Chapter 48 & 64- Quiz #3
In assessing the joints of a patient with osteoarthritis, the nurse understands that Bouchard's nodes: a. Are often red, swollen, and tender b. Indicate osteophyte formation at the PIP joints c. Are the result of Pannus formation at the DIP joints. d. Occur from deterioration of cartilage by proteolytic enzymes.
B
A patient with rheumatoid arthritis is experiencing articular involvement. The nurse recognizes these characteristic changes include: (select all that apply) A. Bamboo-shaped fingers B. Metatarsal head dislocation in feet C. Noninflammatory pain in large joints D. Asymmetric involvement of small joints E. Morning stiffness lasting 60 minutes or more.
B,E
A patient with diabetes has a serum glucose level of 824 mg./dL (45.7 mmol/L) and is unresponsive. After assessing the patient, the nurse suspects diabetic ketoacidosis rather than hyperosmolar hyperglycemic syndrome based on the finding of : a. Polyuria b. Severe dehydration c. rapid, deep respirations d. Decreased serum potassium
C
In teaching a patient with Sjogren's syndrome about drug therapy for this disorder, the nurse includes instruction on use of which drug? a. Pregabalin (Lyrica) b. Etanercept (Enbrel) c. Cyclosporine (Restasis) d. Cyclobenzaprine (Flexeril)
C
What is the priority action for the nurse to take if the patient with type 2 diabetes complains of blurred vision and irritability? a. Call the physician b. Administer insulin as ordered c. Check the patient's blood glucose level d. Assess for other neurologic symptoms.
C
In teaching a patient with SLE about the disorder, the nurse knows the pathophysiology of SLE includes: a. Circulating immune complexes formed from IgG autoantibodies reacting with IgG. b. An autoimmune T-cell reaction that results in destruction of the deep dermal skin layer. c. Immunologic dysfunction leading to chronic inflammation in the cartilage and muscles. d. The production of a variety of autoantibodies directed against components of the cell nucleus.
D
Which statement would be correct for a patient with type 2 diabetes who was admitted to the hospital with pneumonia? a. The patient must receive insulin therapy to prevent ketoacidosis. b. The patient has islet cell antibodies that have destroyed the pancreas's ability to produce insulin. c. The patient has minimal or absent endogenous insulin secretions and requires daily insulin injections. d. The patient may have sufficient endogenous insulin to prevent ketosis but is at risk for hyperosmolar hyperglycemic syndrome.
D
Polydipsia and polyuria related to diabetes mellitus are primarily due to: a. The release of ketones from cells during fat metabolism. b. Fluid shifts resulting from the osmotic effect of hyperglycemia. c. Damage to the kidneys from exposure to high levels of glucose. d. Changes in RBC's resulting from attachment of excessive glucose to hemoglobin.
B
When administering medications to the patient with chronic gout, the nurse would recognize which drug is used as a treatment for this disease? a. Colchicine b. Febuxostat c. Sulfasalazine d. Cyclosporine
B
Analyze the following diagnostic findings for your patient with type 2 diabetes. Which result will need further assessment? a. A1C 9% b. BP 126/80 mm Hg. c. FBG 130 mg/DL (7.2 mmol/L) d. LDL cholesterol 100 mg/dL (2.6 mmol/L)
A
The nurse should teach the patient with ankylosing spondylitis the importance of: a. Regularly exercising and maintaining proper posture. b. Avoiding extremes in environmental temperatures. c. Maintaining patient's usual physical activity during flares. d. Applying hot and cool compresses for relief of local symptoms.
A
Which statement by the patient with type 2 diabetes is accurate? a. " I will limit my alcohol intake to one drink." b. "I am not allowed to eat any sweets because of my diabetes." c. "I cannot exercise because I take a blood glucose-lowering medication." d. "The amount of fat in my diet is not important. Only carbohydrates raise my blood sugar."
A
Teach the patient with fibromyalgia the importance of limiting intake of which foods (select all that apply)? a. Sugar b. Alcohol c. Caffeine d. Red meat e. Root vegtables
A,B,C
Which are appropriate therapies for patients with diabetes mellitus (select all that apply)? a. Use of statins to reduce CVD risk b. Use of diuretics to treat nephropathy c. Use of ACE inhibitors to treat nephropathy d. Use of serotonin antagonists to decrease appetite e. Use of laser photocoagulation to treat retinopathy.
A,C,E
You are caring for a patient with newly diagnosed type 1 diabetes. What information is essential to include in your patient teaching before discharge from the hospital (select all that apply). a. Insulin administration b. Elimination of sugar from diet c. Need to reduce physical activity d. Use of a portable blood glucose monitor e. Hypoglycemia prevention, symptoms, and treatment.
A,D,E
