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NUR 283 Comprehensive exam 118 correct answers.

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NUR 283 Comprehensive exam 118 correct answers. NUR 283 Comprehensive exam 118 correct answers. NUR 283 Comprehensive exam 118 correct answers. NUR 283 Comprehensive exam 118 correct answers. NUR 283 Comprehensive exam 118 correct answers. NUR 283 Comprehensive exam 118 correct answers. NUR 2...

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  • October 25, 2024
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NUR 283 Comprehensive exam 118
correct answers.
NUR 283 Comprehensive exam 118
correct answers.
DM 1 TEACHING - ANSWER-vigorous exercise when BS level is 100-250 ml /dl (5.6-
13.8 mmol)
no ketones in the urine
have a carbohydrate snack before exercising
do not exercise within an hr of insulin injection or near peak times.
examine feet daily

Hyperglyemic-hyperosmolar state manifestations - ANSWER-gradual onset
BS greater than 600mg/dl
caused by infection, poor fluid intake and altered cns function with neurologic function.

Metaboli alkalosis - ANSWER-Cause: decreased H+ independent of CO2

Compensation: respiratory and renal

Respiratory compensation:
-decreased ventilation -> increased CO2

Renal compensation
-Decreased H+ secretion
-Decreased HCO3 reabsorption
-Decreased synthesis of new bicarbonate

Crohn's disease - ANSWER-chronic inflammation of the intestinal tract
causes malabsorption of nutrients
results in low B12 Folic acid
diarrhea and steatorrhea pain below the umbilicus before and after BM
bright red blood in the stool

Teaching - Angina - ANSWER-stop activity
put sublingual nitro
call 911 if pain is not resolved by the first then take the second nitro
do not take more than 3 nitro

diveticulitis - ANSWER-provide low fiber diet
do not give laxatives or enemas
provide ATB and Analgesics

, NUR 283 Comprehensive exam 118
correct answers.
lumbar puncture - ANSWER-complications - headache ICP PHOTOPHOBIA, change in
LOC

LUMBAR PUNCTURE CONTRAINDICATIONS - ANSWER-patient with increased ICP,
bc rapid loss of CSF can cause brain herniation
infection around the pauncture site

Signs of lithium toxicity - ANSWER-confusion, ataxia, neuromuscular excitability

Signs of carbon monoxide poisoning - ANSWER-polycythemia
nausea
dizziness/seizures
headaches
confusion/memory loss
impaired consciousness/coma
cherry-red skin discoloration
cyanosis
dyspnea
CP

signs of magnesium sulfate toxicity - ANSWER-absence patellar reflexes , urine output
<30ml/hr , respirations < 12/min , decreased consciousness

Enoxaparin - ANSWER-Lovenox
Anticoagulant
give subQ
do not expel the bubble or aspirate

Alteplase (tPA) (Activase antidote - ANSWER-aminocaproic acid
administer as soon as possible

What reverses dabigatran? - ANSWER-omeprazole

expected findings in shock - ANSWER-decreased urine

signs of febrile reaction - ANSWER-chills, tachycardia, hypotension, fever, tachypnea
face flushed f

superficial partial thickness burn - ANSWER-Involves the epidermis and the upper
portion of the dermis. Involved area may be extremely painful and exhibit blisters.
Healing occurs with minimal to no scarring in 5-21 days.

PICC Line Interventions - ANSWER-Trendelenburg or supine position during insertion
and removal and instruct client to perform Valsalva maneuver t

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