Med surge week 5 quiz

Which of the following is a risk factor for the development of diabetes mellitus? Select all that apply. Obesity Family History History of gestational diabetes Hypertension Age greater than 45 years

ALL Risk factors for the development of diabetes mellitus include hypertension, obesity, family history, age of 45 years or older, and a history of gestational diabetes

A nurse is assessing a client with Cushing's syndrome. Which observation should the nurse report to the physician immediately? Dry mucous membranes Frequent urination Pitting edema of the legs An irregular apical pulse

An irregular apical pulse Because Cushing's syndrome causes aldosterone overproduction, which increases urinary potassium loss, the disorder may lead to hypokalemia. Therefore, the nurse should immediately report signs and symptoms of hypokalemia, such as an irregular apical pulse, to the physician. Edema is an expected finding because aldosterone overproduction causes sodium and fluid retention. Dry mucous membranes and frequent urination signal dehydration, which isn't associated with Cushing's syndrome.

A nurse is reviewing the immune system before planning an immunocompromised client's care. How should the nurse characterize the humoral immune response? a) T lymphocytes are assisted by cytokines to fight infection. b) Antibodies are made by B lymphocytes in response to a specific antigen. c) Specialized cells recognize and ingest cells that are recognized as foreign d) Lymphocytes are stimulated to become cells that attack microbes directly.

Antibodies are made by B lymphocytes in response to a specific antigen. The humoral response is characterized by the production of antibodies by B lymphocytes in response to a specific antigen. Phagocytosis and direct attack on microbes occur in the context of the cellular immune response.

The nurse is caring for a client at risk for an addisonian crisis. For what associated signs and symptoms should the nurse monitor the client? (Select all that apply.) Epitaxis Bounding pulse Hypotension Pallor or dark pigmentation Extreme weakness

Hypotension Pallor or dark pigmentation Extreme weakness The client at risk is monitored for signs and symptoms indicative of addisonian crisis, which can include shock; hypotension; rapid, weak pulse; rapid respiratory rate; pallor; and extreme weakness. Epistaxis and a bounding pulse are not symptoms or signs of an addisonian crisis.

A nurse is developing a teaching plan for a client with an immunodeficiency. What would the nurse need to emphasize? Select all that apply. Prophylactic medication regimens Maintenance of a well-balanced diet Need to interrupt therapy for short periods Signs and symptoms of bleeding Ways to manage stress

Prophylactic medication regimens Maintenance of a well-balanced diet Ways to manage stress

The nurse is performing discharge teaching for a client with rheumatoid arthritis. What teachings are priorities for the client? Select all that apply. Safe exercise Medication dosages and side effects Narcotic safety Assistive devices Dressing changes

Safe exercise Medication dosages and side effects Assistive devices The client with rheumatoid arthritis who is being discharged to home needs information on how to exercise safely to maintain joint mobility. Medication doses and side effects are always an essential part of discharge teaching. Assistive devices, such as splints, walkers, and canes, may assist the client to perform safe self-care. Narcotics are not commonly used, and there would be no reason for dressings.

Which of the following factors would a nurse identify as a most likely cause of diabetic ketoacidosis (DKA) in a client with diabetes? The client has been exercising more than usual. The client continues medication therapy despite adequate food intake. The client has eaten and has not taken or received insulin. The client has not consumed sufficient calories.

The client has eaten and has not taken or received insulin. If the client has eaten and has not taken or received insulin, DKA is more likely to develop. Hypoglycemia is more likely to develop if the client has not consumed food and continues to take insulin or oral antidiabetic medications, if the client has not consumed sufficient calories, or if client has been exercising more than usual.