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NUR 514 Exam 4 Practice Questions and Correct Answers $9.99   Add to cart

Exam (elaborations)

NUR 514 Exam 4 Practice Questions and Correct Answers

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  • Course
  • NUR 514
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  • NUR 514

Leading cause of Adult blindness End-stage kidney disease Nontraumatic lower limb amputations Major contributing factor Heart disease Stroke Hypertension Diabetes Mellitus The rise in plasma insulin after a meal inhibits ___________________, enhances fat deposition of adipose tissue, and increase...

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  • September 21, 2024
  • 18
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NUR 514
  • NUR 514
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NUR 514 Exam 4 Practice Questions and
Correct Answers
Leading cause of
Adult blindness
End-stage kidney disease
Nontraumatic lower limb amputations

Major contributing factor
Heart disease
Stroke
Hypertension ✅Diabetes Mellitus

The rise in plasma insulin after a meal inhibits ___________________, enhances fat
deposition of adipose tissue, and increases protein synthesis. ✅gluconeogenesis

glucagon, epinephrine, growth hormone, and cortisol ✅counterregulatory hormones

(hormones increase blood glucose levels by (1) stimulating glucose production and
release by the liver and (2) decreasing the movement of glucose into the cells. The
counterregulatory hormones and insulin usually maintain blood glucose levels within the
normal range by regulating the release of glucose for energy during food intake and
periods of fasting.)

True or false:
Insulin is necessary for glucose transport in
brain, liver, blood cells ✅False!

two hormones secreted by cells in the Islet of Langerhans region to stabilize blood
sugar levels ✅glucagon and insulin

binds to receptors in the liver, stimulating the conversion of stored glycogen into glucose
✅glucagon

First line oral drug for DM type 2

reduces glucose production in the liver, increases insulin sensitivity

adverse effects: include GI issues (diarrhea, nausea, vomiting), anorexia, fatigue,
aggitation ✅Metformin

,dapagliflozin (Farxiga), empagliflozin (Jardiance), canagliflozin (Invokana) ✅SGL-2
Inhibitors

Relatively new med for DM type 2

reabsorbs glucose within the renal proximal tubule, glucose is excreted in the urine

Adverse effects: UTI, DKA, hypoglycemia ✅SGL-2 Inhibitors

Oral agent for type 2 DM

piaglitazone, rosiglitazone

increase storage of fatty acids, increasing the body cell's dependence on glucose for
energy, reduces insulin resistance

adverse effects: Weight gain, URI, hypoglycemia, hepatotoxicity, MI, HF, bone fractures
✅Thiazolidinediones (TZDs)

Oral agent for type 2 DM

Acarbose, Miglitol, Voglibose

slow breakdown of complex carbs into glucose within the small intestine

adverse effects: diarrhea, flatulence, abdominal distension, hypoglycemia ✅alpha-
glucosidase inhibitors

Sulfonylureas ✅glipizide, glyburide, glimepiride

Meglitinides ✅Repaglinide (Prandin)
Nateglinide (Starlix)

most common bacterial infection in women ✅UTI

Patients at risk for UTI ✅Immunosuppressed

Diabetic

Have kidney problems

Have undergone multiple antibiotic
courses

Have traveled to developing

, countries

inflammation of renal
parenchyma and collecting system ✅Pyelonephritis

Bacteria normally found in the intestinal tract ✅E. coli or Proteus, Klebsiella, or
Enterobacter species

the most common HAI ✅Catheter-associated urinary tract infections
(CAUTI)

Factors increasing urinary stasis ✅BPH, tumor, neurogenic bladder

Complicated UTI ✅Obstruction or stones

Catheters

Abnormal GU tract

Diabetes/neurologic disease

Resistance to antibiotics or
immunocompromised

Pregnancy-induced changes

Recurrent infection

Turns urine reddish/orange

Urinary analgesic ✅Phenazopyridine

Which findings in the older client are associated
with a urinary tract infection (UTI)? Select all that
apply.
A.Fever
B.Urgency
C.Confusion
D.Incontinence
E.Slight rise in temperature ✅C.Confusion
D.Incontinence
E.Slight rise in temperature

Nursing dx for UTI ✅Impaired urinary elimination

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