NUR 283 COMPREHENSIVE EXAM
DM 1 TEACHING - Answers :vigorous exercise when BS level is 100-250 ml /dl (5.6-
13.8 mmol)
no ketones in the urine
have a carbohydrate snack before exercising
do not exercise within an hr of insulin injection or near peak times.
examine feet daily
Hyperglyemic-hyperosmolar state manifestations - Answers :gradual onset
BS greater than 600mg/dl
caused by infection, poor fluid intake and altered cns function with neurologic function.
Metaboli alkalosis - Answers :Cause: decreased H+ independent of CO2
Compensation: respiratory and renal
Respiratory compensation:
-decreased ventilation -> increased CO2
Renal compensation
-Decreased H+ secretion
-Decreased HCO3 reabsorption
-Decreased synthesis of new bicarbonate
Crohn's disease - Answers :chronic inflammation of the intestinal tract
causes malabsorption of nutrients
results in low B12 Folic acid
diarrhea and steatorrhea pain below the umbilicus before and after BM
bright red blood in the stool
Teaching - Angina - Answers :stop activity
put sublingual nitro
call 911 if pain is not resolved by the first then take the second nitro
do not take more than 3 nitro
diveticulitis - Answers :provide low fiber diet
do not give laxatives or enemas
provide ATB and Analgesics
lumbar puncture - Answers :complications - headache ICP PHOTOPHOBIA, change in
LOC
LUMBAR PUNCTURE CONTRAINDICATIONS - Answers :patient with increased ICP,
bc rapid loss of CSF can cause brain herniation
, infection around the pauncture site
Signs of lithium toxicity - Answers :confusion, ataxia, neuromuscular excitability
Signs of carbon monoxide poisoning - Answers :polycythemia
nausea
dizziness/seizures
headaches
confusion/memory loss
impaired consciousness/coma
cherry-red skin discoloration
cyanosis
dyspnea
CP
signs of magnesium sulfate toxicity - Answers :absence patellar reflexes , urine output
<30ml/hr , respirations < 12/min , decreased consciousness
Enoxaparin - Answers :Lovenox
Anticoagulant
give subQ
do not expel the bubble or aspirate
Alteplase (tPA) (Activase antidote - Answers :aminocaproic acid
administer as soon as possible
What reverses dabigatran? - Answers :omeprazole
expected findings in shock - Answers :decreased urine
signs of febrile reaction - Answers :chills, tachycardia, hypotension, fever, tachypnea
face flushed f
superficial partial thickness burn - Answers :Involves the epidermis and the upper
portion of the dermis. Involved area may be extremely painful and exhibit blisters.
Healing occurs with minimal to no scarring in 5-21 days.
PICC Line Interventions - Answers :Trendelenburg or supine position during insertion
and removal and instruct client to perform Valsalva maneuver t
the complication of PICC line - Answers :phlebitis
Indications of PN - Answers :GI truama
dysfunctional GI tract
Torts - Answers :legal wrongs committed against a person
DM 1 TEACHING - Answers :vigorous exercise when BS level is 100-250 ml /dl (5.6-
13.8 mmol)
no ketones in the urine
have a carbohydrate snack before exercising
do not exercise within an hr of insulin injection or near peak times.
examine feet daily
Hyperglyemic-hyperosmolar state manifestations - Answers :gradual onset
BS greater than 600mg/dl
caused by infection, poor fluid intake and altered cns function with neurologic function.
Metaboli alkalosis - Answers :Cause: decreased H+ independent of CO2
Compensation: respiratory and renal
Respiratory compensation:
-decreased ventilation -> increased CO2
Renal compensation
-Decreased H+ secretion
-Decreased HCO3 reabsorption
-Decreased synthesis of new bicarbonate
Crohn's disease - Answers :chronic inflammation of the intestinal tract
causes malabsorption of nutrients
results in low B12 Folic acid
diarrhea and steatorrhea pain below the umbilicus before and after BM
bright red blood in the stool
Teaching - Angina - Answers :stop activity
put sublingual nitro
call 911 if pain is not resolved by the first then take the second nitro
do not take more than 3 nitro
diveticulitis - Answers :provide low fiber diet
do not give laxatives or enemas
provide ATB and Analgesics
lumbar puncture - Answers :complications - headache ICP PHOTOPHOBIA, change in
LOC
LUMBAR PUNCTURE CONTRAINDICATIONS - Answers :patient with increased ICP,
bc rapid loss of CSF can cause brain herniation
, infection around the pauncture site
Signs of lithium toxicity - Answers :confusion, ataxia, neuromuscular excitability
Signs of carbon monoxide poisoning - Answers :polycythemia
nausea
dizziness/seizures
headaches
confusion/memory loss
impaired consciousness/coma
cherry-red skin discoloration
cyanosis
dyspnea
CP
signs of magnesium sulfate toxicity - Answers :absence patellar reflexes , urine output
<30ml/hr , respirations < 12/min , decreased consciousness
Enoxaparin - Answers :Lovenox
Anticoagulant
give subQ
do not expel the bubble or aspirate
Alteplase (tPA) (Activase antidote - Answers :aminocaproic acid
administer as soon as possible
What reverses dabigatran? - Answers :omeprazole
expected findings in shock - Answers :decreased urine
signs of febrile reaction - Answers :chills, tachycardia, hypotension, fever, tachypnea
face flushed f
superficial partial thickness burn - Answers :Involves the epidermis and the upper
portion of the dermis. Involved area may be extremely painful and exhibit blisters.
Healing occurs with minimal to no scarring in 5-21 days.
PICC Line Interventions - Answers :Trendelenburg or supine position during insertion
and removal and instruct client to perform Valsalva maneuver t
the complication of PICC line - Answers :phlebitis
Indications of PN - Answers :GI truama
dysfunctional GI tract
Torts - Answers :legal wrongs committed against a person
