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Final
Nur 206
| Question | Answer |
|---|---|
| A patient asks the nurse if stress can be a potential cause of type 2 diabetes. Which response is most appropriate for the nurse to make? | “Periods of stress cause increase in glycogen production by the adrenal cortex” |
| The nurse is educating a 50 year old patient about diabetes monitoring. Which statement reinforces the American Diabetes Association’s (ADA’s) recommendation? | Obtain regularly scheduled fasting blood glucose levels |
| The nurse is caring for a patient with ketosis, which statement indicates that the patient correctly understands the phenomenon | The condition resulted when my body tried to break down and use my stores of fats |
| The nurse is caring for a patient with type 1 diabetes who is diaphoretic and clammy. The patient complains of hunger but denies pain. The nurse performs a bedside blood glucose check. What should the nurse do next? | Give 6 ounces of orange juice |
| Which goal is the primary objective of a diabetic diet? | Adequate nutrition with weight control |
| The patient comes to the emergency room complaining of abdominal pain. The nurse assesses dry, hot skin, fruity breath, and deep respiration, To which problem should the nurse attribute these findings? | Ketoacidosis |
| Which reason best explains why diabetics are prone to infection? | High glucose levels providing an environment conductive to bacterial growth |
| The nurse notes that the hemoglobin A1C level of an assigned patient dropped from 9.4 to 5.4. What does that mean? | The patient blood glucose control has improved over the last several months |
| The nurse is caring for an older adult patient who is diabetic. The nurse cautions against the technique of very tight control of hyperglycemia, which statement explains why this management method is not right for this patient is an older adult patient. | Older adults may experience cardiovascular problems form hypoglycemia |
| When discussing exercise programs with the diabetic, which instructions are important for the nurse to include? | Delay exercise until glucose is controlled Keep a quick source of glucose readily available while exercising Begin slowly and build up to 30 to 45 minutes Check glucose immediately after exercising |
| Which factors might cause diabetes in general (select all that apply) | Genetic, Microbiologic Metabolic Immunologic |
| Which genetic factors increase the risk of a patient developing diabetes mellitus? (select all that apply) Number of family relatives with diabetes Genetic closeness of relatives with diabetes Race | Number of family relatives with diabetes Genetic closeness of relatives with diabetes Race |
| Which lab values are consistent with a patient in ketoacidosis? | Blood urea nitrogen (BUN) of 35 mg/dL |
| The nurse evaluated that the 50-year-old male recently diagnosed with early stage cancer of the prostate has begun to accept his diagnosis when he | Requests current information on prostate cancer |
| The nurse is presenting a program about bulimia nervosa to a group of student nurses. After the program, the participants correctly identify which methods of treatment (select all that apply) | Psychotherapy Antidepressant medication Behavior modification Increase exercise |
| The nurse is caring for a patient with cholelithiasis who is scheduled to undergo a cholecystography (HIDA scan). Which statement accurately describes the purpose of HIDA scan? | To diagnose abnormal contraction of the gallbladder |
| Patient who is 4 hours postoperative after a laparoscopic cholecystectomy. The patient reports abdominal fullness and mild discomfort. After verifying that the patient vital signs are stable, what action is most important for the nurse to take next? | Ambulate the patient |
| the nurse is caring for a patient recently admitted with acute pancreatitis. What action should the nurse include in the daily assessment? (Select all that apply) | Monitor abdominal girth Monitor urine output Monitor effectiveness of pain control Auscultate bowel sounds |
| The nurse is providing discharge teaching for a patient who underwent a laparoscopic cholecystectomy. Which statement indicates that the nurse’s teaching has been successful? | “I should let these steri-strips fall off on their own.” |
| Family member asked a nurse about the protein restricted diet ordered because of advanced liver disease with hepatic encephalopathy. What statement by the nurse would explain the purpose of the diet for this patient | The liver cannot rid the body of ammonia that is made by the breakdown of protein in the digestive system |
| Immediately following the liver biopsy, the patient becomes dystonic. The pulse increases to 100 and no breath sounds can be heard on the affected side. What did we do? | Pneumothorax |
| What food should you avoid in a patient that has cholecystitis (select all that apply) | Whole milk Peanut butter Glazed Chocolate donuts |
| Patient who presents to the emergency department with severe nausea and vomiting with stomach pain that radiates to his right scapula. Patient has a temperature of 101.2° F. The nurse anticipates that this patient will undergo workup for which problem? | Cholecystitis |
| A patient was scheduled for a laparoscopic cholecystectomy, but complications developed and he underwent an open coli cystectomy with a T tube inserted into the common bile duct. What is the purpose of the T tube? | To open the to keep the duct open and allow drainage of the bile until edema resolves. |
| The nurse is discussing insulin administration with a patient. The patient reports that she prefers to use only certain sites for the injection and questions the need to rotate. What response by the nurse is most appropriate? | “Rotating injection sites help enhance insulin absorption.” |
| A long-term diabetic patient reports that he has been diagnosis with early cardiovascular disease. How does diabetes predispose the patient to cardiovascular complications? | Hyperglycemic periods cause thickening of the basement membrane in vessels which causes atherosclerosis |
| The nurse is caring for a patient who struggles to maintain glycemic control at night and during early morning hours. Which statement correctly explains the reason for this problem and he wanna guess before I say it. | Dawn phenomenon |
| Which glad has both exogenous and endogenous properties? | Pancreas |
| The nurse is explaining the underlying pathophysiology of type 1 diabetes to a newly diagnosed patient. Which information accurately explains why type 1 diabetic does not produce adequate insulin? | The body’s immune system destroyed beta cells |
| The nurse is caring for a patient suspected of having a ketoacidosis. Which manifestations are characteristic of early ketoacidosis? | Fruity breath Polyuria Thirst |
| Type 1 | Little to none endogenous insulin |
| Type 2 | Adult onset Renal, retinal and neurologic complications Rarely develops ketosis |
| Prediabetes | Weight loss and exercise can delay |
| Gestational | Occurs during pregnancy |
| The nurse watches a patient perform an insulin injection. Which observations indicate that the patient needs additional instructions? (select all that apply) | Patient draws up cloudy then clear Rub the injection site Patient shakes the insulin patient use 90 degree angle to administer the injection |
| The nurse is caring for a patient with suspected dysphasia. What action is most appropriate for the nurse to take | Instruct the patient to take practice swallows before the meal |
| The nurse correctly recognizes that esophageal cancer is associated with which risk factors(select all that apply) | Cigarette smoking Smokeless tobacco Alcohol |
| The nurse is caring for a patient with a Salem sump tube for decompression. The patient displays dyspnea and reports feeling full and nauseated. What action should the nurse take first? | Withdraw the tube about 3 inches |
| The nurse explains that the laparoscopic adjustable gastric banding surgery is best described as which type of bariatric surgery | Restrictive |
| The nurse is caring for a 70-year-old patient who was diagnosed with gastroenteritis after coming back from Mexico. What manifestations are consistent with her having patient with gastroenteritis (select all that apply) | Positive stool culture for Giardia or shigella Mucus in her stool Blood in stool Abdominal cramping |
| The nurse explains to an obsess patient that initial medically supervised weight reduction includes (select all that apply) | Stress reduction General health assessment Specialized exercise program Participation in a support group |
| The nurse is caring for a patient who is suspected of oral cancer. When reviewing the patient health history, which information provides support for that? | Presence of leukoplakia |
| The nurse is educating a patient who has GERD about dietary modifications, which information is most important for the nurse to include in the teaching plan. | Avoid highly seasoned or Spiced foods |
| The nurse is educating a patient who has a hiatal hernia. Which statement indicates that the patient understands the teaching | I should avoid tea and chocolate |
| The nurse is discussing bariatric surgery complications with a patient. What statement indicated that the patient understands | Unfortunately I may experience gastritis after bariatric surgery |
| The nurse is preparing to teach a patient with GERD, who has been prescribed multidrug therapy. Which information is most important for the nurse to obtain? | Do you understand how each type of medication works |
| 26-year-old patient has a malignant neoplasm and has experienced a 10-pound weight loss in 3 weeks. Which factor is the patient rapid weight loss most likely related? | The malignancies high nutritional demand |
| The nurse is outlining a diet that would be helpful in the prevention of cancer. Which instruction should the nurse include to prevent cancer? | Eliminate all red meat |
| Which of those 4 items are promoter of cancer? | Obesity |
| Appropriate cancer warning sign to teach the public would | A mole on the calf of the leg that changes color and has irregular borders |
| The nurse instructing about fatigue management to the patient who is taking radiation will include | Prioritize your activities |
Created by:
LPNCharisse