Nur176 Exam QUESTION WITH VERIFIED CORRECT ANSWERS

Nur176 Exam QUESTION WITH VERIFIED CORRECT ANSWERS You have a patient that comes to the ER blood sugar 602, breathing deeply, ketos in their urine. What would you think the next test be? - ANSWER Blood Gases you want to see if they have DKA Your giving insulin. Can you mix Novolin R and Novolin N? - ANSWER No, they have to go into separate syringes, one is long and one is short When your drawling up insulin what do you have to do first? - ANSWER Put air in the cloudy first You're working in a long term care facility. Report from the night shift nurse that a patient is really thirsty, peeing every hour and really restless. What would you do first? - ANSWER Check their blood sugar You have a patient come into the clinic who is 24 years old. She getting ready to go on a cruise, she's a diabetic. She's coming in for a check up and states that she does not have hair growing on her legs anymore. Should you be concerned? - ANSWER Yes, means poor circulation Creatinine normal range - ANSWER 0.6-1.2 BUN normal range - ANSWER 10-20 Your patient has a subdural hematoma receiving mannitol. How to know is mannitol is working? - ANSWER Input and output, you want to make sure what is coming in is coming out 60 year old patient has diabetes type 2, her blood glucose is 290 before breakfast. What symptoms would you expect to see? - ANSWER - Polydipsia - Excessive thirst - Polyuria - Excessive urinating - Polyphagia - Excessive hunger Patient newly diagnosed with diabetes. And you want to teach him about foot care. What will you teach him? - ANSWER - No lotion in between toes - Check feet daily - Wear proper shoes and socks - Can cut toe nails as long as it is straight across - Warm water not hot water Patient has diabetes type 2 and they are complaining of shaking, blurred vision, racing heart. What are you doing to do? - ANSWER Check blood sugar 12 year old no history of diabetes. But has a family history of diabetes, you find that their blood sugar is 390, has frequent urination, hot/flushed. What orders would you expect the doctor to give you? - ANSWER - GAD test - Sliding Scale of Insulin 1 1/2 year old that was admitted, newly diagnose with diabetes. What symptoms would you expect to see? - ANSWER - Frequent urinations - Weight lost - body is burning protein instead of fat - Thirst Type 1 diabetic that has signs of negative reaction to insulin. What does that mean? - ANSWER The body is not absorbing the insulin What are the signs and symptoms of hypoglycemia? - ANSWER - Weakness - Irritability - Trimers - Hunger - Impaired Vision Patient had a stroke what kind of things would you educate this person on to decrease their risk factors for another stroke? - ANSWER - Monitor B/P - Diet and Exercise - Reduce Stress - No Smoking Patient has metabolic syndrome. What is metabolic syndrome? - ANSWER Cluster of diseases, that put at risk for diabetes like hypertension, heart failure Patient has metabolic syndrome and their HDL is 25, triglyceride 320. What would you expect the doctor to ask you to assess farther? - ANSWER - Blood Glucose - At risk for insulin resistance Patient has type 2 diabetes, what diagnostic test your you expect? - ANSWER - Lipds - A1C - Glucose Tolerance - Fasting Blood Glucose Test Patient has diabetes type 2 and the patient says my fasting blood sugar is staying at 102 regularly, has lost weight due to dieting and exercising, doctor delicates eyes during visits. Is that a good thing or a bad thing? - ANSWER Good What is Lovenox used for and how do we give it? - ANSWER Blood thinner, given subcutaneously (subq) Side effects monitoring for when on Lovenox? - ANSWER - Bleeding - Bruising - Bleeding of the gums - Blood in the stool and urine Interventions for Lovenox - ANSWER - Soft tooth brush - Use electric razor - Let them know they are spectacle for easy bruising Patient diabetic type 2 their hemoglobin A1C is 10.2. What are you doing to teach this patient to help them be complaint? - ANSWER - Diet and exercise - Taking their blood sugars at home regularly - Take their medication as prescribed - Decrease in crabs and sugars - Eat at same time everyday - Check blood sugar before exercise - Stress, Surgery and Steroids will increase sugars Symptoms of increased intracranial pressure - ANSWER - Headache - Blurry Vision / Diplopa - Change in LOC How to position a patient with increased intracranial pressure? - ANSWER - Head of bed at a 30 degree angle - Neck is in the neutral position - Give oxygen if needed What should a patient with increased intracranial pressure avoid? - ANSWER - Lifting heavy things