, surgery (parathyroidectomy), nutritional therapy (avoid
excess calcium), increase/encourage mobility, drug therapy (lower calcium
levels: bisphosphonates - fosamax, estrogen/progestin, phosphate,
calcimimetic agents - cinacalcet)




Colorectal cancer


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The second leading cause of cancer-related deaths in Canada




Treatment for MS:


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No cure. Drug therapy, Surgery, Physical therapy, Nutrition therapy, Heat
therapy, Massage/acupuncture/aromatherapy.




Treatment of cholelithiasis:


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surgical removal (cholecystectomy, sphincterotomy), non-sx (lithotripsy,
dissolving)

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