NR 325 Exam 1 Q&A with Study Notes

NR 325 Exam 1 Q&A with Study Notes TOP 3 Topics 1. Diabetes 2. Cancer (benign, malignant, external radiation, chemo tx) 3. End of life (Pain, Hospice, Advance directives) Hyperthyroidism graves Hypothyroidism Cushing’s disease Corticosteroid therapy SIADH Maneras Eye assessment Addison’s Cataracts Accommodation Glaucoma Vertigo Presbyopia Presbycusis Hearing assessment Jeopardy Game 1. Discuss nursing considerations for metformin (Glucophage)? a. Do not use if kidney, liver disease or HF. D/C if 1-2 days before contrast. Check BUN (norm 6-20), creatinin (0.6-1.3) if higher it means kidney damage. 2. What is the goal fasting blood glucose and hbg AIC? a. Less than 126 3. A low platelet count is called a. Thrombocytopenia 4. Normal platelet level is a. 150-400 or 150k-400k 5. A low platelet level puts PT as risk for a. Bleeding 6. Normal hbg is a. 11.7-15.5 for women 7. Name ototoxic drugs: at least 3 a. NSAIDS ,ASA, aminoglycosides, vancomycin, loop diuretics, corticosteroids 8. Explain hospice a. Has to have 6 months or less to live, lets go of treatment, PT doesn’t want it, holistic approach, It relieves symptoms, not kill the PT. 9. What instructions should you provide a sick PT at home with diabetes? a. Check every 4 hours, Call MD if levels consistently rise. 10. What is the tx for DKA? What is first? a. Fluids and insulin. Give IV fluids first bc of dehydration. 11. Discuss important post op assessments after a thyroidectomy. a. Hypothyroidsm, hypokalemia, (chovstek and trousseau, mm twitching tingling, stridor), Hemmorrhage ( assesss swallowing nech swelling dressing and breathing) injusry to laryngeal nerve, Airway obstruction is an emergency, Call MD, Have o2, suction and trach at bedside, semi fowlers, no neck flesion 12. Name 4 differences between benign and malignant neoplasms. a. Benign- IS encapsulated b. Malignant – poorly differentiated, benig ON A TABLE IN CH 13. Describe teaching for presbycusis, Presbycusis can cause sensorineural heating loss- inability to understand speech, pt can heat jigh pitched shouds are hard to hear. a. Maintain eye contact, avoid distracting