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NSG123 Exam 4 Review

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    Mod 8-11
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  • What are the "3 Ps"? (Diabetes)
    Polyuria, Polydipsia, Polyphagia
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  • Gestational Diabetes turns to Type 2 Diabetes after the patient gives birth. True or False
    False- does increase risk in the future (35-60% within next 10-20 years)
  •  15
  • When should a pregnant patient that is high-risk for gestational diabetes be screened?
    1st prenatal visit, if neg re-screen at 24-28 weeks
  •  15
  • When mixing insulin, it should be mixed from cloudy to clear. True or False?
    False. Clear to Cloudy
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  • How often should Insulin Pump Infusion Sets be changed?
    3 days
  •  15
  • Your patient just received radioactive iodine for hyperthyroidism. What discharge instructions will you provide?
    Your body is emitting radiation. Avoid close contact with others and public places for several days. Avoid pregnancy 6-12 months.
  •  15
  • A patient is diagnosed with hyperthyroidism. What labs would you expect? (What is high/low?)
    Low TSH, High T4, High T3
  •  15
  • Phenytoin (Dilantin) can cause gum hyperplasia. True or False?
    True- Oral care is important!
  •  15
  • What 3 hormone are released by the thyroid?
    T3 (triiodothyronine), T4 (thyroxine), Calcitonin
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  • Epilepsy is defined as _______.
    The International League Against Epilepsy (ILAE) has defined epilepsy as at least two unprovoked seizures occurring more than 24 hours apart
  •  15
  • Name 5 causes of a seizure.
    Cerebrovascular disease Hypoxemia, Fever, Head injury, HTN, CNS infections, Brain tumor, drug/alcohol w/d, allergies
  •  15
  • You are caring for a patient with Alzheimer's disease. They have been on donepezil for 3 months but the family states they have not noticed any improvement. Should the medication be stopped? Why or why not?
    Keep taking. Can take 6-12 months for improvement to be noticed. (could be slowing progression)
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  • Delirium is not serious and resolves on it's own. True or False?
    FALSE- Medical Emergency. Must find cause and treat before irreversible damage
  •  15
  • Memantine is safe to take in renal failure. True or False
    False
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  • What symptoms may a person experience during the aura phase of a migraine?
    Visual Disturbances: light flashes, bright spots, Numbness/Tingling of lips, face or hands; mild confusion, slight weakness of extremity, drowsiness, dizziness
  •  15
  • What is the mechanism of action of Levodopa?
    Dopamine Receptor Antagonist. Levodopa is converted to dopamine in the basal ganglia.
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