NSG 430 EXAM 1, 2, 3, AND FINAL EXAM | ALL
QUESTIONS AND CORRECT ANSWERS |
VERIFIED ANSWERS | BRAND NEW VERSIONS!
NSG 430 EXAM 1
Palliative Care ------------Correct Answer--------------------Care or
treatment focusing on reducing the severity of symptoms; curative
treatment can be involved
Hospice Care ------------Correct Answer--------------------treatment of the
terminally ill with the goal of helping them to die comfortably, without
pain; curative care is forgone
Physical manifestations of EOL - respiratory ------------Correct Answer----
----------------Cheyne-Stokes respirations, death rattle, terminal
secretions, loss of gag reflex (risk for aspiration)
Physical manifestations of EOL - integumentary ------------Correct
Answer--------------------Mottling, cyanosis in nail beds, cold/clammy skin,
and "waxlike" skin very near death
,Decisional capacity ------------Correct Answer--------------------ability to
consent to or refuse care
Tissue/Organ donation ------------Correct Answer--------------------Some
used within hours, notify physician immediately
What guides our care? ------------Correct Answer--------------------Code of
Ethics - relieve suffering
Principle of Beneficence - care is provided to benefit
Standard of Care - define nursing acts that are required for safe and
competent care
Assessments - last hours of life ------------Correct Answer--------------------
limit to comfort measures, concerns about pain and respiratory should
be addressed, emotional/comfort support
Postmortem Care ------------Correct Answer--------------------close pt's
eyes, replace dentures, wash/position body - allow family privacy
,Classic triad of DKA ------------Correct Answer--------------------
hyperglycemia (>250)
ketones
acidosis
Other manifestations of DKA include ------------Correct Answer-------------
-------profound dehydration
tachycardia
fruity breath
(early signs) - weakness/lethargy
DKA treatment includes ------------Correct Answer--------------------IV fluids
regular insulin - 0.1 U/kg/hr
electrolytes (potassium esp.) - PRN
HHS occurs when ------------Correct Answer--------------------Blood glucose
>600
, HHS vs DKA ------------Correct Answer--------------------no ketones (has
enough insulin to prevent this)
severe hyperglycemia (>600)
occurs gradually
Other HHS manifestations ------------Correct Answer--------------------
increased serum osmolality (concentrated)
normal blood pH
fever/warm dry skin
Treatment for HHS ------------Correct Answer--------------------Same as DKA
however fluids help as much as insulin therapy because of the
correction of the osmolarity issue
Addison's disease ------------Correct Answer--------------------insufficient
corticosteroids (need to ADD)
Manifestations of Addison's disease ------------Correct Answer--------------
------hyper-pigmented skin
QUESTIONS AND CORRECT ANSWERS |
VERIFIED ANSWERS | BRAND NEW VERSIONS!
NSG 430 EXAM 1
Palliative Care ------------Correct Answer--------------------Care or
treatment focusing on reducing the severity of symptoms; curative
treatment can be involved
Hospice Care ------------Correct Answer--------------------treatment of the
terminally ill with the goal of helping them to die comfortably, without
pain; curative care is forgone
Physical manifestations of EOL - respiratory ------------Correct Answer----
----------------Cheyne-Stokes respirations, death rattle, terminal
secretions, loss of gag reflex (risk for aspiration)
Physical manifestations of EOL - integumentary ------------Correct
Answer--------------------Mottling, cyanosis in nail beds, cold/clammy skin,
and "waxlike" skin very near death
,Decisional capacity ------------Correct Answer--------------------ability to
consent to or refuse care
Tissue/Organ donation ------------Correct Answer--------------------Some
used within hours, notify physician immediately
What guides our care? ------------Correct Answer--------------------Code of
Ethics - relieve suffering
Principle of Beneficence - care is provided to benefit
Standard of Care - define nursing acts that are required for safe and
competent care
Assessments - last hours of life ------------Correct Answer--------------------
limit to comfort measures, concerns about pain and respiratory should
be addressed, emotional/comfort support
Postmortem Care ------------Correct Answer--------------------close pt's
eyes, replace dentures, wash/position body - allow family privacy
,Classic triad of DKA ------------Correct Answer--------------------
hyperglycemia (>250)
ketones
acidosis
Other manifestations of DKA include ------------Correct Answer-------------
-------profound dehydration
tachycardia
fruity breath
(early signs) - weakness/lethargy
DKA treatment includes ------------Correct Answer--------------------IV fluids
regular insulin - 0.1 U/kg/hr
electrolytes (potassium esp.) - PRN
HHS occurs when ------------Correct Answer--------------------Blood glucose
>600
, HHS vs DKA ------------Correct Answer--------------------no ketones (has
enough insulin to prevent this)
severe hyperglycemia (>600)
occurs gradually
Other HHS manifestations ------------Correct Answer--------------------
increased serum osmolality (concentrated)
normal blood pH
fever/warm dry skin
Treatment for HHS ------------Correct Answer--------------------Same as DKA
however fluids help as much as insulin therapy because of the
correction of the osmolarity issue
Addison's disease ------------Correct Answer--------------------insufficient
corticosteroids (need to ADD)
Manifestations of Addison's disease ------------Correct Answer--------------
------hyper-pigmented skin
