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NSG123- Exam 4 Review
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A patient with a history of seizures is starting on Phenytoin (Dilantin). Why should good oral hygiene be a priority?
Prevent gingival hyperplasia
What assessment findings would tell the nurse a deep brain stimulation device is working well in the patient with Parkinson's Disease?
Decreased rigidity and tremor
What type headache is characteristic in older populations with a history of vascular disorders?
Cranial Arteritis
You are working with a confused client that has bruises in various stages of healing. The client does not recall how these injuries occurred. What should the nurse do first?
Assess clients for possible signs of abuse or neglect
You witness a patient, with no hx of neuro issues, having a seizure. After reorientation and personal care needs- what is the nurse's priority
Initiate seizure precautions
What type of insulin would NOT be in an insulin pump?
Long- acting (Lantus, Levemir)
A diabetic client calls your clinic reporting nausea and vomiting all afternoon. What should the nurse tell the client?
Continue taking your insulin even if you are having nausea and vomiting
Which med should be avoided for a patient receiving an abdominal CT with contrast?
Metformin
A patient is discharged after a COPD exacerbation- what med would require additional glucose monitoring?
Prednisone
Your diabetic client has over 1000ml of urine output on your shift. What lab value should be closely monitored?
K+
What is the definition of "glycemic index"?
A value assigned to foods based on how quick it increases blood glucose
What is the purpose of a biopsy for a patient with thyroid cancer
To determine staging
What medication could incorrectly skew thyroid diagnostic results?
Oral Contraceptives/Hormones
What labs are likely with a hyperthyroid patient?
Increased T 3&4, Decreased TSH


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