Test 2 Lecture

Question 0

Nurse practice act

Answer 0

Being taught is right of health care

Question 1

LPN and teaching

Answer 1

Can teach some but can not develop the plan

Question 2

Domains of learning

Answer 2

Cognitive
Psychomotor
Affective

Question 3

Factors increasing/decreasing learning

Answer 3

In Kozier

Question 4

Learning ND form

Answer 4

Knowledge deficient RT disease X MB……

Question 5

Insulin

Answer 5

AA transport
Allows sugar into cell
Stores glycogen in liver/some in muscle
Stop liver from releasing glucose

Question 6

Diabetes and cultures

Answer 6

African American more at risk for diabetes/complications

Question 7

Type 2 correlations

Answer 7

> 30 yrs old
Obese 
Diabetic ketoacidosis
FX
Sedentary lifestyle
Heredity

Question 8

Type 3

Answer 8

Gestational

Placental hormones affect secretion of insulin

Question 9

Type 4 diabetes

Answer 9

Secondary to other conditions
Glucocorticoid therapy
Pancreatic conditions

Question 10

3 Ps of diabetes

Answer 10

Polyuria
Polydipsia
Polyphagia

Question 11

Diabetes symptoms

Answer 11

Fatigue
More infections
Vision change
Weight loss

Question 12

Goals for Diabetes

Answer 12

Controlling sugar decreases future complications
Teach
Manage/eliminate source of type 2

Question 13

Diabetic monitoring tests

Answer 13

Fasting GLU
A1C
Urine GLU, Ket, TPRO, ALB
Serum lipids/electrolytes

Question 14

Hypoglycemia (TIRED)

Answer 14

Tachy
Irritable
Restless
Excessive hunger
Diaphoresis/Depression

Question 15

Checking GLU for hypo

Answer 15

Check but don't recheck initially
4-6oz juice/soda
3-4 GLU tabs
6-10 hard candies
Wait 15 and check
Retreat prn and add Protein and carb if needed

Question 16

Unconscious Hypo treatment

Answer 16

SubQ Glucagon

25-50mL 50% dextrose

Question 17

Diabetic KTA

Answer 17

Fruity breath/urine
Abd pain
Blurred vision
Dehydrate 
Hyper K
Tachy
Hypotension

Question 18

KTA treatment

Answer 18

Rehydrate
3-5 unit insulin drip
Electrolyte balance

Question 19

Exercise and diabetes

Answer 19

Carry diabetic id
Aerobic X3
Don't inject insulin into worked muscle
Eat carbs before 
Avoid W/O when slow acting will kick in

Question 20

Gastroparesis

Answer 20

Stomach muscle paralysis

NV Abd distention

Question 21

Long term diabetes complications

Answer 21

Heart
Kidney
Eyes
Pain

Question 22

Maternal insulin

Answer 22

Screened at 24-28 weeks
1st tri decrease
2nd/3rd increase
GLU crosses placenta
Insulin does not

Question 23

T4

Answer 23

Cellular metabolic regulator

Question 24

T3

Answer 24

5x stronger than T4

Question 25

Thyroid tests

Answer 25

TSH levels- low is hyper. High is hypothyroidism | Radioactive iodine

Question 26

Radioactive iodine test

Answer 26

Size change from thyroid absorbing (NPO 12) | Elevated uptake indicates hyper

Question 27

Hyperthyroidism ss

Answer 27

Book stuff

Question 28

Radioactive thyroid treatment

Answer 28

``` I-131 (2-3 weeks) Flush multiple times Absorbing pads Radiation readings Excreted in feces Thyroid storm Isolated ```

Question 29

Thyroid meds

Answer 29

PTU and methimazole (with foods assess sore throat, fever, bruise) Iodine prep (Before ectomy stains teeth) Beta blocker for tachy

Question 30

Thyroid storm

Answer 30

Over active thyroid | Increased metabolism

Question 31

Storm s/s

Answer 31

Fever Tachy Hypo hypertension Causes heart failure

Question 32

Storm treatment

Answer 32

Airway Fluids Tylenol not NSAID

Question 33

Thyroidectomy Nd

Answer 33

``` Ineffective breathing Pain Injury Alt nutrition Impaired communication/comfort ```

Question 34

Hypothyroidism not on slide

Answer 34

Thinner hair | Anemia