NUR 212 EXAM 3 Latest Update -

NUR 212 EXAM 3 Latest Update - Exam 100 Questions and 100% Verified Correct Answers

"My Plate" recommendations for carbs - CORRECT ANSWER: whole grains, fruits, veggies, and low fat dairy

"My Plate" recommendations for fats - CORRECT ANSWER: less than 200mg/day of cholesterol and trans fat recommendations

"My Plate" recommendations for proteins - CORRECT ANSWER: the same for the general population

2 hour glucose plasma - CORRECT ANSWER: uses a glucose load of 75g

BS should be lower than 200 after test

ADA recommends how much exercise? - CORRECT ANSWER: 30 mins/5 days/week

Addisonian Crisis - CORRECT ANSWER: No stress hormone

Severe hypotension (shock) and vascular collapse Low Na+ and hypoglycemia

Addisons assessment findings - CORRECT ANSWER: -anemia

-bronze color from hyperpigmentation -anorexia, fatigue, weakness, wt loss, ABD pain, diarrhea, othro BP

Addisons Disease - CORRECT ANSWER: occurs when the adrenal glands do not

produce enough of the hormones cortisol or aldosterone.80% is autoimmune or caused by pituitary tumor

Addisons TX - CORRECT ANSWER: Glucocorticoids (e.g. Hydrocortisone)

-2/3 in the a.m. and 1/3 in the p.m.-dosage varies w/ stress amount Mineralcorticoids (e.g. Fludrocortisone) -taken daily Increase pt sodium intake Emergency give IM dose of hydrocortisone

ADH - CORRECT ANSWER: also known as arginine vasopressin is to regulate fluid

volume. It causes the renal tubules to reabsorb water. Makes water more urine more concentrated. A rise in plasma osmolarity and/or hypovolemia stimulates ADH secretion

Adrenal Hormones - CORRECT ANSWER: Sugar *glucocortioid

Salt *aldosertone 1 / 2

Sex *androgens

Adrenocorticotropic hormone (ACTH) - CORRECT ANSWER: Stimulates adrenal cortex

to secrete glucocorticoids

Airway consideration with post-op bariatric patients - CORRECT ANSWER: High risk for respiratory depression Need to complete frequent respiratory assessments, count respirations, and monitor SPo2

Alcohol and diabetic patients - CORRECT ANSWER: -inhibit gluconeogensis an this

can cause hypoglycemic reactions -moderate alcohol intake can be incorporated into the meal plan -Avoid high sweet mixed drinks -Adequately hydrate when drinking -monitor BS levels when drinking

Ambulation for post-op bariatric pt's - CORRECT ANSWER: - high risk for DVT

-early ambulation is key -3-4 times a day -makes small goals for the patients to work towards

Bariatric post-op nutritional considerations - CORRECT ANSWER: -immediately post-op pt will be ordered NPO then clear non sugary liquids, they need to take in 30ml every 2 bours awake) -use zofran/phenergan to prevent nausea or vomiting -pt's will be advanced to full liquid.-At home diet will need to be low fat, low cholestrol, low roughage, and high protein -No fluids with meals so they do not fill up on liquids with meals -NO straws or carbonated drinks

Bariatric post-op pain - CORRECT ANSWER: pt's experience a lot of epigastric pain and pressure ambulation can help relief the pressure PCA pumps are often used Use non pharmacological therapies

Bariatric surgery - CORRECT ANSWER: surgical approach to extreme obesity, usually accomplished by stapling the stomach to create a small stomach pouch or bypassing the stomach through gastric bypass surgery

Beta cells - CORRECT ANSWER: unlock receptors sites on cell membranes to let

glucose in, so the cell gets energy

Carbs serving size for diabetic patients - CORRECT ANSWER: (CHO) 15 grams is

recommended

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