Diabetes + Endocrine
This acute diabetic complication presents with glucose >600 mg/dL, severe dehydration, and neurologic deficits without significant ketosis.
What is Hyperosmolar Hyperglycemic State (HHS)?
This hallmark sign of flail chest involves inward movement of the chest during inspiration.
What is paradoxical chest wall movement?
A BP of 146/96 that occurs once requires this before diagnosis.
What is repeat measurements over time?
A nonhealing sore and change in bowel habits are part of these classic cancer warning signs.
What are the seven warning signs of cancer? (CAUTION)
Absence of menses is known as this disorder.
What is amenorrhea?
The final medication check is performed at this location.
What is at the bedside?
500 mL at 50 mL/hr will take this many hours to infuse.
What is 10 hours?
This acid-base disturbance is characterized by fruity breath, Kussmaul respirations, and metabolic acidosis.
What is Diabetic Ketoacidosis (DKA)?
The priority nursing intervention for a cyanotic patient in the ER is this.
What is administering oxygen?
Uncontrolled hypertension increases risk for this major neurologic complication.
What is stroke?
Cancer spreads to distant organs primarily through this system.
What is the lymphatic circulation?
Endometrial tissue growing outside the uterus is called this condition.
What is endometriosis?
New-onset confusion in an elderly patient requires this first action.
What is assess the patient?
6,000 units heparin from 10,000 units/mL requires this volume.
What is 0.6 mL?
This medication for type 2 diabetes requires monitoring of creatinine and BUN due to risk of lactic acidosis.
What is Metformin?
After bronchoscopy, fluids are withheld until this reflex returns.
What is the gag reflex?
Spironolactone produces this expected physiologic effect.
What is increased urine output?
The medication given to combat the most common chemotherapy side effect is this.
What is an antiemetic?
Pap smear screening should begin at this age.
What is 21 years old?
When SpO2 drops but respirations are normal, the nurse should first do this.
What is check probe placement?
4 mg morphine from 5 mg in 2 mL requires this volume.
What is 1.6 mL?
A hospitalized patient with controlled type 2 diabetes suddenly requires insulin after surgery due to this physiologic response.
What is stress-induced hyperglycemia?
A restless and confused influenza patient should be assessed first because this may indicate worsening condition.
What is hypoxia?
Hypertensive urgency treatment goal is to normalize BP within this timeframe.
What is 24 to 48 hours?
Teaching sunscreen to a melanoma patient is an example of this level of prevention.
What is primary prevention?
A 62-year-old with BPH on finasteride must understand this key safety teaching.
What is pregnant women should avoid handling the medication?
The patient vomiting with no bowel sounds post-op should be seen first due to suspected this.
What is bowel obstruction or ileus?
1000 mL over 12 hours with drop factor 15 equals this rate.
What is 21 gtt/min?
ABG: pH 7.16, HCO3 17, PaCO2 35 in a hyperglycemic patient. This describes this acid-base imbalance.
What is uncompensated metabolic acidosis?
A patient on opioids with RR 8 and hypotension requires this reversal agent.
What is naloxone?
The priority medication for fluid overload with crackles and edema is this IV diuretic.
What is furosemide (Lasix)?
A hemoglobin of 6.1 during chemotherapy may require administration of this agent.
What is epoetin alfa?
The highest priority problem in pelvic inflammatory disease is this.
What is infection?
A platelet count of 60,000 requires follow-up due to risk of this complication.
What is bleeding?
Methadone 40 mg with supply 30 mg/mL requires this amount.
What is 1.3 mL?
The compensatory mechanism for metabolic acidosis in DKA involves this respiratory change.
What is increased rate and depth of respirations (Kussmaul breathing)?
The most appropriate intervention to prevent postoperative pneumonia is this lung expansion technique.
What is incentive spirometry (deep breathing and coughing)?
Prolonged uncontrolled hypertension leads to this structural cardiac change.
What is left ventricular hypertrophy?
This tumor characteristic involves invasion of vasculature and lymphatics.
What is malignant behavior?
A cone biopsy patient must avoid this to prevent bleeding during healing.
What is tampon use?
Withdrawal of life support allowing natural death reflects this ethical principle.
What is allowing natural death (not active euthanasia)?
1000 mL with 20 mEq KCl over 5 hours with drop factor 15 equals this rate.
What is 50 gtt/min?