msn quizlet

The patient on an intensified insulin regimen consistently has a fasting blood glucose between 80 and 90 mg/dL and a Glycosylated Hemoglobin level of 5.5%. What is the nurse's interpretation of these findings?

The patient is demonstrating good control of blood glucose.

Which patient statement to the nurse indicates a need for additional instruction about taking oral ferrous sulfate?

"I will call my health care provider if my stools turn black."

A patient is complaining that her skin itches in the area where she is receiving external beam radiation. What is the best response by the nurse:

"Ask the nurse in the radiation department for an approved lotion to lubricate the area."

The nurse is educating a patient about the benefits of fruit vs fruit juices in the diabetic diet. The patient states, "What difference does it make if you drink the juice or eat the fruit? It is all the same." What is the best response by the nurse?

"Eating the fruit instead of drinking juice decreases the glycemic index by slowing absorption."

What instruction should the nurse emphasize when teaching the diabetic patient about how to alter diabetes management during a period of illness that includes nausea and vomiting.

"Monitor your blood glucose levels at least every 4 hours."

The diabetic patient asks the nurse why it is necessary to maintain blood glucose levels no lower than 70 mg/dL. What is the nurse's best response?

"The central nervous system, which cannot store glucose, requires a continuous supply of glucose for fuel."

The nurse is caring for 4 patients with acute myelogenous leukemia. After receiving change-of-shift report, which patient should the nurse assess first?

A 33-year old with a fever of 100.8F

After receiving change-of-shift report on the following four patients, which patient should the nurse see first?

A 60-year old patient with right-sided weakness who has an infusion of tPA prescribed.

The nurse is administering one unit of PRBCs to a patient. After 25 minutes, the patient complains of chills, headache, anxiety, and has a temperature of 101.2F. After stopping the transfusion, what action should the nurse take?

Administer acetaminophen (Tylenol) ordered prn

A patient who has acute myelogenous leukemia (AML) is considering treatment with a hematopoietic stem cell transplant (HSCT). The best approach for the nurse to assist the patient a treatment decision is to:

Ask whether there are questions or concerns about HSCT.

A patient will attempt oral feedings for the first time after having a stroke. The nurse should assess the gag reflect and then:

Assist the patient into a chair

Which intervention will be included in the nursing care plan for a patient with immune thrombocytopenic purpura?

Avoid intramuscular (IM) injections.

A 70-year old female patient with left-sided hemiparesis arrives by ambulance to the emergency department. Which action should the nurse take first?

Check the respiratory rate and effort

An appropriate nursing intervention for a patient with non-Hodgkin's lymphoma whose platelet count drops to 18,000ul during chemotherapy is to:

Check all stools for blood

The patient presents with diaphoresis, palpitations, jitters, and tachycardia approximately 1.5 hours after taking his normal morning insulin dose. What is the most appropriate intervention by the nurse?

Check the blood glucose and administer carbohydrates as indicated

Which of the following remains the greatest barrier to improving end-of-life care?

Clinician's attitudes toward terminally ill

A patient is receiving Adriamycin to treat his non-Hodgkin's lymphoma. The nurse is reviewing the patient's laboratory results. Which of the following results would indicate the patient could be experiencing tumor lysis syndrome? (Select all that apply)

Elevated phosphate level Decreased calcium level Increased potassium level

The nurse admits a patient who is diagnosed with new onset diabetes mellitus. While performing the initial physical assessment and history, the nurse expects to find which of the following signs and symptoms?

Polydipsia, polyuria, weight loss

In caring for a patient diagnosed with Hodgkin's lymphoma, the nurse would expect to see which of the following clinical manifestations? (Select all that apply)

Enlarged lymph nodes Fatigue Alcohol-induced pain

The nurse is developing a nursing care plan for the patient diagnosed with end stage renal disease. Which nursing problem would have priority for this patient?

Excess fluid volume. Risk for FVO related to impaired kidney function.

A patient who has a history of transient ischemic attack (TIA) has an order for aspirin 160 mg daily. When the nurse is administering medications, the patient says, "I don't need aspirin today. I don't have a fever." Which action should the nurse take?

Explain that the aspirin is ordered to decrease stroke risk.

When a nurse is caring for a patient with type 1 diabetes, what clinical manifestation would be a priority to closely monitor?

Hypoglycemia

A patient with diabetic ketoacidosis has had a large volume of fluid infused for rehydration. What potential complication from rehydration should the nurse monitor for?

Hypokalemia

The nurse is admitting an oncology patient to the unit prior to surgery. The nurse notes that the patient has just finished radiation therapy to the chest. The nurse should prioritize assessments related to which potential health problem?

Impaired wound healing

A patient is diagnosed with type 1diabetes. What clinical characteristics does the nurse expect to see in this patient? Select all that apply

Ketosis prone Little to no endogenous insulin Younger than 30 years old

Which information is a top priority to teach a patient about performing self continuous ambulatory peritoneal dialysis?

Maintain sterile technique during exchanges. If sterile technique is not maintained, peritonitis could result.

Which of the following are the nurse's primary concerns when providing end-of-life care for a client and family? (Select all that apply).

Maintaining client comfort Supporting family members Providing personal care

A 20-year-old college student who has type 1 diabetes normally walks each evening as part of her exercise regimen. She now plans to enroll in a swimming class to meet her physical education requirement. The nurse teaches the patient that adjustments to her treatment plan should include:

Monitoring her glucose level before, during, and after swimming to determine the need for alterations in food or insulin.

The nurse is preparing to administer 1 unit of PRBCs to a patient. Which intravenous solution is compatible with this blood product?

Normal saline (NS)

You are caring for a patient who has just been told that her stage IV colon cancer has recurred and metastasized to the liver and is causing liver impairment. The oncologist offers the patient the option of surgery to treat this complication from the disease. What type of surgery does the oncologist offer?

Palliative

A patient with a large stomach tumor that is attached to the liver is scheduled to have a debulking procedure. The nurse explains that the expected outcome of this surgery is

Reduction of the tumor burden to enhance adjuvant therapy

Which of the following interventions are appropriate to include for a patient diagnosed with neutropenia? (Select all that apply).

Shower daily Frequent handwashing Private room while hospitalized