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NUR 155 Final Exam - Questions & Correct Answers
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NUR 155 Final Exam - Questions & Correct Answers
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NUR 155 Final Exam - Questions & Correct AnswersS/Sx of cataracts ✔️Ans - -decrease in vision
-abnormal color perception
-glare (may be worse at night)
Cataract Diagnosis ✔️Ans - ophthalmoscopic or slit lamp microscopic
exam
surgical therapy for cataract ✔️Ans - removal of cataract,
phacoemulsification, intraocular lens implantation
cataract post op ✔️Ans - -use of antibiotic and corticosteriod drops
-nighttime shielding
-avoid activies that increase IOP (bending, coughing)
-may experience scratchiness or blurriness
s/sx of retinopathy ✔️Ans - retinal swelling, hard exudates
*can lead to blurred vision and progressive loss of vision
emergent treatment of hyperglycemia ✔️Ans - IV regular insulin
normal blood glucose ✔️Ans - 70-110
s/sx of diabetes ✔️Ans - polyuria
polydipsia
polyphagia
hyperglycemia ✔️Ans - >200 mg/dl
hypoglycemia ✔️Ans - <60 mg/dl
When is rapid acting insulin given? ✔️Ans - 15 minutes before eating
rapid acting insulin ✔️Ans - Lispro, Aspart, Glulisine
, What can happen if you inject insulin in a site that will be exercised?
✔️Ans - Increase body heat and circulation; increases rate of absorption
and can speed the onset of action = hypoglycemia
Hyperglycemia in the morning ✔️Ans - Somogyi effect
Long acting insulin (basal) ✔️Ans - Glargine (lantus), Levemir
When should you a diabetes (type 2) patient delay exercise? ✔️Ans - if
blood glucose is less or equal to 100 after eating a 15-g carb snack
Purpose of IV fluid replacement? ✔️Ans - -replenish water & electroytes
-move fluids between compartments
-nourish the cells
Isotonic fluids ✔️Ans - 0.9 & NS, Lactated Ringers, D5W
What is LR mostly used for? ✔️Ans - dehydration, hypovolemia, burns
*do not give if patient has liver disease
What is 0.9% NaCl given for? ✔️Ans - metabolic alklosis, blood
transfusions, hyponatremia, DKA
D5W ✔️Ans - Istonic while in bag, becomes hypotonic when
metabolized
When would you give a patient sodium bicarb? ✔️Ans - if they are at
risk of acidosis or has acidosis
What kind of imbalance would a patient with an NGT to suction have?
✔️Ans - metabolic alkalosis
Indicators of hypocalcemia & hypomagnesmia ✔️Ans - -chvostek's sign
-positive trousseau's
s/sx of detached retina ✔️Ans - -photopsia
-"floaters"
-"Spider webs"
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