Med Surg Final Exam

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Med Surg Final Exam
2012-04-22 17:24:12

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  1. The amt of hormone released by any gland is controlled by?
    negative feedback
  2. Lab test that can track glucose levels for 8 to 12 weeks:
    HbA1c (glycosylated hemoglobin)
  3. What is OGTT?
    oral glucose tolerance test; **FBS for blood sugar
  4. Diet for a pt with Cushing's syndrome:
    low in sodium for edema and high in potassium
  5. 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
  6. What are the long term complications of DM?
    ** renal failure
  7. 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
  8. What is diabetes insipidus and the clinical manifestations?
    ** deficient ADH
  9. What is acromegaly? What is the highest priority of care for the pt based on Maslows?
    ** risk for trauma (safety)
  10. Nursing dx for pt with hypothyroidism as a result of a newly developed goiter.
    disturbed body image
  11. What is RAIU?
    radioactive iodine uptake test;
  12. What is propylthiouracil?
    PTU; tx for hyperthyroidism
  13. Position for pt postop subtotal thyroidectemy?
  14. Most necessary thing you need to place at bedside of someone postop subtotal thyroidectomy?
    tracheotomy tray
  15. s/s of Cushing's disease
    moon face, weight hain, and excess facial hair
  16. Lispro acts how quickly?
    15 minutes after injection
  17. Insulin requirements __________ when a pt exercises.
  18. Chvostek's sign and Trousseau's sign
    ** both decrease levels of blood calcium
  19. Deficiency of the parathormone secretion has a potential complication of:
    laryngeal spasms
  20. Aseptic techniques are used to perform dressing changes on cellulitis. Why?
    avoid infection
  21. Why are mid afternoon snacks of milk and crackers given to diabetics on insulin?
    to prevent insulin reaction
  22. s/s of insulin reaction:
    perspiration, trembling sensation
  23. Early s/s of diabetic ketoacidosis:
    thirst and drowsiness
  24. Enlarged hands, feet, amenorrhea, increased hair growth indicates:
    acromegaly (pituitary gland)
  25. Give diabetic teaching on feet care:
    no hot water or heating pad, do not clip own toe nails
  26. Teaching on glyburide:
    ** increased sensitivity to receptor sites; stimulates insulin production
  27. Why would someone with hypothyroidism be referred to a dietician?
    ** calcium restricted meals
  28. Give d/c instructions for hypothyroidism:
    regular check-ups and follow-up care
  29. How do you prevent lipodystrophy?
    give insulin at room temperature
  30. What is Grave's disease? What is a thyroid storm?
    ** high temp, HTN, tachycardia (sx)
  31. What is the pituitary gland?
    "master gland"
  32. What is iodine 131? Who should not be exposed to it?
    radioactive; pregnant women
  33. What foods are rich in iodine?
    saltwater fish, milk, eggs
  34. Side effect of calcium gluconate?
    cardiac arrest, disrhythmias
  35. Primary clinical manifestation of hyperparathyroidism:
  36. s/s of hypoglycemia
    fainting, irritability
  37. Major life threatening complications postop thyroidectomy:
    respiratory distress, recurrent laryngeal damage, hemorrhage, and hyperparathyroidism
  38. Cortisol is involved in:
    glucose metabolism