Htn and dm - Study guides, Class notes & Summaries

NRNP 6550 Final Exam Questions and Answers Latest Updated 2023/2024 (100% Graded). Urine culture with UTI Correct answer- 100.000 colonies in asymptomatic: bacteruria 10 - 10.000 colonies in symptomatic patients but also pyuria pyuria: more than 10 leukocytes elevated erythrocytes with pyelonephritis WBC in urine false positive with tumor, urethritis and poor collection technique Repeat in pregnant women Lower urinary tract UTI and upper urinary tract UTI Correct answer- bladder and uret...

Pt on heparin in hospital setting. Why start coumadin 2 days before dc? Because coumadin needs a couple days before it starts working. Angina: bc pts dev tolerance to long-acting nitroglycerine w/i 1 day. How to prevent? Pts must have 8hrs with no nitroglycerine every days. Hint: At night, remove nitro patch bc no risk of exertional angina Underlying cause of angina coronary disease, athlerosclerosis Why do we give aspirin in pts w/atherosclerosis? Aspirin is an antiplatelet.. Prevents the exist...

1-What characteristic should make the nurse practitioner suspect that a pneumonia is secondary to DRSP? Your answer is incorrect Recent airplane travel Exposure to another patient who has DRSP Adolescence Recent antibiotic exposure 2-What characteristic best distinguishes asthma from COPD? Your answer is incorrect Severity of shortness of breath Need for rescue medicine Use of steroids for exacerbations Presence of inflammation 3- A 70 year old smoker presents with righ...

NURS 5315 Advanced Pathophysiology Test 1 2023. Decreases citric acid cycle production of NADH and leads to using Acetyl-CoA for ketogenesis and lipogenesis What can Reactive Oxygen Species cause? - ANSWER Heart disease, Alzheimers, Parkinsons, Amyotrophic Lateral Sclerosis (ALS), CV disease, HTN, HLD, DM, ischemic heart disease, HF, OSA. Lipid perioxidation, damage proteins, fragment DNA, less *protein synthesis*, chromatin destruction, damage mitochondria What is the body's defense agai...

A client is scheduled for a spiral computed tomography (CT) scan with contrast to evaluate for PE. Which information in the client's history requires follow up by the nurse? Takes metformin hydrochloride for type 2 DM. A client diagnosed with MS who self-administers beta 1 a interferon, reports feeling increasingly depressed. Which action should the nurse implement? Notify the healthcare provider of the findings immediately. Before administering the initial dose of sumatriptan succinat...

1. Vaccinations and immunosuppression. 2 keypoints: - give inactive agents instead of live agents - might not work as effectively 2. live virus vaccine types: Virus: - measles - mumps - polio (oral) - rubella - varicella - yellow fever - herpes zoster Bacteria: - typhoid 3. inactive vaccine virus: Virus: - Hep A and B - HPV - influenza - polio (subq) - rabies Bacteria: - anthrax - cholera - diphteria - Lyme - meningococcus - pertussis - plague - pneumococcus - tetanus 4...

What are the medical treatments for hot flashes? Correct Answer -Estrogen- principal treatment -progestins- can be used if contraindicated for estrogen BUT increased RISK for BREAST CA - Clonidine- centrally acting alpha agonist - SSRI and SNRI -Gabapentin- decrease HF b 50-80% what factors lower the menopause date? Correct Answer smoking, nulliparity, menstrual regularity and shorter cycle length, family hx of early menopause, increased galactose intake, type 1 DM, What defines menopa...

Definition of cardiogenic shock - evidence of tissue hypoxia d/t decreased CO in the presence of adequate intravascular volume Causes of cardiogenic shock - MI, cardiomyopathy, myocardial contusion, valvular incompetence, stenosis, arrhythmias What are S/S of cardiogenic shock? - Cold/clammy, S3 gallop, crackles, +JVP, displaced PMI, pulmonary edema, increased preload (pwcp/cvp) Is SVR high or low in cardiogenic shock? - High Is CO high or low in cardiogenic shock? - L...

What is the preferred HTN drug for patients with diabetes? (Ans- ACEI, ARBS CCB and diuretics in low doses. What kind of HTN drug for diabetic neuropathy? (Ans- ACEI and ARBs can slow the progression of renal damage and reduce albuminuria. HTN and DM warnings (Ans- B blockers can supress glycogenolysis and mask early signs of hypoglycemia and use with caution. Thiazides and loop diuretics promote hyperglycemia and use with care. Why not use CCB rather than ACEI? (Ans- CCB increa...

AANP Board 146 Questions with Answers INR values below ____ increase stroke risk sixfold. - CORRECT ANSWER 2 What allergy contradicts the use of thiazide diuretics? - CORRECT ANSWER Sulfa Why should ACE-Is be avoided with renal stenosis? - CORRECT ANSWER Leads to ARF Adverse effects of aldosterone antagonists (Aldactone) - CORRECT ANSWER Galactorrhea and hyperkalemia What are beta blocker indications? - CORRECT ANSWER HTN, post-MI< angina, arrhythmias, migraine prophylaxis,...