NR-325 Adult Health II (NR325ADULTHEALTHII/NR325MED–SURG2EXAM2)
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Course
NR-325 Adult Health II (NR325ADULTHEALTHII/NR325M
Institution
Chamberlain College Of Nursing
NR325 / NR325 Adult Health II | Med – Surg 2 | Exam 2 (Latest 2021 / 2022) - Chamberlain-A patient is exhibiting s/s of hypothyroidism. What dx test will the nurse expect to be performed first?
Thyroid stimulating Hormone (TSH)
Why is TSH the first Dx done in order to assess for hypothyroidis...
nr 325 adult health ii nr325adulthealthiinr325med–surg2exam2
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Chamberlain College Of Nursing
NR-325 Adult Health II (NR325ADULTHEALTHII/NR325M
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NR325 / NR325 Adult Health II | Med – Surg 2 | Exam 2
(Latest ) - Chamberlain
A patient is exhibiting s/s of hypothyroidism. What dx test will the nurse expect to
be performed first?
Thyroid stimulating Hormone (TSH)
Why is TSH the first Dx done in order to assess for hypothyroidism?
b/c it is the most sensitive of the T3/T4/ TSH
TSH is most sensitive in discovering hypothyroidism
A patient with Type 1 Diabetes (T1D) calls the clinic w/ complaints of nausea,
vomiting , and diarrhea. What is most important to advise your patient to do?
Check blood glucose levels every 2-4 hours
Why should T1D's check blood glucose levels every 2-3 hours when stressed?
B/c Stressors (sickness, trauma, stress, etc) cause an INCREASE in blood glucose
levels
A patient screened for diabetes at a clinic has a fasting plasma BG level of 120
mg/dL (6.7 mmol/L). Which statement is best?
You are at an increased risk for developing diabetes
How long should a patient fast for prior to a fasting blood glucose/2-hour plasma
glucose test is taken?
8-12 hours
What is the normal value of a fasting blood glucose level?
74-106
What result of a fasting blood glucose level indicates at risk for developing
diabetes?
100-120
What are some reasons for non-normal range of fasting blood glucose levels?
Not fasting for 8-12 hours before
some medications
What is the reasoning for performing a fasting blood glucose test/ 2 hours plasma
glucose test?
Aids in the diagnosis of diabetes
,What is the normal range for a 2 hours plasma glucose test for patients ages 0-50?
< 140 mg/dL OR 7.4 mmol/L
What is the normal range for a 2 hours plasma glucose test for patients ages 50-60?
< 150 mg./dL
What is the normal range for a 2 hours plasma glucose test for patients ages >60?
< 160 mg/dL
How many grams of carbohydrates should a patient taking a 2 hour plasma test
consume prior to the exam starting?
75 grams
What are some requirements that a patient must comply with during the 2-hour
plasma test? - - no exercising during the exam
must fast after initial 75g of carbs are consumed
What are some factors in developing Type 2 diabetes (T2D)?
Overweight
- Obesity
- Advanced age
- Family history
- Certain ethnical groups
A nurse plans a class for patients who are newly diagnosed with T2D. Which goal
is most appropriate?
enable the patient to become active participants in the management of their disease
What are some s/s of thyroid storm?
Elevated Temperature
- s/s of heart failure
- s/s of Hyperthyroidism
What electrolyte imbalances are associated with diabetic ketoacidosis (DKA)?
Hyponatremia
- Hypokalemia
- Hypophosphatemia
- Hypochloremia
- Hypomagnesemia
,What are some s/s of diabetic ketoacidosis (DKA)?
Nausea
- Vomiting
- Fluid deficits
- Electrolyte imbalances
What sensations are s/s of DKA?
Thirst
What respiratory s/s are r/t DKA?
Kussmaul respirations
What type of fluid deficit s/s are r/t DKA?
Dehydration
What urinary s/s are r/t DKA?
Ketonuria
What breath odors s/s are r/t DKA?
Sweet, fruity breath odor
What type of diabetes is associated with autoimmune / genetic predisposition?
Type one diabetes (T1D)
What is the stereotypical age associated with dx of T1D?
< 40 years old
What is the main issue r/t T2D?
Problem with glucose metabolism
- problem with moving glucose in/out of cells
What is the main goal of treatment for diabetes?
Stabilize the blood glucose levels
What does stabilizing blood glucose levels cause?
a reduction in complications of diabetes
What are some nursing dx r/t diabetes?
Imbalanced nutrition
- unstable blood-glucose levels
, What the three P's s/s that are r/t diabetes?
Polydipsia
- Polyuria
- Polyphagia
What does polydipsia mean?
Excessive thirst
What does polyphagia mean?
Excessive hunger
What are some s/s of weight r/t type 1 diabetes?
Weight loss
What are some weight s/s that are r/t to T2D?
Weight gain
What type of LOC changes are r/t to diabetes?
Fatigue
What hemoglobin A1C level indicates diabetes?
6.5% or higher
What Fasting Plasma Glucose level indicates diabetes?
> 126 mg/dL
What 2-hour plasma glucose during OGTT indicates diabetes?
Greater or equal to 200 mg/dL (with glucose load of 75g)
What blood glucose level indicated hyperglycemia?
> 200mg/dL
What percentage of diabetics is type 2 diabetes (T2D)?
90-95%
How is insulin impacted with T2D?
causes insulin resistance
- Decreases insulin production
What does T2D cause on glucose levels?
increases hepatic glucose production
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