NUR 417 Exam 1 Questions With Correct
Answers
stage of shock - CORRECT ANSWER✔✔-1. initial
| | | | | | |
2. compensatory
| |
3. progressive
|
4. recovery
| |
(pg. 1573 review)| |
DKA - CORRECT ANSWER✔✔-etiology:
| | | |
- not enough insulin
| | | |
pathophysiology |
no glucose --> fats for energy breakdown --> ketone production = acidic
| | | | | | | | | | | |
🌟 initially you have respiratory alkalosis!!
| | | | | |
that will progress to metabolic acidosis!
| | | | | |
clinical manifestations: | |
☑ ketones in urine
| | | |
,☑ lethargy/confusion
| |
☑ polydipsia
| |
☑ polyuria
| |
☑ polyphagia
| |
☑ blood sugar 300-600
| | | |
potential complications | |
❌ renal failure (from osmotic diuresis - peeing excessively and leading to
| | | | | | | | | | | |
dehydration_)
❌ hypovolemic shock
| | |
❌ acidosis
|
❌ dehydration
| |
nursing diagnosis : | |
Fluid volume deficit
| | |
Decreased cardiac output | | |
Impaired tissue perfusion | | |
Impaired gas exchange | | |
specific initial priority :
| | | |
1. get IV and give fluids !!!!
| | | | | | |
2. give insulin drip REGULAR!!!!!!!!!! 💥💥
| | | | |
(very small amount - # should not be big)
| | | | | | | | |
3. potassium will be HIGH so put on telemetry!
| | | | | | | | |
, monitor for: | |
1. pulmonary edema from fluid overload
| | | | |
Kuusmaul respirations - CORRECT ANSWER✔✔-rapid (precise #) and deep
| | | | | | | |
what happens with all shocks? - CORRECT ANSWER✔✔-low BP --> low cardiac
| | | | | | | | | | | |
output --> tachypnea (RR >22) --> respiratory alkalosis initially
| | | | | | | |
absolute hypovolemia vs relative hypovolemia - CORRECT ANSWER✔✔-absolute
| | | | | | | |
hypovolemia = actual loss of fluid | | | | | |
- DKA osmotic diuresis
| | |
- vomiting
|
- diarrhea
| |
- hemorrhage
| |
relative hypovolemia = fluid is not actually lost but not usable or in an imbalance
| | | | | | | | | | | | | | |
- third spacing (fluid unusable in a cavity where it cannot be reabsorbed)
| | | | | | | | | | | | |
- second spacing (fluid in interstitial spaces)
| | | | | | |
- burn clients
| | |
- spinal cord trauma
| | | |
- liver failure
| |
Answers
stage of shock - CORRECT ANSWER✔✔-1. initial
| | | | | | |
2. compensatory
| |
3. progressive
|
4. recovery
| |
(pg. 1573 review)| |
DKA - CORRECT ANSWER✔✔-etiology:
| | | |
- not enough insulin
| | | |
pathophysiology |
no glucose --> fats for energy breakdown --> ketone production = acidic
| | | | | | | | | | | |
🌟 initially you have respiratory alkalosis!!
| | | | | |
that will progress to metabolic acidosis!
| | | | | |
clinical manifestations: | |
☑ ketones in urine
| | | |
,☑ lethargy/confusion
| |
☑ polydipsia
| |
☑ polyuria
| |
☑ polyphagia
| |
☑ blood sugar 300-600
| | | |
potential complications | |
❌ renal failure (from osmotic diuresis - peeing excessively and leading to
| | | | | | | | | | | |
dehydration_)
❌ hypovolemic shock
| | |
❌ acidosis
|
❌ dehydration
| |
nursing diagnosis : | |
Fluid volume deficit
| | |
Decreased cardiac output | | |
Impaired tissue perfusion | | |
Impaired gas exchange | | |
specific initial priority :
| | | |
1. get IV and give fluids !!!!
| | | | | | |
2. give insulin drip REGULAR!!!!!!!!!! 💥💥
| | | | |
(very small amount - # should not be big)
| | | | | | | | |
3. potassium will be HIGH so put on telemetry!
| | | | | | | | |
, monitor for: | |
1. pulmonary edema from fluid overload
| | | | |
Kuusmaul respirations - CORRECT ANSWER✔✔-rapid (precise #) and deep
| | | | | | | |
what happens with all shocks? - CORRECT ANSWER✔✔-low BP --> low cardiac
| | | | | | | | | | | |
output --> tachypnea (RR >22) --> respiratory alkalosis initially
| | | | | | | |
absolute hypovolemia vs relative hypovolemia - CORRECT ANSWER✔✔-absolute
| | | | | | | |
hypovolemia = actual loss of fluid | | | | | |
- DKA osmotic diuresis
| | |
- vomiting
|
- diarrhea
| |
- hemorrhage
| |
relative hypovolemia = fluid is not actually lost but not usable or in an imbalance
| | | | | | | | | | | | | | |
- third spacing (fluid unusable in a cavity where it cannot be reabsorbed)
| | | | | | | | | | | | |
- second spacing (fluid in interstitial spaces)
| | | | | | |
- burn clients
| | |
- spinal cord trauma
| | | |
- liver failure
| |
