NP235 Exam 2 Deb's Review Latest Update 2023, Exams of Nursing

Download NP235 Exam 2 Deb's Review Latest Update 2023 and more Exams Nursing in PDF only on Docsity!

Update 2023.

Teaching a pt with diabetes regarding foot care? - correct answers ✅always wear shoes check your feet everyday check for any discoloration, sores buy shoes that fit properly dry betwen the toes no alcohol on the feet diabetic has an order for NPH 35units to be given in the am he has an upset stomach. should he still take the insulin - correct answers ✅he should still take it. but you should encourage a snack give as ordered. assessig new pt. complains of new symptoms of tiredness and has echemosis/bruising. - correct answers ✅do your gums easily bleed. Ask "if their gums easily bleed) ( assess for other signs of bleeding/ internal bleeding, looking at platelet count)

Update 2023.

pt with hyper thyroidism and expophthalmos what would the plan of care include

• correct answers ✅nutritional support routine eye care to not dry out the eyes cool enviroment prevention of diarrhea tremors, temp elevation, restlessness person with hemophelia has tender swollen joints, what is the nursing diagnosis - correct answers ✅acute pain realted to bleeding into closed spaces hemoarthrosis pt is getting transfusion. they begin to wheeze and have back pain. - correct answers ✅stop the trans. run the line open and save the blood.(do not discontinue the line you have to save it) notify the charge nurse immediatly get vitals

Update 2023.

document What different types of ethnicities are risk factors or high risk for developing diabetes? - correct answers ✅hispanic african american american indian person has stenosis in her coronary artery and is scheduled for PTCA - correct answers ✅non-surgical technique to open up blocked coronary arteries what is the period of time where the insulin has the strongest effect. - correct answers ✅peak SIADH Syndrome of inappropriate antidiuretic hormone secretion/how do you treat - correct answers ✅restrict fluids sodium by iv/hypertonic sodium chloride diuretics DIC Disseminated intravascular coagulation what causes this? - correct answers ✅trauma

Update 2023.

sepsis/shock malignicys planceta abrubtio transfusion reaction amnoictic embolism resp distress syndrome severe pain in the chest not releived by nitro, has dyspnea, pallor and professed sweating. what do they have. - correct answers ✅MI Have a patient who just had a heart catherization (angioplasty) and is npo but has metformin due what do you do? - correct answers ✅Hold it, call provider tp hold it for 3 days after wards metformin has contrast with kidney function Addison disease making a discharge plan, has a risk for injury - correct answers ✅orthstaic hypotension teach to get up slowly s/s of inadequate steroid levels, meds

Update 2023.

keep away from infection no stress pt with stable coronary artery disease. prescribed. nitro what does nitro do. - correct answers ✅it increases blood flow to the heart muscle. side effects, headache, hypotension pt has cardiac cath. is going to have heart cath. with dye and has a shellfish allergy. what are your going to do. - correct answers ✅tell the charge nurse and surgery team. iron def. anemia. what foods are high in iron - correct answers ✅liver and muscle meats green leafy veg. dried fruits apricots, figs, eggs legumes

Update 2023.

whole grain and enriched breads and cereals. pt with blood glucose regulation. takes bilberry and horse chesnut. for vericose veins what is the priority nursing action. - correct answers ✅they interact with the blood glucose ask your doctor pt has CHF weigh pt and he weighed 3.5 more pounds more than the day before. what are you going to do next - correct answers ✅check the for edema in the ankles and feet. and jugler vein distention. by having the pt. in semi fowers state. African American has history of hypertension. she is admited with chest pain that radiated to abdomen, SOB and dyspnea what do you worry about the most - correct answers ✅MI diabetes incipidus, classic symptoms - correct answers ✅profound diuresis (pass lots of urine), heartrate goes up has tachycardia, weak, have as much of 3-20 L,

Update 2023.

thirst, fatigue, nocturia, hypotension, weight loss, constipation and poor skin turgor teaching about a bone marrow transplant which one needs further insturction - correct answers ✅i can go on a 5/6 week condition regime after the procedure pt with PAD talk about the plan of care should include. what nursing actions - correct answers ✅keep leg below the heart level keep warm and wear warm cloths no heat and no ice prevent wound infection crushing injuries and bleeding from mouth, rectum, why does he have so much bleeding - correct answers ✅DIC Addisons disease, adreanal crisis s/s? - correct answers ✅Hypotension tachacardia nausea decreased LOC

Update 2023.

also abdominal and flank pain endocrine sysem, have the priincipal glands and hormone function as what. a distingushing feature - correct answers ✅negative feedback mechanism thrombocytopenia what would you see in your pt if they have this. - correct answers ✅bleeding under the skin petachiae, little dots bleeding gums under 150, pt complains of chest pain with low dose oxygen therapy. what would you report immediately - correct answers ✅heart rate increases pt has irrability and altered conciousness pt with a venous thrombosis they are going to get a thrombolitc agent why? - correct answers ✅breaks up the clot

Update 2023.

DKA, pick the set of vital signs. - correct answers ✅someone with DKA will have increased res. rate and depth Kussmals breathing acetone uria ketoniauria and fuity breath infection is most common cause why do they use idoize salt with a history of a goiter - correct answers ✅it will stopslow it from getting bigger. normal hemocrit level in they realation of volume of blood cells to the relation to the value of fluid. if you are dehydrated will they go up or down. - correct answers ✅it goes up becuase the blood is more concentrated.

1.? It will go up because it is more concentrated (HCT will be high in relationship to the amount of plasma in the blood stream diabetes, type 2 pt why is my body able to produce insulin but it is not being used.

• correct answers ✅becuase the cells become resistant to the insulin

Update 2023.

what lab value confirm polycythemia vera - correct answers ✅RBC value 4.5- ruddy complection developing teaching plan for sickle cell anemia - correct answers ✅stay hydrated Caring for someone with sickle cell and a sick cell crisis happens? they want to know why - correct answers ✅sickle cell shape, clump together and can block blood vessels and form thrombi and cause organ damage. staff inservice on bone marrow aspiration - correct answers ✅illiac creast, sternum infective endocarditis plan of care, include what type of intervention - correct answers ✅bacteria, fungi, virus antibiotics and antibiotic before dental care

Update 2023.

heart failure/meds for heart NOT LIFE LONG PT with diabetes with chronic pain - correct answers ✅neuropathy somogyl phenomenon/type one diabetes s/s - correct answers ✅rebound hyperglycemia after hypoglycemia often during sleep will see nightmares and night sweats and elevated morning glucose elevated Blood sugar how do you administer iron - correct answers ✅diluted and through a straw becuae it stains the teeth pt who had a cardiac procedure with an order for 5L o2. also smokes cigarettes wonders why you are adding humidifed air. - correct answers ✅preventing drying of mucous membranes class one antiarrhythmics drugs how do they work. - correct answers ✅it slows sodium channel blocker. and prolongs the depolarization

Update 2023.

quinidine procanimide raynauds disease pt teaching - correct answers ✅protect the extreamities from injury and cold why do people with pernicious anemia get B12 injections - correct answers ✅Pernicious anemia - B12 injections lack intrinsic factor necessary for absorption person asks where insulin is manfactured in the body - correct answers ✅in the beta cells in the pancereas risk factors for cardio vascular disease that are NON modifiable - correct answers ✅age race gender family history

Update 2023.

look for things you can modify watch the wording of the question Breuger's Disease what do you promote/teach - correct answers ✅stop smoking You are looking at a patent who is post-surgery and they have pallor unrelated to completion, pale conjunctiva of both eyes what does this indicate - correct answers ✅anemia She was brought to the emergency room after an exercise program then she started to act strange and confused she is a type one diabetic what are signs and symptoms of hypoglycemia: - correct answers ✅anxiety blurry vision , confusion , headache , cold , irritability, sweating