EXAM1, SPRING07, DIABETES, Dee
Terms
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Degree of glucose intolerance at the onset of pregnancy occurs in:
a) 5% of all pregnancies
b) 7% of all pregnancies
c) 10% of all pregnancies
d) 15% of all pregnancies - 7% of all pregnancies
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Risk factors for gestational Diabetes are all of the following EXCEPT:
a) Markedly obese
b) Prior history of GDM
c) Glycosuria
d) Stong family history of DM - All are risk factors
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Many women w/GDM progress over time to:
a) DKA
b) Type I
c) Type II - Type I & Type II
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Metabolic Changes in Pregnancy that in crease risk for DM are:
a) changes in carbohydrate, protein, & fat metabolism
b) Increase in estrogen from beta cells
c) Increase in progesterone secretions from beta cells -
Metabolic Changes in Pregnancy that in crease risk for DM are:
a) changes in carbohydrate, protein, & fat metabolism
b) Increase in estrogen from beta cells
c) Increase in progesterone secretions from beta cells -
In the 1st trimester:
a) need for insulin inreases
b) need for insulin decreases - the need for insulin is decreased in the 1st trimester
-
N & V causes dietary changes increasing the incidence of:
a) hypoglycemia
b) macrovascular complications
c) microvascular complications
d) edema -
N & V causes dietary changes that increase the incidence of:
a) hypoglycemia -
In the 2nd trimester:
a) need for insulin increases
b) need for insulin decreased - need for insulin increases
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By the end of pregnancy, insulin needs in women w/gestational diabetes may:
a) increase
b) decrease
c) double
d) quadruple - double or quadruple
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The increased energy needed for labor may require:
a) decreased insulin to increase glucose
b) increase insulin to decrease glucose
c) increase insulin to balance IV glucose
d) decrease insulin to increase glyc - increase insulin to balance IV glucose
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Maternal Complications with diabetes are:
a) pregnancy induced hypertension (PIH)
b) preeclampsia
c) polyhydramnios (Excess of amniotic fluid)
d) Cesarean section
e) Increased risk for developing DM in subsequent pregnancie - ALL are Maternal Complications
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Fetal complications in gestational diabetes, most often those involving:
a) cardiovascular
b) central nervousnes system
c) skeletal systems
d) respiratory distress
e) stillbirth - ALL are risk to the fetus in gestational diabetes
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Fetal exposure to ___________ in the 3rd trimester is associated w/ respiratory distress syndrome & _________ stillbirth?
a) hypoglycemia & still birth
b) hyperglycemia & stillbirth - hyperglycemia & stillbirth
- A child exposed to fetal hyperglycemia is at risk for developing: ______, ______, _____, & ______ in childhood.
- obesity, impaired glucose tolerance, and diabetes
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With gestational diabetes, the primary goals in maternal care is:
a) achieve & maintain normal maternal glucose levels
b) prompt identification & management of complications associated w/diabetes & pregnancy - Both are correct
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For the RN caring for a mother with diabetes, assessment includes:
a) History
b) Three “P’sâ€
c) Abdominal assessment (uterine size)
d) fetal well being, size & activity
e) ultrasound to det - All are Correct
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Teaching women w/gestational diabetes about diet includes:
a) 10-20% from complex carbohydrates distributed throughout day in 3 main meals w/2 to 4 snacks.
b) a) 20-30% from complex carbohydrates distributed throughout day in 3 main - 50-60% from complex carbohydrates distributed throughout day in 3 main meals w/2 to 4 snacks.
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Teaching women w/gestational diabetes about diet includes:
a) less than 1/2 of meal should be complex carbs
b) no more than 1/4 of meal should be complex carbs
c) approximtely 1/3 of meal should be complex carbs
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approximately 2/3 of meal should be complex carbs
(50 - 60%) -
Teaching women w/gestational diabetes about diet includes:
a) 2/3 of meal should be protein (+ 60%)
b) 50-60% carbs, 12-20% proteins, 20-30% fat
c) 2/3 plate carbs, 1/3 plate proteins, 1/3 plate fats
d) approx -
50-60% carbs, 12-20% proteins, 20-30% fat
RULE OF THUMB:
2/3 carbs, 1/3 proteins, 1/3 fats -
Teaching women w/gestational diabetes about diet includes:
a) 50 - 60% of daily diet is complex carbs w/ 2-4 snacks a day & bedtime snack
b) 50 - 60% of daily diet is complex carbs w/ 1-3 snacks a day & bedtime snack - 50 - 60% of daily diet is complex carbs w/ 2-4 snacks a day & bedtime snack
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The RN instructs pregnant women with gestational diabetes to:
a) have bedtime snack to prevent episode of hyperglycemia
b) have bedtime snack to prevent episodes of hypglycemia - have bedtime snack to prevent episode of hyperglycemia
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The RN advices pregnant women with gestational diabetes to:
a) check blood glucose 1-2 times daily
b) check blood glucose 2-4 times daily
c) check blood glucose 4-6 times daily - check blood glucose 4-6 times daily
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The RN advices pregnant women with gestational diabetes to:
a) check glucose 2hrs after meals
b) check glucose 2hrs before meals
c) check glucose before bedtime
d) check glucose before breakfast -
check glucose 2hrs before meals
check glucose before bedtime
check glucose before breakfast -
Which insulin is not recommeded in pregnancy:
a) NPH
b) Lantus - Lantus
- Performing 15-20 minutes of armchair exercises daily can help pregnant woman reduce ________ hyperglycemia w/out increasing the risk of?
- inducing uterine contraction
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After delivery, the RN should observe the diabetic mother for:
__________
__________
__________
__________ -
hypoglycemia
infection
hemorrhage
BP changes -
Patients with gestational diabetes:
a) may require increased insulin in the 1st 24 hrs
b) may require no insulin for the first 24 hours
c) may require decreased insulin in the 1st 24 hrs - may require no insulin for the first 24 hours or decreased to 1/4 to 1/2 insulin in 1st 24 hrs
- Composition of breast milk or is not altered by diabetes?
- Composition of breast milk is NOT altered by diabetes
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Three groups of children who should be considered for possible DM are?
a) children w/glycosuria, polyuria
b) weight loss/failure to thrive
c) manifestations of metabolic acidosis - all are correct
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Diagnosis of Type I Diabetes in children & adolescents is based on:
a) Serum Glucose levels: Fasting >70mg/dL/Random > 120 mg/dL
b) Serum Glucose levels: Fasting >126mg/dL/Random > 200 mg/dL - Serum Glucose levels: Fasting >126mg/dL/Random > 200 mg/dL
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Clinical Manifestations of Type I diabetes are:
a) Polyphagia, polyuria, polydipsia
b) Wt. Loss & enuresis
c) Irritability
d) Short Attention Span
e) Fatigue, Hypoglycemia
f) Dry skin, Poor wound healing
g) H - All are correct
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Fill in the blanks to complete NDX for patient’s with Diabetes Mellitus
a) Risk for ______ related to hyperglycemia
b) Risk for injury r/t to ________ of needed _______
c) Altered _________ less than or more than body r -
a) injury
b) deficit/glucose
c) nutrition -
Fill in the blanks to complete NDX for patient’s with Diabetes Mellitus
a) Risk for injury related to ____________
b) Altered health maintenance related to _________ deficit of proper ________ intake or proper insulin dosage or pr -
a) hyperglycemia
b) knowledge/dietary -
Fill in the blanks when it comes to nursing care of patients w/diabetes:
a) education of patient & _________
b) Meal ________
c) _________ blood glucose
d) Insulin ____________ -
a) parents
b) planning
c) monitoring
d) administration -
Fill in the blanks when it comes to nursing care of patients w/diabetes:
a) Family ____________
b) ___________ considerations
c) diet & _________ -
a) support
b) developmental
c) exercise -
Antepartal assessment of fetal well-being includes:
a) Non- _______ test
b) __________ for fetal maturity -
a) stress
b) Amniocentesis -
Things to consider with diabetic pregnancy are:
(1)______of fetal well-being, (2)daily _______, (3)______ signs, (4) ______ height, (5) _______ support.
b) -
1 - assessment
2 - weight
3 - vital
4 - fundal
5 - emotional -
After delivery, the RN should:
1) Observe for ____________ , infection, hemorrhage, BP changes
2) Monitor _________
3) Monitor blood ________
4) Encourage ___________ -
1) hypoglycemia
2) healing
3) glucose
4) breastfeeding - What are the 3 "P's" ?
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Polyphagia
Polyuria
Polydipsia -
Three groups of children who should be considered for possible DM:
1) Children w/glycosuria & _____
2) Weight _____/failure to _____
3) Manifestations of ________ acidosis -
1) polyuria
2) loss/thrive
3) metabolic - Women who don’t have contraindicating medical or ________ complications should be encouraged to participate in ________ programs approved for _________.
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obstetrical
exercise
pregnancy - Performing 15-20 minutes of ________ exercises daily can _____ a pregnant woman reduce __________ without increasing the risk of inducing uterine _________.
-
armchair
help
hyperglycemia
contraction - With Type I Diabetes it is recommended that a woman eats 50 - 60% complex ______ distributed throughout the day in ___ main meals, have ___ to ___ snacks & one _____ night.
-
carbs
3
2 - 4
snack -
In caring for a patient with Gestation Diabetes, the primary goal of the RN is:
Achieve & maintain normal maternal __________ levels & promptly identify & ________ complications associated w/ ________ & pregnancy -
glucose
manage
diabetes - Hyperglycemia exposure in the _____ trimester is associated with ________ distress syndrome & stillbirth, as well as a risk of ________, impaired glucose tolerance, & diabetes in childhood
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third
respiratory
obesity - Fetuses exposed to __________ in the first trimester are at increased risk for ________ abortion & congenital anomalies, most often those involving the ______, central ________ system, & ________ systems
-
hyperglycemia
spontaneous
cardiovascular
nervous
skeletal - With gestational diabetes the developing fetus ________ glucose and _____ _____ from mom’s circulation
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removes
amino acids - Glucose and amino acids are readily transported across the _______. _______ is not.
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placenta
Insulin - Maternal hyperglycemia leads to fetal beta cells _________ and fetal _________.
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hyperplasia
hyperinsulimia - Increased _______ needed for labor may _______ the need for insulin to balance IV _______.
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energy
increase
glucose - After birth there may be an abrupt _______ in insulin requirement after passage of the _________.
-
decrease
placenta - In the 1st trimester the need for ________ is decreased.
- insulin
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Metabolic Changes in Pregnancy
include changes in ____________ , protein, and fat metabolism - carbohydrate
-
Metabolic Changes in Pregnancy
include a _______ in estrogen and ___________ secretions from beta cells causing Hyperplasia and hyperinsulinimia -
increase
progesterone - Many women with GDM progress over time to ________ or type II DM
- type I
- The goal of Insulin Therapy is to mimic the pattern of normal _________ ________
- insulin secretions
- The goal of Insulin Therapy is to mimic the pattern of normal insulin secretions, therefore, _______ _______ is essential
- Accurate monitoring
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There are 4 types of insulin which are based on:
1- ________
2- ________
3- ________
4- ________ -
ONSET
how soon the insulin starts working
PEAK TIME
when it works the hardest
DURATION
how long it will last in the body - Short-acting Insulin has an onset of _____min after injection & peaks in ______hrs
-
Short acting Insulin, regular,(Humulin R)
Onset: 30 minutes/Peak 2-3hrs - Short-acting Insulin has a duration of _____hrs
- Short acting insulin, regular,(Humulin R) has a duration of 4-6 hrs
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Humulin R is a:
a) short acting insulin
b) intermediate acting insulin
c) long-acting insulin - short acting insulin
- Intermediate acting insulin has an onset of ____hrs & peaks in _____hrs
-
Onset: 2 hours
Peak: 6-8 hours - Intermediate Insulin has a duration of _______hrs
- duration: 12-16 hours
- NPH, Lente, Humulin L or N, are all what type of insulins?
- intermediate
- Long-acting Insulins have an onset of _____hrs & peak in _____hrs
-
Onset: 2 hours
Peak: 10-16 hours - Long-acting Insulins have a duration of ______hrs
- Duration: 20-24 hours
- Ultralente, Humulin U is what type of Insulin?
- Long acting
- Combination Insulin therapy is regular insulin plus a ________ ________ insulin
- Regular plus longer acting insulin
- Combination Insulin therapy provides meal time and _____ _____ coverage
- base line
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Name 3 delivery methods of Insulin:
1-
2-
3- -
SC
Insulin pens
Insulin pumps
Nasal spray - Hyperatophy or atrophy of SC tissue at injection site is called?
- Lipodystrophy
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Problems that occur with administration of insulin include ________ or atrophy of SC tissue at injection site & ____ insulin absorption
which are commonly associated w/_____ or _____beef or pork insulin in addition to allergic reaction, Somogyi -
Lipodystrophy -
hyperatophy or atrophy of SC tissue at injection site
Erratic insulin absorption
Commonly associated with beef or pork insulin, rarely Humulin insulin - Two types of an Allergic reaction with insulin are local reaction & ______ ______ reaction
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Local reaction
True insulin reaction - Symptoms of a local reaction are 1)______ 2)______ 3)_____ which are self limiting, resolving in ___-___ months
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Local reactions are:
Erythema
Itching
Burning around injection site
(Self-limiting/Resolving in 1-3 months) - Symptoms of a True insulin reaction are Urticaria, possible ___________ shock & usually caused by _______ insulin
- Symptoms of a True insulin reaction are Systemic responses such as Urticaria & Possible anaphylactic shock usually caused by Animal insulin
- Periods of hypoglycemia followed by hyperglycemia (Glucose drops below normal during the night) is a result of too much ____. A condition known as _______ _______.
-
Somogyi Effect is wide differences in early morning(low) and fasting (high) glucose levels (periods of hypoglycemia followed by hyperglycemia) as a result of too much Insulin.
Glucose drops below normal during the night
Too much insulin - Dawn Phenomenon is hyp______glycemia in the early AM caused by the release of _______ hormone.
- Dawn Phenomenon is Hyperglycemia early AM caused by the release of growth hormone
- The release of growth hormone influences _________.
- insulin
-
Oral Insulin Medications are:
_______lureas
___litinides
___guanide
______lidinediones
Alpha-_______idase inhibitors -
Oral Insulin Medications are:
Sulfonylureas
Meglitinides
Biguanide
Thiazolidinediones
Alpha-glucosidase inhibitors - Sulfonylureas is a oral medication for diabetes that stimulates the ______ to ______ insulin
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pancrease
stimulate - Monitor Sulfonylureas for ___________ for which S&S are dizziness, weakness, sweating, pale skin, & vision problems.
- hypoglycemia
- Diabinese, Tolinase, Gluctrol, Glybride are oral medications classified as _______ylureas.
- Sulfonylureas
-
Meglitinides (Prandin) ________ the pancrease to secrete _______. rapid and short-lived
Prandin
Watch for signs of hypoglycemia -
stimulate
insulin -
Meglitinides such as Prandin are _______ & short-lived oral diabetic medications & the RN should watch for signs of ____________ in the patient
Prandin
Watch for signs of hypoglycemia -
rapid
hypoglycemia - Biguanides, an oral diabetic medication such as __________ Glucophage, helps the body use ________ better & _______ decreases the rate of hepatic ________ production
-
Glucophage
insulin
glucose - The RN instructs the patient to take Glucophage ____ ____ if this med causes diarrhea & to notify HCP of _____ pain, fast _____, or unusual _____.
-
with food
muscle
breathing
sleepiness - Thiazolidinediones, an oral diabetic medication such as Rezulin, helps the body use _________ better & decreases peripheral insulin __________ in _________ muscle without stimulating insulin secretion.
-
insulin
resistance
skeletal - Thiazolidinediones, an oral diabetic medication such as Rezulin, helps the body ____ _________ better.
- use insulin
- Thiazolidinediones, an oral diabetic medication such as Rezulin, helps the body use insulin better & the RN will instruct the patient to notify HCP if experiencing __&__, abdominal pain, _____ of appetite, fatigue, _____-_____ urine (liver proble
-
N & V
loss
dark-colored
feet or ankles - Alpha-glucosidase inhibitors, oral dibetic medications such as Precose & Glyset, help the body _____ the rise of blood glucose ______ eating by slowing or blocking the breakdown of certain sugars & starches.
-
slow
after - Alpha-glucosidase inhibitors, oral diabetic medications such as Precose & Glyset, help the body slow the rise of blood glucose after eating by slowing or blocking the breakdown of certain _____ & _____. The RN advises the patient this drug may ca
-
sugars & starches
diarrhea and gas - Alpha-glucosidase inhibitors, oral anti diabetic medication such as Precose & Glyset, slows the breakdown of _________ & _______ in small intestines & may cause _______ & gas.
-
disaccharides & polysaccharides
diarrhea - Things to consider w/oral antidiabetic meds are some meds may directly interact w/ sulfonylurease by potentiating a ________ &/or ________ effect .
- hypoglycemic &/or hyperglycemic effect
- Oral antidiabetic meds may be contraindicated in patients with ______ ______.
- renal failure
- Oral antidiabetic meds may be not be effective & the patient may have to go on _______ during stressful events.
- injections
- Oral agents are a part of the triangle of care consisting of ______, ______, & _______.
- medicine, diet and exercise
- Diabetic Ketoacidosis, DKA, is a diabetic _____ that develops _______or over several days & more common in Type ___ diabetes than in Type ___ diabetes.
-
coma
quickly
More common in Type 1 - Diabetic Ketoacidosis, DKA, a diabetic coma, develops quickly or over several days, more common in Type 1 & occurs as a result of _______ treatment of existing diabetes such as not taking ______ __ ______, a change in _____ & _____ when demand fo
-
inadequate
insulin as prescribed
diet or exercise - Causes of Diabetic Ketoacidosis is too ______ insulin with increase in ________ calorie intake, physical or emotional ______, & ____________ diabetes.
-
little
calorie
stress
Undiagnosed - With a insufficient _______ supply glucose cannot be used by the cells for energy & stays in the blood resulting in elevated _____ ______ so the body converts stored ____ & _____ for energy producing ketones. Excessive ketones alters __ leading t
-
insulin
blood sugar
fats & proteins
pH - Clinical Manifestations of Diabetic Ketoacidosis is ___ mouth, thirst, _______ pain, N & V, confusion, lethargy, ___ skin, rapid weak _____, labored breathing, fever, polyuria, _____ breath, serum glucose greater >than _____, glucosuria & keto
-
dry
abdominal
dry
pulse
fruity
300 mg/dL -
Four treatment goals for Diabetic Ketoacidosis are
1._________
2._________
3._________
4._________ -
Dehydration
Electrolyte loss
Acidosis
Prevention - Initial Nursing Treatment for a patient w/Diabetic Ketoacidosis is to insure ______, supply _____, using a ___-______ mask or cannula, obtain an _____access w/a large bore _______ using NS at 1L/hour until _______ output is 60 mL/hr & set IV insulin
-
Airway
02
Non-rebreather
IV
catheter
urinary - Initial Nursing Treatment for a patient w/Diabetic Ketoacidosis includes identifying vital history such as time of last _____ & time & amount of last _______ _________
-
food
insulin injection -
Ongoing nursing management of Diabetic Ketoacidosis includes ongoing monitoring of the patients:
____ signs, LOC, ______ rhythm, ___ Saturation, _____ output, ________ sounds, ______ overload, crackles. -
vital
Cardiac
02
urinary
breath
fluid - After initial interventions for patients with diabetic ketoacidosis the RN should monitor serum _______ & serum _______ & anticipate possible administration of ______ _______ for severe acidosis. (ph<7.0)
-
glucose
potassium
sodium bicarb - Hyperglycemia Hyperosmolar Nonketotic syndrome is similar to DKA & occurs primarily in ______ diabetics.
- Type II
-
With Hyperglycemia Hyperosmolar Nonketotic syndrome _____ breakdown (Lipolysis) does not occur.
Frequently seen in the elderly
Usually traced to some precipitating event - fat
-
In Hyperglycemia Hyperosmolar Nonketotic syndrome, the breakdown of fat(Lipolysis) does not occur and is seen most frequently in the ________
Usually traced to some precipitating event - elderly
- In Hyperglycemia Hyperosmolar Nonketotic syndrome, the breakdown of fat(Lipolysis) does not occur, is seen most frequently in the elderly & is usually traced to a _________ _____.
- precipitating event
- Clinical Manifestations of Hyperglycemia Hyperosmolar Nonketotic syndrome are _______tension, Hypotension, profound ________dehydration, tachycardia, variable neurologic signs, a history of inadequate _______ intake, increasing ________ & poly___.
-
Hypotension
dehydration
fluid
depression
polyuria - HHNK constitutes a ____________ ____________.
- medical emergency
- Initial HHNK Nursing Management is to administer ______ acting insulin (regular), administer IV fluids of _____L in 1st __-__ hrs depending on degree of ____________ & 0.9% or 0.45% ________ chloride, _________ replacement, & assessment of ______
-
rapid
6-20 Liters
24-48 hours
dehydration
Sodium
electrolyte
mental - In addition to Initial HHNK Nursing Management which includes administering rapid acting insulin, IV fluids of 6-20L in 1st 24-48 hrs depending on degree of dehydration & 0.9% or 0.45% sodium chloride, electrolyte replacement, & assesses the pati
-
blood glucose
ketones - Management of DKA and HHNK are similar except HHNK needs a greater _________ replacement.
- fluid
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NCLEX
Hypovolemic shock is best characterized by which of the following:
a) rapaid vasodilation and subsequent pooling of blood within the peripheral vessels
b) occurs when pump failure causes inadequate tissue perfusion
< - Hypovolemic shock occurs when there is a loss of fluid resulting in inadequate tissue perfusion
-
NCLEX
Identify initial hypovolemic shock:
a) He appears restless and lethargic. His skin is cool, moist, and cyanotic. His respirations are labored & you can hear fine crackles. His blood pressure is low, pulse rapid, and arrhythmia i - c) He presents as alert & oriented, he is a little pale, hands and feet are cool to the touch, and he is thirsty. His respirations are within normal, capillary refill is decreased, and his blood pressure has decreased slightly. His pulse may be a little increased from baseline but other than that he seems stable.
-
NCLEX
Planning & implementation for patients experiencing shock are all of the following except:
a) keep client warm and place in supine position
b) monitor hemodynamic status and vital signs
c) allay patients an - All of these are correct nursing interventions!
-
Lewis p.1796
Relative hypovolemia is characterized by which two (2)of the following:
a) loss of whole blood such as from a hemmorhage from trauma, surgery, GI bleeding
b) masive vasodilation
c) loss of body fluids th -
b) masive vasodilation
d) pooling of blood or fluids as seen in acites, peritonitis, and bowel obstruction -
Lewis p.1796
Absolute hypovolemia is characterized by which two (2)of the following:
a) loss of whole blood such as from a hemmorhage from trauma, surgery, GI bleeding
b) masive vasodilation
c) loss of body fluids th -
a) loss of whole blood such as from a hemmorhage from trauma, surgery, GI bleeding
c) loss of body fluids through vomiting, diarrhea, diuresis, diaphoresis, diabetes insipidus or mellitus, loss of plasma as seen with burns -
NCLEX
Identify cardiogenic shock:
a) He appears restless and lethargic. His skin is cool, moist, and cyanotic. His respirations are labored & you can hear fine crackles. His blood pressure is low, pulse rapid, and arrhythmia is detect -
a) He appears restless and lethargic. His skin is cool, moist, and cyanotic. His respirations are labored & you can hear fine crackles. His blood pressure is low, pulse rapid, and arrhythmia is detected.
other ans:
b) early septic shock
c) initial hypovolemic shock
d) anaphylactic shock
e) neurogenic shock -
A patient who is experiencing a sudden onset of chest pain, hypotension, swelling of the lips and tongue, wheezing, and stidor, with flushing, pruritis, uticaria, angiodema and feel a sense of impending doom is characteristic of:
a) hypovolemi - anaphylactic shock
-
NCLEX
Identify early septic shock:
a) He appears restless and lethargic. His skin is cool, moist, and cyanotic. His respirations are labored & you can hear fine crackles. His blood pressure is low, pulse rapid, and arrhythmia is detec - b)She complains of fever, chills, weakness, N & V with diarrhea. She is alert and oriented, flushed, and warm to the touch. Her blood pressure is pretty normal but could be progressing towards hypotension, and her pulse is rapid. She is breathing fast and deep.
-
NCLEX
Identify neurogenic shock:
a) He appears restless and lethargic. His skin is cool, moist, and cyanotic. His respirations are labored & you can hear fine crackles. His blood pressure is low, pulse rapid, and arrhythmia is detecte - e) She is restless and lethargic. She did feel warm to the touch at first but has become a little cooler. Her body temperature is decreased and her blood pressure is low. Her respirations vary and her pulse is slow and bounding.
-
NCLEX
Identify anaphylactic shock:
a) He appears restless and lethargic. His skin is cool, moist, and cyanotic. His respirations are labored & you can hear fine crackles. His blood pressure is low, pulse rapid, and arrhythmia is detec - d) She is restless and lethargic. She appears swollen around the lips & eyes, her skin is warm to the touch and she is itching. She is wheezing, her blood pressure is low, and her pulse is irregular and increasing. She has vomited, is experiencing diarrhea, and complains of abdominal cramps
-
Anemia is a deficiency in the number of ___, the quantity of ___, &/or the volume of ___:
1. _____
2. _____
3. _____ -
1.erythrocytes (RBC's)
2.hemoglobin
3. packed RBC's (hematocrit) - Erythrocyte disorders can lead to tissue?
-
hypoxia
RBC's transport 02 -
The normal hemoglobin (Hgb)range for females is:
a) 8-16g/dl
b) 10-16g/dl
c) 12-16g/dl
d) 14-16g/dl - c) 12-16g/dl
-
The normal reduced volume of packed RBC's (Hct) for females:
a) 37-47%
b) 37-57%
c) 37-67% - a) 37-47%
-
The normal range for hemoglobin in males is:
a) 13.5 - 15.5g/dl
b) 13.5 - 16.5g/dl
c) 13.5 - 17.5g/dl
d) 13.5 - 18.5g/dl - c) 13.5 - 17.5g/dl
-
The normal range of packed RBC's (Hct) in males is:
a) 40-44%
b) 40-54%
c) 40-64% - b) 40-54%
-
Morphologic classification is based on descriptive, objective laboratory information about:
a) the number of erythrocytes
b) the quantity of hemoglobin
c) erythrocyte size & color
d) etiology - c) erythrocyte size & color
-
The most accurate means of classifying anemia is:
a) etip;ogy
b) morphology -
b) morphology
morphology = cellular characteristics
etiology = underlying cause -
A female patient with an Hct of 36.5 & Hgb of 11.2 is:
a) within normal range
b) anemic -
b) anemic
Normal Hct/females = 37-47%
Normal Hgb/females = 12-16g/dl -
A male patient with an Hct of 42 & Hgb of 16.5 is:
a) within normal range
b) anemic -
a) within normal range
Norm Hct/males= 40-54%
Norm Hgb/males= 13.5-17.5g/dl