NR 325 Exam 1 Review
Exam 1 Review
*80 questions (4 math, 4 Select all that apply)
TOP 3 Topics
1. Diabetes (24 questions)
2. Cancer (benign, malignant, external radiation, chemo tx)
3. End of life (Pain, Hospice, Advance directives)
Hyperthyroidism graves
Hypothyroidism
Cushing’s disease
Corticosteroid therapy
SIADH
Maneras
Eye assessment
Addison’s
Cataracts
Accommodation
Glaucoma
Vertigo
Presbyopia
Presbycusis
Hearing assessment
Jeopardy Game
1. Discuss nursing considerations for metformin (Glucophage)?
a. Do not use if kidney, liver disease or HF. D/C if 1-2 days before
contrast. Check BUN (norm 6-20), creatinin (0.6-1.3) if higher
it
means kidney damage.
2. What is the goal fasting blood glucose and hbg AIC?
a. Less than 126
3. A low platelet count is called
a. Thrombocytopenia
4. Normal platelet level is
a. 150-400 or 150k-400k
5. A low platelet level puts PT as risk for
a. Bleeding
6. Normal hbg is
a. 11.7-15.5 for women
, 7. Name ototoxic drugs: at least 3
a. NSAIDS ,ASA, aminoglycosides, vancomycin, loop diuretics,
corticosteroids
8. Explain hospice
a. Has to have 6 months or less to live, lets go of treatment, PT doesn’t
want it, holistic approach, It relieves symptoms, not kill the PT.
9. What instructions should you provide a sick PT at home with diabetes?
a. Check every 4 hours, Call MD if levels consistently rise.
10. What is the tx for DKA? What is first?
a. Fluids and insulin. Give IV fluids first bc of dehydration.
11. Discuss important post op assessments after a thyroidectomy.
a. Hypothyroidsm, hypokalemia, (chovstek and trousseau, mm twitching
tingling, stridor), Hemmorrhage ( assesss swallowing nech swelling
dressing and breathing) injusry to laryngeal nerve, Airway
obstruction is an emergency, Call MD, Have o2, suction and trach at
bedside, semi
fowlers, no neck flesion
12. Name 4 differences between benign and malignant neoplasms.
a. Benign- IS encapsulated
b. Malignant – poorly differentiated, benig ON A TABLE IN CH
13. Describe teaching for presbycusis, Presbycusis can cause sensorineural
heating loss- inability to understand speech, pt can heat jigh pitched
shouds
are hard to hear.
a. Maintain eye contact, avoid distracting environments, do not shout, do
not stand with light behing you, ect. CHART 22-14
14. Name physical manifestations of near death. Death is coming, Respirations,
sensory, integumentary, cardiovascular.
a. Respirations cease first, irregular cheyne strokes. Sensory = hearing
ast to go, inte= mottling cold clammy skin. Cardio=
15. Name at least 4 clinical manifestations of cataracs
a. opaque, blurry vision, photophobia, abnormal color perception,
glaring vision, diplopia, reduced visal acuity, decresed vision at night
16. Name 3 nursing considerations for levothyroxine (Synthroid).
a. Monitor cardiac disease PTs, report HR over 100, promptly report CP
wt. loss, nervousness, insomnia, and tremors.
17. Discuss the tx for dry desquamation (erythema) – (skin is very red and dry)
a. Lubricate w/ nonirritatinf lotion, no metal alcohol perfume additives,
Use calendula PAGE 269
18. What are the effects of giving corticosteroids to a PT?
a. Increases BS
Exam 1 Review
*80 questions (4 math, 4 Select all that apply)
TOP 3 Topics
1. Diabetes (24 questions)
2. Cancer (benign, malignant, external radiation, chemo tx)
3. End of life (Pain, Hospice, Advance directives)
Hyperthyroidism graves
Hypothyroidism
Cushing’s disease
Corticosteroid therapy
SIADH
Maneras
Eye assessment
Addison’s
Cataracts
Accommodation
Glaucoma
Vertigo
Presbyopia
Presbycusis
Hearing assessment
Jeopardy Game
1. Discuss nursing considerations for metformin (Glucophage)?
a. Do not use if kidney, liver disease or HF. D/C if 1-2 days before
contrast. Check BUN (norm 6-20), creatinin (0.6-1.3) if higher
it
means kidney damage.
2. What is the goal fasting blood glucose and hbg AIC?
a. Less than 126
3. A low platelet count is called
a. Thrombocytopenia
4. Normal platelet level is
a. 150-400 or 150k-400k
5. A low platelet level puts PT as risk for
a. Bleeding
6. Normal hbg is
a. 11.7-15.5 for women
, 7. Name ototoxic drugs: at least 3
a. NSAIDS ,ASA, aminoglycosides, vancomycin, loop diuretics,
corticosteroids
8. Explain hospice
a. Has to have 6 months or less to live, lets go of treatment, PT doesn’t
want it, holistic approach, It relieves symptoms, not kill the PT.
9. What instructions should you provide a sick PT at home with diabetes?
a. Check every 4 hours, Call MD if levels consistently rise.
10. What is the tx for DKA? What is first?
a. Fluids and insulin. Give IV fluids first bc of dehydration.
11. Discuss important post op assessments after a thyroidectomy.
a. Hypothyroidsm, hypokalemia, (chovstek and trousseau, mm twitching
tingling, stridor), Hemmorrhage ( assesss swallowing nech swelling
dressing and breathing) injusry to laryngeal nerve, Airway
obstruction is an emergency, Call MD, Have o2, suction and trach at
bedside, semi
fowlers, no neck flesion
12. Name 4 differences between benign and malignant neoplasms.
a. Benign- IS encapsulated
b. Malignant – poorly differentiated, benig ON A TABLE IN CH
13. Describe teaching for presbycusis, Presbycusis can cause sensorineural
heating loss- inability to understand speech, pt can heat jigh pitched
shouds
are hard to hear.
a. Maintain eye contact, avoid distracting environments, do not shout, do
not stand with light behing you, ect. CHART 22-14
14. Name physical manifestations of near death. Death is coming, Respirations,
sensory, integumentary, cardiovascular.
a. Respirations cease first, irregular cheyne strokes. Sensory = hearing
ast to go, inte= mottling cold clammy skin. Cardio=
15. Name at least 4 clinical manifestations of cataracs
a. opaque, blurry vision, photophobia, abnormal color perception,
glaring vision, diplopia, reduced visal acuity, decresed vision at night
16. Name 3 nursing considerations for levothyroxine (Synthroid).
a. Monitor cardiac disease PTs, report HR over 100, promptly report CP
wt. loss, nervousness, insomnia, and tremors.
17. Discuss the tx for dry desquamation (erythema) – (skin is very red and dry)
a. Lubricate w/ nonirritatinf lotion, no metal alcohol perfume additives,
Use calendula PAGE 269
18. What are the effects of giving corticosteroids to a PT?
a. Increases BS
