exam 3 kahoot Flashcards
which of the following findings is a manifestation do levothyroxine overdose?
Insomnia
What is the Diabetes Range oF HBA1C
6.5% & up
The nurse will teach pt to gradually decrease her dose of prednisone to avoid:
Adrenal Insuf ciency
Preparing to administer IV uids to a pt who has diabeticKetoacidosis. Which of the following is an appropriate action?
Rapidly administer an IV infusion of 0.9% sodium chloride.
What is the prediabetes Range of glycosylated hemoglobin (HbA1c)?
5.7- 6.4%
What is the expected action of glipizide?
Release of insulin
caring for a pt with diabetes insipidus who is receiving vasopressin. What is the therapeutic effect of this drug?
Decrease in urine output
Normal Range of glycosylated hemoglobin (HbA1c)
4-5.6%
observes mild hand tremors in a pt who has diabetes. Which of the following action should you take if sugar level is 60?
Administer 15 g of carbohydrates
What provides emergent management of hypoglycemic reaction when unable to take oral glucose?
Glucagon
What is the peak time for NPH insulin?
Expect the NPH insulin to peak in 6-14 hours.
What medication may cause glucose intolerance in diabetics?
Prednisone
Patient education on insulin glargine ( Long Acting)
Insulin glargine has a duration of 18 to 24 hr.
A pt is being discharged home for treatment of hypothyroidism. Which medication is most prescribed for this condition?
Synthroid
What are adverse effects of zidovudine as part of antiretroviral therapy? SATA
Fatigue
Hyperventilation
Vomiting
1st dose of MMR & Varicella is recommended by the (CDC) to be given during which of the following age range?
Toddler 12-15 months of age
preparing to administer vaccines to a 1-year-old child. Which of the following vaccines should the nurse give? SATA
- Measles, mumps rubella (MMR)
- Varicella (VAR)
- Diphtheria, tetanus and acellular pertussis (DTaP)
- Human papillomavirus (HPV4)
Which of the following should the nurse anticipate giving to a 4-year-old child who has up to date immunizations? SATA
Inactivated poliovirus (IPV)
Measles, mumps, rubella (MMR)
Varicella (VAR)
Diphtheria, tetanus, pertussis (DTaP)
Which of the following clients should the nurse plan to administer the meningococcal conjugate (MCV4) vaccine?
An 11-year-old school-aged child
What is the nursing action for bleeding gums due to methotrexate treatment in cancer patient?
Check the value of the client’s current platelet count.
Adverse effects of chemotherapy and radiation therapy in cancer patients?
Neutropenia (low WBC count)
Which of the following immunizations should be administered when performing precollege physical exam on an adolescent?
Meningococcal polysaccharide vaccine
Providing teaching to a pt who has seizures & a prescription for phenytoin. Which of the following should you teach?
Alcohol increases the chance of phenytoin toxicity
Increased TSH Levels Indicate what
Hypothyroidism
reviewing the history of a 12 y.o pt. Which of the following immunizations should the nurse expect to administer?
Meningococcal conjugate
Contraindications for Measles, Mumps, & Rubella (MMR) vaccine. SATA
Pregnancy
Gelatin Allergy
Neomycin
What vaccine is contraindicated with allergy to eggs?
Infl uenza vaccine
teaching a pt who is at 23wks pregnant about immunizations. Which of the following should be included in the teaching?
“You can receive an in uenza vaccination during pregnancy.”
decreased TSH levels Indicate…
Hyperthyroidism
Timolol eye drop is indicated for what eye disease. SATA
Ocular Hypertension
Open angle Glaucoma
Which of the following statements from pt parent is priority on a pt who is receiving carbamazepine for partial seizure?
“He has so many new bruises on his body.”
Carbamazepine toxicity can cause… SATA
bone marrow depression
anemia
leukopenia
thrombocytopenia
Patient education on phenytoin
No Alcohol
discharge teaching for pt who has seizure &prescription for phentoin. Which of the following indicates further teaching?
I’ll be glad when I can stop taking this medication
which of the following indicates pt has developed systemic anticholinergic effect while receiving mydriatic eye drop?
Patient Report he has not had a Bowel Movement in 4 days
what are the signs of systemic cholinergic effects? SATA
Photophobia
Dry mouth
Constipation
Tachycardia
Caring for a pt who has Parkinson’s & is taking diphenhydramine. Which of the following therapeutic outcome is expected?
Decreased Tremors
Admitted for Tx of syndrome of inappropriate antidiuretic hormone (SIADH). Which nursing intervention is appropriate?
Restricting fluids
pt w/ SIADH is treated w/ water restriction &administration of IV uids. The treatment has been effective when…
Increased urine output & serum sodium, & decreased urine speci fic gravity
caring for a PT who is taking propylthiouracil. which of the following AE of this medication should the nurse monitor?
BRADYCARDIA
When caring for a client with diabetes insipidus, the nurse expects to administer:
vasopressin (Pitressin Synthetic).
Which outcome indicates that treatment of a male client with diabetes insipidus has been effective?
Fluid intake is less than 2,500 ml/day.
Which ndings indicates a therapeutic effect of a pt who has diabetes insipidus & is taking oral desmopressin?
Decreased Urine Output
Which actions should be included in the plan care of a pt who has Cushing’s syndrome due to chronic corticosteroid use?
Check the client for hypertension
Caring for a pt who has Cushing’s syndrome.Which of the following manifestations should the nurse expect to observe?SATA
Buffalo hump
Purple striations
Moon face
Long term adverse effects of the glucocorticoid treatment.
Peptic Ulcers
nurse misread pt blood glucose as 210 instead of 120 & administered insulin. Which of the following actions is priority?
Monitor the client for hypoglycemia.
ON SET OF REGULAR INSULIN
30 MINS
PEAK TIME OF REGULAR INSULIN
2-4 HOURS
DURATION OF REGULAR INSULIN
5-7 HOURS
REGULAR INSULIN IS
SHORT ACTING
NPH ONSET
1-2 HOURS
NPH PEAK TIME
4-12 HOURS
NPH DURATION
18-24 HOURS
NPH IS
INTERMEDIATE ACTING
GLARGINE ONSET
1-2 HOURS
GLARGINE PEAK
NO PEAK
GLARGINE DURATION
24 HOURS +
GLARGINE IS
LONG ACTING