RNSG 1533 EXAM 1 QUESTIONS & VERIFIED
ANSWERS
Ketosis is common in DM type I or II? - Answers - DM type I
3 P's of DM? - Answers - polydipsia, polyuria, polyphagia
DM type I definition - Answers - a metabolic disorder characterized by high glucose from
defects in insulin secretion (B cell destruction)
What are the diagnostic tests for DM type II? - Answers - FPG, HbA1c, OGTT
The __________ approach is the tx for DM type II - Answers - stepwise
DM type II diet control is __________ complex carbs, ___________ fiber, __________
fat - Answers - high, high, low
Foot care for DM type II includes: - Answers - washing feet daily and throughly drying,
avoid sandals and going barefoot, compression socks, nails cut straight across
Ketosis is _________ in DM type II - Answers - rare
Tx options for Graves' disease include: - Answers - radioactive iodine therapy, anti
thyroid meds, thyroidectomy
Diet for Graves' disease is _______ calorie, _______ protein, _______ caffeine,
_________ fiber - Answers - high, high, low, low
What are the signs of DKA? - Answers - Serum glucose over 250, ketonuria in large
amounts, arterial pH below 7.5, dehydration, Kussmaul's respirations, acetone odor
breath or rotten fruit
Tx for DKA - Answers - NS until BP stabilized and urine output is 30-60 ml/hr, slow
infusion insulin IV, careful K+ replacement
Periorbital edema, facial puffiness, slow speech, and constipation are sx of __________
- Answers - hypothyroidism
How fast is the onset of sx for hypothyroidism? - Answers - gradually intensifying
Sudden dc of meds, sedation, and anesthesia can cause _________ - Answers -
myxedema coma in hypothyroidism pts
, What are the s/s of myxedema coma? - Answers - hypoventilation, hypotension,
hypoglycemia, lactic acidosis
Failure to thrive is defined as: - Answers - weight or rate of weight gain is significantly
low
What are the clinical manifestations of FTT? - Answers - delayed milestones, weight
below the 5th percentile, abd distention, avoidance of eye contact, cachexia, intense
watchfulness
How many cal/oz in formula for FTT? - Answers - 24
What is the weight gain goal for FTT pts? - Answers - 2-3 times
How long is breastmilk or formula the sole source of nutrition? - Answers - 4-6 months
When should semi solid food be introduced? - Answers - 4 months
Why should Cow Milk be avoided in babies <1 y/o? - Answers - high protein content is
stressful to the kidneys
How often should infants be fed? - Answers - q3-4h
How early can formula be prepped? - Answers - 24 h
What is the correct feeding position for infants? - Answers - semi upright using cradle
hold, keep nipple full to prevent air
s/s of peritonitis - Answers - ***can be fatal!!!! abd tender, rigid, boardlike and pt
assumes fetal position, may go septic or hypovolemic shock
Causes and risk factors of PUD - Answers - H. pylori, contaminated food or water,
NSAIDs, excessive acid, smoking/alcohol, familial tendencies
s/s of PUD - Answers - dyspepsia, burning in mid epigastrium, pyrosis, N/V,
hematoemesis, melena
Gastric ulcers cause pain ________ after eating - Answers - right after
Duodenal ulcers cause pain _______ after eating - Answers - 2-3 h
Diagnostic tests for PUD - Answers - EGD with bx, H&H, stool samples to look for occult
blood
Complications with PUD - Answers - perforation, pyloric obstruction, intractable disease,
hemorrhage is most serious
ANSWERS
Ketosis is common in DM type I or II? - Answers - DM type I
3 P's of DM? - Answers - polydipsia, polyuria, polyphagia
DM type I definition - Answers - a metabolic disorder characterized by high glucose from
defects in insulin secretion (B cell destruction)
What are the diagnostic tests for DM type II? - Answers - FPG, HbA1c, OGTT
The __________ approach is the tx for DM type II - Answers - stepwise
DM type II diet control is __________ complex carbs, ___________ fiber, __________
fat - Answers - high, high, low
Foot care for DM type II includes: - Answers - washing feet daily and throughly drying,
avoid sandals and going barefoot, compression socks, nails cut straight across
Ketosis is _________ in DM type II - Answers - rare
Tx options for Graves' disease include: - Answers - radioactive iodine therapy, anti
thyroid meds, thyroidectomy
Diet for Graves' disease is _______ calorie, _______ protein, _______ caffeine,
_________ fiber - Answers - high, high, low, low
What are the signs of DKA? - Answers - Serum glucose over 250, ketonuria in large
amounts, arterial pH below 7.5, dehydration, Kussmaul's respirations, acetone odor
breath or rotten fruit
Tx for DKA - Answers - NS until BP stabilized and urine output is 30-60 ml/hr, slow
infusion insulin IV, careful K+ replacement
Periorbital edema, facial puffiness, slow speech, and constipation are sx of __________
- Answers - hypothyroidism
How fast is the onset of sx for hypothyroidism? - Answers - gradually intensifying
Sudden dc of meds, sedation, and anesthesia can cause _________ - Answers -
myxedema coma in hypothyroidism pts
, What are the s/s of myxedema coma? - Answers - hypoventilation, hypotension,
hypoglycemia, lactic acidosis
Failure to thrive is defined as: - Answers - weight or rate of weight gain is significantly
low
What are the clinical manifestations of FTT? - Answers - delayed milestones, weight
below the 5th percentile, abd distention, avoidance of eye contact, cachexia, intense
watchfulness
How many cal/oz in formula for FTT? - Answers - 24
What is the weight gain goal for FTT pts? - Answers - 2-3 times
How long is breastmilk or formula the sole source of nutrition? - Answers - 4-6 months
When should semi solid food be introduced? - Answers - 4 months
Why should Cow Milk be avoided in babies <1 y/o? - Answers - high protein content is
stressful to the kidneys
How often should infants be fed? - Answers - q3-4h
How early can formula be prepped? - Answers - 24 h
What is the correct feeding position for infants? - Answers - semi upright using cradle
hold, keep nipple full to prevent air
s/s of peritonitis - Answers - ***can be fatal!!!! abd tender, rigid, boardlike and pt
assumes fetal position, may go septic or hypovolemic shock
Causes and risk factors of PUD - Answers - H. pylori, contaminated food or water,
NSAIDs, excessive acid, smoking/alcohol, familial tendencies
s/s of PUD - Answers - dyspepsia, burning in mid epigastrium, pyrosis, N/V,
hematoemesis, melena
Gastric ulcers cause pain ________ after eating - Answers - right after
Duodenal ulcers cause pain _______ after eating - Answers - 2-3 h
Diagnostic tests for PUD - Answers - EGD with bx, H&H, stool samples to look for occult
blood
Complications with PUD - Answers - perforation, pyloric obstruction, intractable disease,
hemorrhage is most serious
