test 2 in med surg

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diabetic ketoacidosis

PH of 7.25 PCO2 of 35 HCO3 of 20 what is this ?

retinopathy, ketosis prone, neuropathy, peripheral neuropathy,

Which of the following is a disease or disorder associated with diabetes?

absent insulin production

Which of the following is a sign or symptom of diabetes type 1?

Which of the following is a sign or symptom of diabetes type 2?

Which of the following is a sign or symptom of diabetes type 2?

glucose intolerance

Which of the following is a sign or symptom of gestational diabetes?

carbonic acid deficit

by addressing the hyperventilating client, what is the nurse trying to prevent?

respiratory acidosis

client had abdominal surgery. the nurses urges the client to turn side to side and engage in deep breathing exercises. what complication is nurse trying to prevent?

deminished breath sounds

client has emphysema, what type of breath sounds will be present?

normal saline

client is admitted due to overdose of aspirin. a NG tube is inserted for lavage. which solution would the nurse use to obtain for the gastric lavage?

Lipodystrophy, somogyi,

complications of insulin therapy

Loss of Carbon Dioxide which leads to carbonic acid deficit and resp. alkalosis

hyperventilation causes

4.0-8.0

normal urine ph

cor pulmonale

pt has COPD. he reports having a 5 pound wt gain in 1 week. the nurse will assess for other s/s related to what?

every hour

pt w end stage renal disease received kidney transplant and is now in post op. how often should the nurse assess urine out put?

obesity

risk for type 2 diabetes

adult hood

type 2 diabetes onset is -

metabolic acidosis

which acid base imbalance would the nurse anticipate in a client in the progressive stage of shock?

inability of the renal tubules to secrete hydrogen ions and conserve bicarbonate

which statement explains why metabolic acidosis develops with kidney failure?

Alkalosis

infants vomiting is intractable, what complication is likely to occur?

Family history of diabetes (e.g., parents or siblings with diabetes) Obesity (i.e., ≥20% over desired body weight or body mass index ≥30 kg/m2) Race/ethnicity (e.g., African Americans, Hispanic Americans, Native Americans, Asian Americans, Pacific Islanders) Age equal to or greater than 45 years Previously identified impaired fasting glucose or impaired glucose tolerance Hypertension (≥140/90 mm Hg) High-density lipoprotein (HDL) cholesterol level ≤35 mg/dL (0.90 mmol/L) and/or triglyceride level ≥250 mg/dL (2.8 mmol/L) History of gestational diabetes or delivery of a baby over 9 lb

risk factors for diabetes

myxedema

the nurse is caring for a client who is experiencing an underproduction of thyroxine (t4)- what is this associated with

headache, irritability, restlessness

what are early signs of Resp. Acidosis in a pt with airway disease?

cognitive impairment

which long term effect is associated with untreated congenital hypothyroidism

turn side to side

client is transferred to post anesthesia after abdominal surgery. client begins vomiting. what is most important action?

Biguanides, sulfonylureas

what are examples of oral hypoglycemics

IV fluids

what initial intervention would a nurse expect the PCP to order for client admitted to hospital for diabetic ketoacidosis ?

potassium

what is the major intracelluar osmolarity regulator

preventing falls

what is the priority nursing intervention for a client on diuretic therapy who has developed metabolic alkalosis?

sodium

what is the regulator of extracellular osmolarity?

lactic acid production

when arterial blood gases done on a client who is being resuscitated after cardiac arrest show a low PH, which factor is the likely cause laboratory results?

it decreases production of thyroid hormones

which mechanism of action explains how proplthiouracil means hyperthyroidism?


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