Final Exam Part 2: Nursing 112 GBCC

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GH deficiency in Adults can cause symptoms such as:

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Acromeagaly is a condition associated with what hormone? Too much of the hormone or too little?

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Select all approrpiate answers associated with ADH deficiency:

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If you were to compare the urine of a pt with diabetes insipidus and the urine of a pt with uncontrolled diabetes mellitus, the differences would be?

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What would be the most likely specific gravity result of a pt. with Diabetes Insipidus?

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Which lung sounds would be associated with Syndrome of Inappropriate ADH?

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Select the test results that would be helpful in diagnosing SIADH

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Central pontine Myelinolysis is very serious iatrogenic reaction to what....

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You are preparing a room for a pt. coming from the PACU after a thyroidectomy. What items, unique to this pt., should you make sure are in his room.

1

Signs and Symptoms of HyPERthyroid include:

1

A 50yr old is admitted with thyrotoxicosis. His wife is asking you, the nurse, how you are going to help him. You reply

1

A pt you have is on the following list of medication:
furosemide (lasix)
ultram (tramadol)
Methimazole (tapazole)
benztropine mesylate (cogentin)
Which medication is being used to treat Grave's Disease?

1

Radioactive Iodine Therapy (RAI) would be a poor treatment choice for a mother of 3 small children beacause....

1

You are on a mission trip to Zambia and do not have the resources to test blood. How would you assess a pt. for acute hypocalcemia

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Which of the following is NOT a symptom of HypOthyroidism

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In a pt. with hashimoto's you would expect to see a __ in TH and a(n) _ in TSH

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hypoparathyroidism manifests: (4 correct)

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All of the following are autoimmune disease associated with the endocrine system EXCEPT:

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Primary adrenal insufficiency is also known as Addison's Disease and its odd symptom is hyperpigmentation

1

A student nurse is trying to find something to do a teaching plan on besides a incentive spriometer. A nurse overhears her bitching and lets her know there is a pt. with a new diagnosis of Addison's Disease on the floor. What are all the things a student nurse could teach this pt?

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A young girl with Cushing's Disease could be a risk for body image issues because cushing's is known for the visible symptoms of: (pick 4)

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After a transphenoidal hypophysectomy for the treatment of pituitary tumor causing Cushing's Disease... nasal drainage should be monitored for the presence of what substance?

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A nurse is taking care of a pt who has been on countless medications for hypertension. Nothing has worked. The pt. verablized to the nurse that when she came in for surgery and received morphine sulfate for pain control she felt much worse also she became very sick last year after drinking red wine at her sons wedding. What rare condition should the pt. be assessed for...

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The ductus arteriosus is...

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All of the following are characteristics of a normal newborn that make the newborn more at risk for injury/illness than adults.... EXCEPT

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You are performing the 5 min after birth APGAR for baby Ellen. She is crying and squawking her brains out while breathing well, has a heart rate of 96, has pink trunk but cyanosis evident fingers and toes, good reflexes, and spontaneously moves all limbs. Baby Ellen's APGAR Score would be?

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If a newborn weighs 8.8lbs at birth, the newborn's stomach capacity would be approximately
(step 1 find weight in kg
Step 2 find capacity in mls
Step 3 convert mls to ounces)

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In which state should the nurse encourage the parents to hold the infant to increase bonding

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An umbilical cord should have 2 veins and 1 artery if it doesnt it may be associated with chromosomal anomalies and renal defects

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Which of the following are used when trying to assess gestational age and completing a Ballard Score (pick 4)

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A nurse is reading report and finds the following conflicting results on a Ballard Score: square window (wrist bend) is 45 degrees, Popliteal angle (thigh on abdomen) fully extends; scarf sign fails to reach midline, plentiful lanugo, plantar creases over entire foot, ears do not keep stiff nature, clitoris and minora are greater than the majora.
Which results are consistent with a preterm infant

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37.7 degrees Celsius is what temperature in Fahrenheit ?

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A nurse can initiate warming interventions such as a radiant warmer or skin to skin for a newborn with a below than normal temperature. Based on temperature all taken 4 hours after birth which baby should the nurse consider implementing these interventions on?

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An LNA takes a newborns vital signs who was born 4 hours ago.
BP: 70/40
HR: 150 BPM
Respirations: 50 breaths/min
Temperature: 99.3
Which results are normal?

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A mother is asking you how much weight her baby is expected to lose within the first few days of life. Her baby weighed 8 lbs at birth and was a normal height of 20 inches. You tell her...

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Bowel sounds should be auscultated 1 hour after birth.

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Vitamin K (aquamephyton) injections and erythromycin opthalmic ointment should be administered within ________ after birth/

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A is ? B is ?

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The placement of the urethra is......

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Which of the following are used to check for hip dysplasia?

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A baby on the first day of birth has a blood sugar of 38. What should the nurse do?

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Appropriate treatment for a neonate with early breastfeeding jaundice would be

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Your pt. assigned for the day has Bipolar 1. You know that the difference between bipolar 1 and bipolar 2 is that...

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Symptoms of Mania include which of the following (pick 4)

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A highly agitated pt. paces the unit and states, "I could buy and sell this place." The client's mood fluctuates from fits of laughter to outbursts of anger. Which is the most accurate documentation of this client's behavior?

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A manic pt with a lithium level of .4 is... What other labs would you want to look at for this pt because they are taking lithium? ( 4 answers)

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Select all the Side effects associate with lithium therapy (not toxicity) (pick 4)

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A pt comes into the ED with confusion, psychomotor retardation, excessive urine output and tremors (ataxia). The client is on Lithium therapy what would you expect the Lithium level to be?

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Anticonvulsants used to treat bipolar disorder that need to have blood levels drawn include

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Depakote is to alopecia as Lamictal is to __________

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Which Medication is not an antipsychotic?

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A pt. is on benzotropin mesylate (cogentin), Fluoxetine (prozac), thioridazine (mellaril) and aripiprazole (abilify). The pt asks you which medication is helping make his voices quieter... the best answer would be?

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Dystonia and pseudo-parkinsonism are both side effects of antipsychotics that can be treated with anticholinergic medication

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A shizophrenic pt. on holoperidol comes into the office and is moving his mouth repetitvely like he is chewing on his tongue. When asked about it he says he can't stop. You would document this Side effect as?

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Physostigimine (antilirium) is to anticholenergics as ________________ is to benzodiazepines

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Which antipsychotic is associated with agranulocytosis : high fever, sore throat, lethargy, necrosis

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olanzapine (zyprexa) would not be a good choice for a pt. with what condition?

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You know the pt. understood you explanation on insulin resistance when she said which of the following

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Select which types of diabetes are always treated with insulin therapyT

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The hallmark symptoms of both type 1 and type 2 diabetes include:

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To get the best clinical picture of the average blood sugars over the past 90 days for pt. a healthcare professional would look at ?

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A pt.had a fasting blood sugar of 160 and a Glucose Tolerance Test result of 204 at 2 hours. What is the appropriate action ....

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Goal of an adult for fasting blood sugar is _ goal for a1c is < _

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An example of a good 12-15g carb snack for a diabetic would be 1 cup of 1%milk or a small banana

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Check all that are associated with hypoglycemia: (pick 4)

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Select all that are associated with hyperglycemia (pick 6)

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A type 1 Diabetic is presenting in the ER with symptoms that started 6 hours ago. Pt is tachycardia, hypotensive and is experiencing palpitations. Last blood sugar was 380 and urine dip was positive for ketones. What is this condition? What does this pt need for tx? (pick 3)

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Type 2 Diabetic presents in the ER with a blood sugar of 840. Blood tests show high serum osmolality, normal electrolytes, increase PH and increased Bicarb. Urine dip shows no ketones. What is happening with this pt? what does this pt need? (pick 4)

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Biguanide drug, choice for type 2 diabetes, stops liver from releasing extra glucose and makes muscle cells more sensitive to insulin

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Long acting insulins such as lantus and levemir can be mixed with shorter acting insulins to be injected at one time...

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Insulin Lispro (humalog) should be given when?

GBCC

Final Exam Part 2: Nursing 112 GBCC

GH deficiency in Adults can cause symptoms such as:

Acromeagaly is a condition associated with what hormone? Too much of the hormone or too little?

Select all approrpiate answers associated with ADH deficiency:

If you were to compare the urine of a pt with diabetes insipidus and the urine of a pt with uncontrolled diabetes mellitus, the differences would be?

What would be the most likely specific gravity result of a pt. with Diabetes Insipidus?

Which lung sounds would be associated with Syndrome of Inappropriate ADH?

Select the test results that would be helpful in diagnosing SIADH

Central pontine Myelinolysis is very serious iatrogenic reaction to what....

You are preparing a room for a pt. coming from the PACU after a thyroidectomy. What items, unique to this pt., should you make sure are in his room.

Signs and Symptoms of HyPERthyroid include:

A 50yr old is admitted with thyrotoxicosis. His wife is asking you, the nurse, how you are going to help him. You reply

A pt you have is on the following list of medication: furosemide (lasix) ultram (tramadol) Methimazole (tapazole) benztropine mesylate (cogentin) Which medication is being used to treat Grave's Disease?

Radioactive Iodine Therapy (RAI) would be a poor treatment choice for a mother of 3 small children beacause....

You are on a mission trip to Zambia and do not have the resources to test blood. How would you assess a pt. for acute hypocalcemia

Which of the following is NOT a symptom of HypOthyroidism

In a pt. with hashimoto's you would expect to see a ________ in TH and a(n) _______ in TSH

hypoparathyroidism manifests: (4 correct)

All of the following are autoimmune disease associated with the endocrine system EXCEPT:

Primary adrenal insufficiency is also known as Addison's Disease and its odd symptom is hyperpigmentation

A student nurse is trying to find something to do a teaching plan on besides a incentive spriometer. A nurse overhears her bitching and lets her know there is a pt. with a new diagnosis of Addison's Disease on the floor. What are all the things a student nurse could teach this pt?

A pt you have is on the following list of medication:
furosemide (lasix)
ultram (tramadol)
Methimazole (tapazole)
benztropine mesylate (cogentin)
Which medication is being used to treat Grave's Disease?

In a pt. with hashimoto's you would expect to see a __ in TH and a(n) _ in TSH

If a newborn weighs 8.8lbs at birth, the newborn's stomach capacity would be approximately
(step 1 find weight in kg
Step 2 find capacity in mls
Step 3 convert mls to ounces)

An LNA takes a newborns vital signs who was born 4 hours ago.
BP: 70/40
HR: 150 BPM
Respirations: 50 breaths/min
Temperature: 99.3
Which results are normal?