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UTA NURS 3561 Exam 1 Test

Enter the letter for the matching Answer
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1.
Insulin (fasting) normal
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2.
Renin Inhibitors considerations
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3.
Diabetes Type 3
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4.
Ganglionic Blockers considerations
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5.
Risk factors for poor wound healing
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6.
Ginseng periop concerns
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7.
Urine specific gravity normal
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8.
Thiazolidinediones Problems
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9.
Insulin or oral hypoglycemic agents periop concerns
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10.
Acanthosis nigricans
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11.
Sulfonylureas Problems
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12.
Tranquilizer periop concerns
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13.
Hyperglycemia treatment
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14.
Diabetes Type 1
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15.
Preop teaching
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16.
WBC normal
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17.
Carvedilol (Coreg) Drug Alert
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18.
Hypoglycemia treatment
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19.
Short-acting insulin Onset, Peak, & Duration
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20.
Hyperosmolar hyperglycemic syndrome (HHS)
A.
immediately ingest 15-20 g of simple carbs, repeat every 15 min, contact provider if no relief, discuss med dosage with provider
B.
Renal dysfunction, Diabetes, Impaired immune system, and Nutritional deficiences (especially protein, vitamins A, C, & B complex)
C.
diabetes meds, monitor blood glucose and urine ketones, drink fluids hourly
D.
May increase bleeding, especially in patients taking anticoagulants; may cause increased heart rate or elevated blood pressure (BP)
E.
Admin by IV infusion & monitor for visual disturbances (Lewis et al., 2010, p. 748)
F.
Onset: 1/2-1 hr, Peak: 2-3 hr, Duration: 3-6 hr
G.
potentiate effect of opioids and barbiturates
H.
a dark, coarse, thickened skin predominantly seen in flexures and on the neck (Lewis 112010, p. 1251)
I.
life-threatening syndrome that can occur in the patient with diabetes who is able to produce enough insulin to prevent diabetic ketoacidosis but not enough to prevent severe hyperglycemia, osmotic diuresis, and extracellular fluid depletion
J.
absolute deficiency of insulin
K.
4-24 μU/mL; possible etiology if elevated: untreated mild type 2 diabetes; possible etiology if decreased: inadequately treated type 1 diabetes
L.
Weight gain, edema [and] Increased risk for cardiovascular events such as myocardial infarction and stroke
M.
gestational
N.
OD produces bradycardia, hypotension, bronchospasm, and cardiogenic shock; obtain standing BP 1 hr after admin; abrupt withdrawl results in sweating, palpitations, and headaches
O.
Weight gain, hypoglycemia
P.
All patients: deep breathing, coughing, and early ambulation; Individualized teaching: incentive spirometers, PCA pumps, pain rating & management, surgery specific information
Q.
1.003-1.030
R.
May cause angioedema & don’t use when pregnant (Lewis et al., 2010, p. 748)
S.
4.0-11.0 × 103/μL; possible etiology if increased: infection
T.
may require dose or agent adjustments during the perioperative period because of increased body metabolism, decreased caloric intake, stress, and anesthesia. (Lewis 112010, p. 337)
Type the Answer that corresponds to the displayed Question.
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21.
Biguanide Problems
Type the Question that corresponds to the displayed Answer.
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22.
<150 mg/dL; possible etiology if elevated: DM
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23.
May increase bleeding, especially in patients taking anticoagulants
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24.
2 A1C ≥6.5%; 2 fasting blood glucose levels ≥126 mg/dL; 2 glucose tolerance tests >200 mg/dL; or a random glucose ≥200 mg/dL
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25.
<200 mg/dL; possible etiology if elevated: uncontrolled diabetes
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26.
May prolong the effects of certain anesthetics or antiseizure medications; may cause liver injury
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27.
relative deficiency of insulin
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28.
may predispose pt to shock from combined effect of the drug and vasodilator effect of some anesthetic agents
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29.
elevated blood pressure associated with any of several primary diseases, such as renal, pulmonary, endocrine, and vascular diseases (Lewis 112010, p. G-8)
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30.
Male: 13.2-17.3; Female: 11.7-16.0; possible etiology if decreased: hemorrhage

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