Med Surg Final Exam
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Med Surg Final Exam
The amt of hormone released by any gland is controlled by?
Lab test that can track glucose levels for 8 to 12 weeks:
HbA1c (glycosylated hemoglobin)
What is OGTT?
oral glucose tolerance test; **FBS for blood sugar
Diet for a pt with Cushing's syndrome:
low in sodium for edema and high in potassium
What type of adjustment will a pt with diabetes have to make if they plan to stay active in sports?
monitor blood sugar before, during, and after activity
What are the long term complications of DM?
** renal failure
What is thyroid crisis, when does it occur, and what are the potentially lethal complications of it?
usually as a result of thyroid manipulation during surgery resulting in the release of large amts of thyroid hormones into the bloodstream; ** CHF
What is diabetes insipidus and the clinical manifestations?
** deficient ADH
What is acromegaly? What is the highest priority of care for the pt based on Maslows?
** risk for trauma (safety)
Nursing dx for pt with hypothyroidism as a result of a newly developed goiter.
disturbed body image
What is RAIU?
radioactive iodine uptake test;
What is propylthiouracil?
PTU; tx for hyperthyroidism
Position for pt postop subtotal thyroidectemy?
Most necessary thing you need to place at bedside of someone postop subtotal thyroidectomy?
s/s of Cushing's disease
moon face, weight hain, and excess facial hair
Lispro acts how quickly?
15 minutes after injection
Insulin requirements __________ when a pt exercises.
Chvostek's sign and Trousseau's sign
** both decrease levels of blood calcium
Deficiency of the parathormone secretion has a potential complication of:
Aseptic techniques are used to perform dressing changes on cellulitis. Why?
Why are mid afternoon snacks of milk and crackers given to diabetics on insulin?
to prevent insulin reaction
s/s of insulin reaction:
perspiration, trembling sensation
Early s/s of diabetic ketoacidosis:
thirst and drowsiness
Enlarged hands, feet, amenorrhea, increased hair growth indicates:
acromegaly (pituitary gland)
Give diabetic teaching on feet care:
no hot water or heating pad, do not clip own toe nails
Teaching on glyburide:
** increased sensitivity to receptor sites; stimulates insulin production
Why would someone with hypothyroidism be referred to a dietician?
** calcium restricted meals
Give d/c instructions for hypothyroidism:
regular check-ups and follow-up care
How do you prevent lipodystrophy?
give insulin at room temperature
What is Grave's disease? What is a thyroid storm?
** high temp, HTN, tachycardia (sx)
What is the pituitary gland?
What is iodine 131? Who should not be exposed to it?
radioactive; pregnant women
What foods are rich in iodine?
saltwater fish, milk, eggs
Side effect of calcium gluconate?
cardiac arrest, disrhythmias
Primary clinical manifestation of hyperparathyroidism:
s/s of hypoglycemia
Major life threatening complications postop thyroidectomy:
respiratory distress, recurrent laryngeal damage, hemorrhage, and hyperparathyroidism
Cortisol is involved in: