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NSG 3800 EXAM 1 QUESTIONS AND VERIFIED ANSWERS

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NSG 3800 EXAM 1 QUESTIONS AND VERIFIED ANSWERS

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Does aging alter the older adults response to F/E and acid-base imbalances?


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Yes




What is the medical management of hypernatremia?

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- gradual lowering of Na+ through hypotonic soln. infusion
- D5W in very high sodium levels




How do we treat an air embolism from parenteral nutrition error?


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1. [if disconnected tubing] replace tubing immediately and notify MD
2. [if its cap missing from port] replace cap and notify MD
3. [if blocked segment] turn pt on left side and notify MD




Multiple medications have no affect on older adults renal and cardiac function. T/F?


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False




What is the difference between hypovolemia and dehydration?


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Hypovolemia indicates equal parts of electrolyte and water loss while
dehydration refers to loss of water alone with increased Na levels.

,What are causes of hyponatremia?


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- vomiting
- diarrhea
- GI suctioning
- diuretics
- Mannitol
- excessive water intake




What is megaloblastic anemia?


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Abnormally large erythrocytes are produced called
megaloblastic red cells
+ Caucasians develop a lemon-yellow color and mild
jaundice




What are S/S of hypokalemia?


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*develop when K+ <3
- dampened T-waves, V-fib, asystole
- fatigue
- muscle weakness
- leg cramps
- anorexia, N/V, abd distention
- polyuria

, - decreased bowel fx
- decreased BP




What is normal urine specific gravity and what does it measure?


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1.005-1.030
Measures overall concentration including glucose and protein




Insulin promotes the entry of K+ into cells and from the bloodstream, therefore, pt's
with persistent insulin hyper secretion may experience:


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hypokalemia.




Alka-seltzer contains a lot of sodium. T/F?


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True




Why is parenteral nutrition discontinued slowly?


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