test 2 in med surg
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?