NR 325 Adult Health II Exam 1 Concepts

NR 325 Adult Health II Exam 1 Concepts Questions with Complete Solutions A patient is exhibiting s/s of hypothyroidism. What dx test will the nurse expect to be performed first? - Correct Answers ✅- Thyroid stimulating Hormone (TSH) Why is TSH the first Dx done in order to assess for hypothyroidism? - Correct Answers ✅- b/c it is the most sensitive of the T3/T4/ TSH

• TSH is most sensitive in discovering hypothyroidism

A patient with Type 1 Diabetes (T1D) calls the clinic w/ complaints of nausea, vomiting , and diarrhea. What is most important to advise your patient to do? - Correct Answers ✅- Check blood glucose levels every 2-4 hours Why should T1D's check blood glucose levels every 2-3 hours when stressed? - Correct Answers ✅- B/c Stressors (sickness, trauma, stress, etc) cause an INCREASE in blood glucose levels A patient screened for diabetes at a clinic has a fasting plasma BG level of 120 mg/dL (6.7 mmol/L). Which statement is best? - Correct Answers ✅- You are at an increased risk for developing diabetes How long should a patient fast for prior to a fasting blood glucose/2-hour plasma glucose test is taken? - Correct Answers ✅- 8-12 hours 1 / 4

NR 325 Adult Health II Exam 1 Concepts Questions with Complete Solutions What is the normal value of a fasting blood glucose level? - Correct Answers ✅74-106 What result of a fasting blood glucose level indicates at risk for developing diabetes? - Correct Answers ✅- 100-120 What are some reasons for non-normal range of fasting blood glucose levels? - Correct Answers ✅- Not fasting for 8-12 hours before

• some medications

What is the reasoning for performing a fasting blood glucose test/ 2 hours plasma glucose test? - Correct Answers ✅- Aids in the diagnosis of diabetes What is the normal range for a 2 hours plasma glucose test for patients ages 0-50? - Correct Answers ✅- < 140 mg/dL OR 7.4 mmol/L What is the normal range for a 2 hours plasma glucose test for patients ages 50-60? - Correct Answers ✅- < 150 mg./dL What is the normal range for a 2 hours plasma glucose test for patients ages >60? - Correct Answers ✅- < 160 mg/dL 2 / 4

NR 325 Adult Health II Exam 1 Concepts Questions with Complete Solutions How many grams of carbohydrates should a patient taking a

• hour plasma test consume prior to the exam starting? -

Correct Answers ✅- 75 grams What are some requirements that a patient must comply with during the 2-hour plasma test? - Correct Answers ✅- no exercising during the exam

• must fast after initial 75g of carbs are consumed

What are some factors in developing Type 2 diabetes (T2D)? - Correct Answers ✅- Overweight

• Obesity
• Advanced age
• Family history
• Certain ethnical groups

A nurse plans a class for patients who are newly diagnosed with T2D. Which goal is most appropriate? - Correct Answers ✅- enable the patient to become active participants in the management of their disease What are some s/s of thyroid storm? - Correct Answers ✅- Elevated Temperature

• s/s of heart failure 3 / 4

NR 325 Adult Health II Exam 1 Concepts Questions with Complete Solutions

• s/s of Hyperthyroidism

What electrolyte imbalances are associated with diabetic ketoacidosis (DKA)? - Correct Answers ✅- Hyponatremia

• Hypokalemia
• Hypophosphatemia
• Hypochloremia
• Hypomagnesemia

What are some s/s of diabetic ketoacidosis (DKA)? - Correct Answers ✅- Nausea

• Vomiting
• Fluid deficits
• Electrolyte imbalances

What sensations are s/s of DKA? - Correct Answers ✅- Thirst What respiratory s/s are r/t DKA? - Correct Answers ✅- Kussmaul respirations What type of fluid deficit s/s are r/t DKA? - Correct Answers ✅- Dehydration

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