NUR 275 Final Exam/73 Accurate
Questions with Answers
What is the normal pH of blood? - 7.35-7.45
-What is the normal PaCO2 level? - 35-45
-What is the normal HCO3 (bicarbonate) level? - 22-26
-What acid-base imbalance would a client experiencing an asthma attack be
at risk for? - Respiratory Acidosis
-What types of triggers can cause HHS or DKA? - Trauma, Injury, or Infection
-Define Green peak flow zone. - 80-100% of clients personal best
-Define Yellow peak flow zone. - 50-79% of the clients personal best
-Define Red peak flow zone. - Below 50% of clients personal best
-What is the purpose of a spacer with an MDI? - To increase dosage
administered for a better therapeutic effect
-What long-term asthma medication puts a client at risk for thrush? - Inhaled
corticosteroids
-What is the pathophysiology of an asthma attack? - A trigger irritates the
immune response, bronchiole becomes inflamed and smooth muscle
constricts, mucous secretions narrow the airway
-Multiple episodes of vomiting would lead to which acid-base imbalance? -
Metabolic Alkalosis
-What would the nurse advise against for foot care of a client with diabetes?
- Hot water, clipping nails to the skin, and lotion between the toes
-What nursing education would you provide to a client with asthma and
current peak flow reading in the yellow zone? - Take your rescue inhaler and
then recheck peak flow
-What is the priority action with someone admitted with severely elevated
glucose levels? - Fluid Replacement
, -What is the pathophysiology of dumping syndrome? - Food quickly fills the
small intestine releasing digestive enzymes which then triggers a huge influx
of insulin putting the client into hypoglycemia
-What are the three short-acting asthma medications? - Bronchodilators -
Albuterol, Anticholinergics - Ipartropium, IV Corticosteroids -
Methylprednisone
-What complication should the nurse assess for in a client taking a
sulfonylurea medication? - Hypoglycemia
-What type of insulin can not be mixed with other insulins? - Long-acting
(glargine)
-What is the most common side effect of the beta agonists? - Tachycardia -
Other symptoms include muscle tremors, anxiety, and palpitations
-How many lbs a week is recommended in weight loss? - 1-2 lbs
-What are the 5 criteria for metabolic syndrome? - Hypertension, Low HDL,
High LDL, Increased waist circumference, Increased fasting blood glucose
-What pain medication is contraindicated for a client after bariatric surgery?
- NSAIDs or Ibuprofen
-What are the 3 P's of diabetes mellitus? - polyuria, polydipsia, polyphagia
-Obesity starts at what BMI? - 30
-What is the fetal risk related to gestational diabetes? - Macrosomia and
shoulder dystocia (shoulder getting stuck)
-What test result reflects the average blood glucose over 3 months? -
Hemoglobin A1c
-What are the 3 most common long-term complications of diabetes mellitus?
- Neuropathy, Retinopathy, Nephropathy
-What is the duration of the insulin glargine? - 24 hours with no peak
-What are the two acute complications of diabetes mellitus? - HHS and DKA
-What class of oral diabetic medications has a significantly high risk of
hypoglycemia? - Amylin mimetics
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