A&E Questions Exam 3

which patient with type 1 diabetes would be at the highest risk for developing hypoglycemic unawareness? A 24 year old patient with a hemoglobin A1C of 8.9% A 73-yr-old patient who takes propranolol (Inderal) A 19-yr-old patient who is on the school track team

A 73-yr-old patient who takes propranolol (Inderal) Older patients and patients who use β-adrenergic blockers (e.g., propranolol) are at risk for hypoglycemic unawareness.

The nurse is taking a history for a pregnant client who has been seen for chronic headaches for 2 years. Today, the client reports a headache that feels different than the normal headaches she has experienced in the past. Which assessment question helps the nurse assess quality of pain?

"Can you describe the type of pain you are having?"

Two hours after receiving a pain medication, the client reports still suffering from pain. Which response is most appropriate?

"Tell me more about your pain."

a patient admitted with type 2 diabetes asks the nurse what type 2 means. what is the most appropriate response by the nurse? With type 2 diabetes the pancreas is inflamed "With type 2 diabetes, insulin secretion is decreased, and insulin resistance is increased."

"With type 2 diabetes, insulin secretion is decreased, and insulin resistance is increased." type 2 diabetes, the secretion of insulin by the pancreas is reduced and/or the cells of the body become resistant to insulin. The patient is totally dependent on exogenous insulin and may have had autoantibodies destroy the β-cells in the pancreas with type 1 diabetes.

the patient received regular insulin 10 units subcutaneously at 8:30PM for a blood glucose level of 253 mg/dL. the nurse plans to monitor this patient for signs of hypoglycemia at which time related to the insulins peak action

10:30 PM to 1:30 AM Regular insulin exerts peak action in 2 to 5 hours, making the patient most at risk for hypoglycemia between 10:30 PM and 1:30 AM

the nurse caring for a patient hospitalized with diabetes would look for which lab test result to obtain info on the patients glucose control? Fasting glucose level Glycosylated hemoglobin level

Glycosylated hemoglobin level A glycosylated hemoglobin level detects the amount of glucose that is bound to red blood cells (RBCs).Thus, the test can give an indication of glycemic control over approximately 2 to 3 months.

the nurse teaches a patient with diabetes about a healthy eating plan. what would indicate that the teaching was successful? I plan to lose 25 pounds this year by following a high protein diet I may have a hypoglycemic reaction if I drink alcohol on an empty stomach

I may have a hypoglycemic reaction if I drink alcohol on an empty stomach

The nurse cares for a client following surgery to repair an abdominal aortic aneurysm. Which nursing intervention assists with healing and maintaining client comfort?

Maintaining a calm environment

a patient with diabetes who has multiple infections every year needs a mitral valve replacement. What is the most important preoperative teaching the nurse should provide to prevent a cardiac infection postoperatively? Avoid sick people and wash hands. Obtain comprehensive dental care.

Obtain comprehensive dental care. The most important preoperative teaching to prevent a postoperative infection in the heart is to have the patient obtain comprehensive dental care because the risk of septicemia and infective endocarditis increases with poor dental health.

What nursing action will best promote pain management for a client in the postoperative phase?

Performing relaxation techniques

The nurse is caring for a client whose pain is being treated with epidural analgesia. Which nursing action is most appropriate?

The anesthesiologist/pain management team should be notified immediately if the client's respiratory rate is below 10 breaths/min.

The nurse is reviewing laboratory results for a patient with a 15-year history of type 2 diabetes. Which result reflects the expected pattern accompanying macrovascular disease as a complication of diabetes?

increased triglyceride levels Increased triglyceride levels are associated with these macrovascular changes. Increased HDL, decreased LDL, and decreased VLDL are positive in relation to atherosclerosis development

A nurse is employed in an operative setting. Which of these roles is within the registered nurse (RN) scope of practice? Select all that apply. -administering inhalation anesthetics -positioning the client on the operating table -administering regional nerve blocks -counting sponges before and after surgery -monitoring the client's vital signs

monitoring the client's vital signs, counting sponges before and after surgery , positioning the client on the operating table