NR 255 Final 97 Questions with Answers 2023,100% CORRECT

NR 255 Final 97 Questions with Answers 2023 Diabetes risk factors - CORRECT ANSWER family history, obesity, race/ethnicity, 45 or older, hypertension, HDL, gestational diabetes Type 1 - CORRECT ANSWER little or n ...

NR 255 Final 97 Questions with Answers 2023 Diabetes risk factors - CORRECT ANSWER family history, obesity, race/ethnicity, 45 or older, hypertension, HDL, gestational diabetes Type 1 - CORRECT ANSWER little or no insulin Type 2 - CORRECT ANSWER insulin resistance 3 P's and why they occur - CORRECT ANSWER polyuria- excess glucose ends up in the urine, where it pulls more water and results in more urine. polyphagia- body can't convert this glucose to energy, you'll begin to feel very hungry polydipsia- because your body is losing fluids, your brain tells you to drink more in order to replace them S&S hypoglycemia - CORRECT ANSWER shakiness, diaphoresis, anxiety, nervousness, chills, nausea, headache, weakness, confusion S&S hyperglycemia - CORRECT ANSWER - Blood glucose level >250 - thirst - frequent urination - hunger - warm, dry flushed skin - weakness - malaise - rapid, weak pulse - hypotension - deep rapid respirations Criteria for diagnosing Diabetes - CORRECT ANSWER plasma glucose greater or equal to 200, FBS greater or equal to 126, A1C greater or equal to 6.5% MNT - CORRECT ANSWER utrition-based treatment provided by a registered dietitian nutritionist FBS - CORRECT ANSWER 80-100 HA1C - CORRECT ANSWER 3 month average of blood sugar Glycemic Index - CORRECT ANSWER is a value assigned to foods based on how slowly or how quickly those foods cause increases in blood glucose level Exercise precautions for diabetes - CORRECT ANSWER excercise 3 times a week, avoid extreme heat or cold, inspect feet after exercise, use proper footwear Lispro (Humalog) - CORRECT ANSWER Peak: 1hr Onset: 10-15min rapid-acting Aspart (Novalog) - CORRECT ANSWER peak: 45-50min onset: 5-15min rapid-acting Glulisine (Apidra) - CORRECT ANSWER Peak: 30-60 min Onset: 5-15min rapid-acting Humulin R, Novolin R, Ilentin 2 - CORRECT ANSWER Peak: 2-3 hours Onset: 30-60 min short-acting NPH - CORRECT ANSWER Peak: 4-12 hours Onset: 2-4 hours intermidiate-acting Glargine (Lantus) - CORRECT ANSWER Peak: continuous Onset: 1 hour Long-acting Detemir (Levemir) - CORRECT ANSWER Peak: continuous Onset: 6 hours long-acting Afrezza - CORRECT ANSWER Peak: 50 minutes Onset: <15 min inhaled insulin Post-op shock - CORRECT ANSWER Post-op teaching - CORRECT ANSWER arterial insufficiency - CORRECT ANSWER venous insufficiency - CORRECT ANSWER Risk factors for PVD for patient education - CORRECT ANSWER Intermittent claudication - CORRECT ANSWER Stable angina - CORRECT ANSWER Hypertension Classifications - CORRECT ANSWER unstable angina - CORRECT ANSWER Atherosclerosis - CORRECT ANSWER Statin drug and side effect - CORRECT ANSWER Nitro—self-administration guidelines - CORRECT ANSWER heart failure staging - CORRECT ANSWER 1: no limitation to physical activity 2: slight limitation to physical activity 3:marked limitation of physical activity 4:unable to do physical activity a: risk for developing b: left ventricular dysfunction or structural heart disease c: left ventricular dysfunction with symptoms d:end-stage HF BNP - CORRECT ANSWER less than 100 is normal, good indicator of CHF, edema, if elevated assess s/s of CHF right sided heart failure - CORRECT ANSWER 1. Jungular Vein Distention 2. Ascending Dependent Edema 3. Weight Gain 4. Hepatomegaly (Liver Enlargement) Lipid Panel levels - CORRECT ANSWER Left sided heart failure - CORRECT ANSWER 1. Pnea, SOB 2. Crackles 3. Oliguria 4. Frothy Sputum 5. Displaced Apical Pulse (Hypertrophy) COPD - CORRECT ANSWER Emphesyma - CORRECT ANSWER chronic bronchitis - CORRECT ANSWER Asthma - CORRECT ANSWER Pursed lip breathing - CORRECT ANSWER Insentive Spirometry (IS) - CORRECT ANSWER Pneumonia (whats the gold standard for testing) - CORRECT ANSWER Osteoporosis - CORRECT ANSWER pH - CORRECT ANSWER 7.35-7.45 below is: above is: CO2 - CORRECT ANSWER 35-45 HCO3- - CORRECT ANSWER 22-26 O2 - CORRECT ANSWER 80-100 Sodium levels S&S - CORRECT ANSWER 135-145 Potassium levels S&S - CORRECT ANSWER 3.5-5 FVE - CORRECT ANSWER FVD - CORRECT ANSWER Dizziness (orthostatic/postural hypotension), Decreased urination (oliguria), Dry mouth, dry skin, Thirst and/or nausea, Weight loss (except in third spacing, where the fluid will still be in the body but inaccessible), Muscle weakness and lethargy. Hyponatremia S/S - CORRECT ANSWER Hypernatremia S/S - CORRECT ANSWER Hypokalemia S/S - CORRECT ANSWER Hyperkalemia S/S - CORRECT ANSWER hemorrhagic stroke - CORRECT ANSWER ischemic stroke - CORRECT ANSWER Thrombolitic Ischemic Stroke - CORRECT ANSWER Embolitic Ischemic Stroke - CORRECT ANSWER tPA (tissue plasminogen activator) - CORRECT ANSWER Stroke risk factors - CORRECT ANSWER Stroke prevention - CORRECT ANSWER Be FAST - CORRECT ANSWER Balance- Eyes- Face- Arms- Speech- Time- Preferred diagnostic test for suspected stroke - CORRECT ANSWER GCS - CORRECT ANSWER Nursing care for stroke - CORRECT ANSWER Parkinson's Disease: - CORRECT ANSWER constipation - CORRECT ANSWER Diarrhea - CORRECT ANSWER C difficle - CORRECT ANSWER ulcerative colitis (UC) - CORRECT ANSWER Chron's disease - CORRECT ANSWER Gero consideration with diarrhea - CORRECT ANSWER Diverticulitis - CORRECT ANSWER Cholelithiasis - CORRECT ANSWER Laparoscopic Cholecystectomy - CORRECT ANSWER Glaucoma - CORRECT ANSWER Cataracts - CORRECT ANSWER AMD - CORRECT ANSWER Types of Loss - CORRECT ANSWER Kubler Ross stages - CORRECT ANSWER Palliative care versus hospice - CORRECT ANSWER Manifestations of approaching death - CORRECT ANSWER Support for grieving family - CORRECT ANSWER Post-Mortem Care - CORRECT ANSWER ALZHEIMER'S DEMENTIA - CORRECT ANSWER DELIRIUM - CORRECT ANSWER RHEUMATOID ARTHRITIS - CORRECT ANSWER A nurse is counseling an older adult client who describes having difficulty dealing whith several issues. Which of the following problems verbalized by the client should the nurse identify as priority? a. "I spent my whole life dreaming about retirement, and now I wish I had my job back" b. "It's been so stressful for me to have to depend on my child to help around the house" c. "I just heard my friend Al died. Thats the third one in 3 months" d. "I keep forgetting which medications I have taken during the day" - CORRECT ANSWER d. "I keep forgetting which medications I have taken during the day" A nurse is providing teaching for an older adult client who has lost 4.5 kg (9.9lbs) since the last admission 6 months ago. Which of the following instructions should the nurse include in the teaching? a. "eat 3 large meals a day" b. "eat your meals in front of the television" c. "eat foods that are easy to eat, such as finger foods" d. "invite family members to eat meals with you" e. "exercise everyday to increas appetite" - CORRECT ANSWER A nurse is providing teaching for an older adult client who has lost 4.5 kg (9.9lbs) since the last admission 6 months ago. Which of the following instructions should the nurse include in the teaching? a. "eat 3 large meals a day" b. "eat your meals in front of the television" c. "eat foods that are easy to eat, such as finger foods" d. "invite family members to eat meals with you" e. "exercise everyday to increas appetite" - CORRECT ANSWER c. "eat foods that are easy to eat, such as finger foods" d. "invite family members to eat meals with you" e. "exercise everyday to increas appetite" A nurse is planning a presentation for a group of older adult clients about health promotion and disease prevention. Which of the following interventions should the nurse plan to recommend? a. HPV immunization b. Pneumococcal immunization c. yearly eye examination d. periodic mental health screening e. annual fecal occult blood test - CORRECT ANSWER b. Pneumococcal immunization c. yearly eye examination d. periodic mental health screening e. annual fecal occult blood test A nurse is talking with an older adult client about improving nutritional status. which of the following interventions should the nurse recommend? a. increase protein intake to increase muscle mass b. decrease fluid intake to prevent urinary incontinence c. increase calcium intake to prevent osteoporosis d. limit sodium intake to prevent edema e. increase fiber intake to prevent constipation - CORRECT ANSWER a. increase protein intake to increase muscle mass c. increase calcium intake to prevent osteoporosis d. limit sodium intake to prevent edema e. increase fiber intake to prevent constipation a nurse is collecting data from an older adult client as part of a comprehensive physical examination. which of the following findings should the nurse expect as associated with aging? a. skin thickening b. decreased height c. increased saliva production d. nail thickening e. decreased bladder capacity - CORRECT ANSWER b. decreased height d. nail thickening e. decreased bladder capacity A nurse is caring for a client who has terminal lung cancer. The nurse observes the client's family assisting with ADLs. which of the following rationales for self-care should the nurse communicate with the family a. allowing the client to function independently will allow strengthen muscles and promote healing b. the client needs privacy at times for self-reflecting and organizing life c. the client's snese of loss can be lesseed through retaining control of some areas of life d. performing ADLs is a requirement prior to discharge from an acute care facility - CORRECT ANSWER c. the client's snese of loss can be lesseed through retaining control of some areas of life