Med surg Final part 2

Which statement by a client with psoriasis indicates to the nurse that additional teaching about the client's condition is required? "A tanning bed will supply the ultraviolet light I need." "Medicine can prevent the growth of new skin cells." "I can never be cured." "Stress can cause my flare-ups."

"A tanning bed will supply the ultraviolet light I need."

In teaching a client about primary prevention of skin cancer, which instruction does the nurse include? "Avoid sun exposure between 11 a.m. and 3 p.m." "Examine your skin quarterly for possible cancerous or precancerous lesions." "Keep a total body spot and lesion map." "If you feel you must tan, use a tanning bed."

"Avoid sun exposure between 11 a.m. and 3 p.m."

Which statement by a client with psoriasis indicates that teaching about the condition has been effective? "I know that I need to avoid warm climates." "I must cover up the affected areas to prevent spread to my family." "I should practice good handwashing technique." "Psoriasis can be cured with steroids."

"I should practice good handwashing technique."

A hospitalized client is diagnosed with type 1 diabetes mellitus. The nurse plans care for the client, understanding that which factors are likely causes of the beta cell destruction that accompanies this disorder? Select all that apply. 1. Viruses 2. Genetic factors 3. Autoimmune factors 4. Human leukocyte antigen (HLA) 5. Primary failure of glucagon secretion

1. Viruses 2. Genetic factors 3. Autoimmune factors 4. Human leukocyte antigen (HLA)

A preoperative client is scheduled for adrenalectomy to remove a pheochromocytoma. The nurse would most closely monitor which item in the preoperative period? 1. Vital signs 2. Fluid balance 3. Anxiety level 4. Creatinine levels

1. Vital signs

The clinic nurse is providing instructions to a client with diabetes mellitus about the signs and symptoms of hypoglycemia. The nurse should tell the client that which would be noted in a hypoglycemic reaction? 1. Thirst 2. Hunger 3. Polydipsia 4. Increased urine output

2. Hunger

The nurse is providing instructions regarding home care measures to a client with diabetes mellitus and instructs the client about the causes of hypoglycemia. The nurse determines that additional instruction is needed if the client identifies which as a cause of hypoglycemia? 1. Omitted meals 2. Increased intensity of activity 3. Decreased daily insulin dosage 4. Inadequate amount of fluid intake

3. Decreased daily insulin dosage

The emergency department nurse is reviewing the laboratory test results for a client suspected of having diabetic ketoacidosis (DKA). Which laboratory result should the nurse expect to note in this disorder? 1. Serum pH of 9.0 2. Absent ketones in the urine 3. Serum bicarbonate of 22 mEq/L (22 mmol/L) 4. Blood glucose level of 500 mg/dL (28.5 mmol/L)

4. Blood glucose level of 500 mg/dL (28.5 mmol/L)

A client with type 2 diabetes mellitus has a blood glucose level greater than 600 mg/dL (34.3 mmol/L) and is complaining of polydipsia, polyuria, weight loss, and weakness. The nurse reviews the health care provider's documentation and expects to note which diagnosis? 1. Hypoglycemia 2. Pheochromocytoma 3. Diabetic ketoacidosis (DKA) 4. Hyperosmolar hyperglycemic syndrome (HHS)

4. Hyperosmolar hyperglycemic syndrome (HHS)

The nurse is teaching a client about decreasing the risk for melanomas and other skin cancers. Which primary prevention technique is most important for the nurse to include? Avoiding or reducing skin exposure to sunlight Avoiding tanning beds Being aware of skin markings and performing skin self-examination Wearing SPF 40 sunscreen

Avoiding or reducing skin exposure to sunlight

A client has an odorous, purulent wound. How does the nurse best support this client? Changes the dressing frequently Encourages a diet high in protein Suggests whirlpool therapy Places room deodorizers in the room

Changes the dressing frequently

The nurse anticipates that a client with a deep necrotizing wound caused by a brown recluse spider bite may require which type of healing therapy? Hyperbaric oxygen Nutrition therapy Topical growth factors Vacuum-assisted wound closure

Hyperbaric oxygen

What is the best way for the nurse to prevent a client's stage I pressure ulcer from advancing to stage II? Massage the reddened areas. Pad the ulcer. Promote mobility and/or frequent repositioning. Suggest an egg crate mattress.

Promote mobility and/or frequent repositioning.

Deep tissue wounds, such as chronic pressure ulcers, take longer to heal because they heal by which intention? First Second Third Mixed

Second

The nurse is evaluating the effectiveness of interventions for pressure ulcer management. Which diagnostic test result with an increased level indicates client progress and effective health care team collaboration? Calcium Hematocrit Numbers of immature white blood cells (WBCs) Serum albumin

Serum albumin