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NUFT 341 MED-SURG FINAL TEST QUESTIONS WITH ALL CORRECT ANSWERS GRADED A+ $13.39   Add to cart

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NUFT 341 MED-SURG FINAL TEST QUESTIONS WITH ALL CORRECT ANSWERS GRADED A+

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NUFT 341 MED-SURG FINAL TEST QUESTIONS WITH ALL CORRECT ANSWERS GRADED A+ Hyperosmolar hyperglycemia syndrome (HHS) - Answer-- Life threatening - Type 2 - Able to make enough insulin to prevent DKA, but still have severe hyperglycemia, osmotic diuresis, and ECF depletion - Impaired thirst and/o...

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  • October 25, 2024
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  • 2024/2025
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  • nuft 341 med surg
  • NUFT 341 MED-SURG
  • NUFT 341 MED-SURG
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NUFT 341 MED-SURG FINAL TEST
QUESTIONS WITH ALL CORRECT
ANSWERS GRADED A+
Hyperosmolar hyperglycemia syndrome (HHS) - Answer-- Life threatening
- Type 2
- Able to make enough insulin to prevent DKA, but still have severe hyperglycemia,
osmotic diuresis, and ECF depletion
- Impaired thirst and/or inability to replace fluids
- Fewer early symptoms lead to high BG (> 600)
- Ketones absent or minimal in blood and urine

Signs/symptoms:

- Dehydration
- Lethargy and weakness
- Tachycardia
- Fever, flushed skin
- Confusion
- Abdominal pain, anorexia

- Same nursing action as DKA

Hypoglycemia - Answer-- Hunger
- Sweating
- Insomnia at night/Sleepiness in day
- Shakiness
- Headache
- Confusion

Hypoglycemia actions - Answer-If alert:

- Eat or drink 15 g rapid carbs
- After 15 minutes, check glucose
- If < 70 mg/dL, eat or drink another 15 g
- If stable and meal more than 1 hr away, give carb and protein (sandwich)
- If low BG after 2-3 reads, call provider

If not alert:

- Push IV dextrose (can swallow)

, - Glucagon (if can't swallow)

Hyperglycemia - Answer-- Extreme thirst (polydipsia)
- Sleepiness
- Dry skin
- Hunger (polyphagia)
- Slow-healing wounds
- Frequent urination (polyuria)
- Blurry vision

Thyroid - Answer-

Hyperthyroidism - Answer-- Increased metabolism
- Increased tissue sensitivity
- Low TSH levels
- High T3 and T4 levels

Manifestations:

- Lid lag
- Exophthalmos (eyes pushed outward)
- Heat intolerance
- Rapid speech
- Goiter
- Weight loss
- Tachycardia

Action:

- High calorie diet
- Antithyroid

Hypothyroidism - Answer-- Slowing metabolic rate
- Iodine deficiency
- Low T3 and T4
- TSH increases w/ primary and decreases w/ secondary
- High cholesterol, high triglycerides, low RBCs

Signs/symptoms:

- Tired
- Goiter
- Lethargic
- Weight gain
- Cold intolerance
- Impaired memory

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