NP235 EXam with 100% correct answers 2022

Teaching a pt with diabetes regarding foot care? - ANSWER-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 - ANSWER-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. - ANSWER-do your gums easily bleed. Ask "if their gums easily bleed) ( assess for other signs of bleeding/ internal bleeding, looking at platelet count) pt with hyper thyroidism and expophthalmos what would the plan of care include - ANSWER-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 - ANSWER-acute pain realted to bleeding into closed spaces hemoarthrosis pt is getting transfusion. they begin to wheeze and have back pain. - ANSWER-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 document What different types of ethnicities are risk factors or high risk for developing diabetes? - ANSWER-hispanic african american american indian person has stenosis in her coronary artery and is scheduled for PTCA - ANSWER-nonsurgical technique to open up blocked coronary arteries what is the period of time where the insulin has the strongest effect. - ANSWER-peak SIADH Syndrome of inappropriate antidiuretic hormone secretion/how do you treat - ANSWER-restrict fluids sodium by iv/hypertonic sodium chloride diuretics DIC Disseminated intravascular coagulation what causes this? - ANSWER-trauma 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. - ANSWER-MI Have a patient who just had a heart catherization (angioplasty) and is npo but has metformin due what do you do? - ANSWER-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 - ANSWER-orthstaic hypotension teach to get up slowly s/s of inadequate steroid levels, meds keep away from infection no stress pt with stable coronary artery disease. prescribed . nitro what does nitro do. - ANSWERit 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. - ANSWER-tell the charge nurse and surgery team. iron def. anemia. what foods are high in iron - ANSWER-liver and muscle meats green leafy veg. dried fruits apricots, figs, eggs legumes 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. - ANSWER-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 - ANSWER-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 - ANSWERMI diabetes incipidus, classic symptoms - ANSWER-profound diuresis (pass lots of urine), heartrate goes up has tachycardia, weak, have as much of 3-20 L, thirst, fatigue, nocturia, hypotension, weight loss, constipation and poor skin turgor teaching about a bone marrow transplant which one needs further insturction - ANSWER-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 - ANSWERkeep 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 - ANSWER-DIC Addisons disease, adreanal crisis s/s? - ANSWER-Hypotension tachacardia nausea decreased LOC also abdominal and flank pain endocrine sysem, have the priincipa