NSG 170 Final Exam Review
Questions and Answers
hypotonic - ANSWER-losing more sodium than water
Fluid Volume Excess (FVE) characteristics - ANSWER-vein distention, SOB, fluid going
to lungs, edema (anasarca)
hyperkalemia treatment - ANSWER-remove excess potassium form blood into cell -
needs insulin
Or give kayexalate/policitrine sulfate for hyperkalemia
Hypernatremia + gastric issues - ANSWER-stop taking alka seltzer- has high sodium
levels
desired outcome for FVE - ANSWER-clear lungs
FVD in Adolescents/ young people/ high schoolers doing sports, activities, long hike -
ANSWER-take water and commercial sports drinks
highest priority for someone with hypokalemia - ANSWER-cardiac monitoring
to know when dysrhythmias occur
magnesium sulfate antidote - ANSWER-calcium gluconate - monitor patient
pregnant - nausea and vomiting effects and care - ANSWER-losing electrolytes - tell
them to keep taking vitamins take high protein snacks hydrate by taking small amounts
of fluids throughout the day
IV fluids to give for dehydration - ANSWER-0.45% NaCl (hypotonic)
IV fluids to give with transfusion - ANSWER-isotonic solution is the only solution you
can transfuse with
(i.e. 0.9% NaCl)
what do you do when a blood transfusion reaction occurs - ANSWER-STOP transfusion
When there is redness, swelling, discharge around IV site ... - ANSWER-discontinue
and apply warm compress to allow blood flow to come
, diabetes symptoms - ANSWER-polyphagia, polydipsia, polyuria, weight loss, tiredness
(might only be two or three of these with other symptoms)
what foods to decrease to help type 2 diabetes - ANSWER-meat and processed foods
When do you administer combination of regular and NPH insulin - ANSWER-30 min
before meal
follow directions of short acting insulin of combination
location on body most favorable for insulin - ANSWER-Absorption rate high in abdomen
- most favorable for insulin- rotate within abdominal area
DKA characteristics - ANSWER-kussmal respirations, lethargic, ketones, type 1
diabetes , abdominal discomfort - 325 glucose levels
HHS characteristics - ANSWER-high blood sugar 700/800, increased urine output,
lethargy
Type 2 diabetes cause - ANSWER-excess body weight impairs release of insulin
medications that cannot be used with diabetes - ANSWER-epinephrine - bronkaid -
increases blood glucose -beta blockers (inderol, propranolol) can cause bronchospasms
- use calcium channel blockers instead
sick day rule for diabetes - ANSWER-monitor every 4 hours - 6-10L of fluid every hour
Lisinopril - ANSWER-ACE inhibitor
antihypertensive
side effects: cough, loss of taste
Beta Adrenergics main side effect - ANSWER-nervousness, tremors
common at first but decrease with time
medications not recommended for diabetic patients - ANSWER-Beta blocker -
proponalol/inderol
treatment for severe preeclampsia - ANSWER-magnesium sulfate - not a
antihypertensive - anticonvulsant - relaxes muscle - lowers BP but not primary action -
will be given magnesium sulfate and another antihypertensive
determinate of gestational hypertension - ANSWER-measured twice 6 hr apart at
140/90
PVD care management - ANSWER-increase venous return - elevate extremities
hypertension stress reduction activity - ANSWER-yoga classes
Questions and Answers
hypotonic - ANSWER-losing more sodium than water
Fluid Volume Excess (FVE) characteristics - ANSWER-vein distention, SOB, fluid going
to lungs, edema (anasarca)
hyperkalemia treatment - ANSWER-remove excess potassium form blood into cell -
needs insulin
Or give kayexalate/policitrine sulfate for hyperkalemia
Hypernatremia + gastric issues - ANSWER-stop taking alka seltzer- has high sodium
levels
desired outcome for FVE - ANSWER-clear lungs
FVD in Adolescents/ young people/ high schoolers doing sports, activities, long hike -
ANSWER-take water and commercial sports drinks
highest priority for someone with hypokalemia - ANSWER-cardiac monitoring
to know when dysrhythmias occur
magnesium sulfate antidote - ANSWER-calcium gluconate - monitor patient
pregnant - nausea and vomiting effects and care - ANSWER-losing electrolytes - tell
them to keep taking vitamins take high protein snacks hydrate by taking small amounts
of fluids throughout the day
IV fluids to give for dehydration - ANSWER-0.45% NaCl (hypotonic)
IV fluids to give with transfusion - ANSWER-isotonic solution is the only solution you
can transfuse with
(i.e. 0.9% NaCl)
what do you do when a blood transfusion reaction occurs - ANSWER-STOP transfusion
When there is redness, swelling, discharge around IV site ... - ANSWER-discontinue
and apply warm compress to allow blood flow to come
, diabetes symptoms - ANSWER-polyphagia, polydipsia, polyuria, weight loss, tiredness
(might only be two or three of these with other symptoms)
what foods to decrease to help type 2 diabetes - ANSWER-meat and processed foods
When do you administer combination of regular and NPH insulin - ANSWER-30 min
before meal
follow directions of short acting insulin of combination
location on body most favorable for insulin - ANSWER-Absorption rate high in abdomen
- most favorable for insulin- rotate within abdominal area
DKA characteristics - ANSWER-kussmal respirations, lethargic, ketones, type 1
diabetes , abdominal discomfort - 325 glucose levels
HHS characteristics - ANSWER-high blood sugar 700/800, increased urine output,
lethargy
Type 2 diabetes cause - ANSWER-excess body weight impairs release of insulin
medications that cannot be used with diabetes - ANSWER-epinephrine - bronkaid -
increases blood glucose -beta blockers (inderol, propranolol) can cause bronchospasms
- use calcium channel blockers instead
sick day rule for diabetes - ANSWER-monitor every 4 hours - 6-10L of fluid every hour
Lisinopril - ANSWER-ACE inhibitor
antihypertensive
side effects: cough, loss of taste
Beta Adrenergics main side effect - ANSWER-nervousness, tremors
common at first but decrease with time
medications not recommended for diabetic patients - ANSWER-Beta blocker -
proponalol/inderol
treatment for severe preeclampsia - ANSWER-magnesium sulfate - not a
antihypertensive - anticonvulsant - relaxes muscle - lowers BP but not primary action -
will be given magnesium sulfate and another antihypertensive
determinate of gestational hypertension - ANSWER-measured twice 6 hr apart at
140/90
PVD care management - ANSWER-increase venous return - elevate extremities
hypertension stress reduction activity - ANSWER-yoga classes
