Exam 2 (Ch 5, 51 & 41)

Metformin does not cause hypoglycemia.

A client has missed a scheduled dose of metformin, stating that he is worries about inducing hypoglycemia because of his blood glucose currently at 66 mg/dl. The nurse should convey which teaching points to the client?

The clients activity just prior to the onset of the pain.

A client presents with intense back pain, rating it an "11" on the 0 to 10 scale. He is hunched over and reports that the pain is running down his legs. What information will the nurse inquire about while obtaining the history of the present health concern?

"A fasting blood sugar result of 126 mg/dl or more two separate occasions is diagnostic of diabetes."

A client, being evaluated for diabetes, asks how blood glucose test is used to diagnose the disease. What is the nurse's best response?

Observing for safety hazards that could be a fall risk.

A family member is caring for an older adult client with osteomalacia in the home. When the home health nurse comes to evaluate the client, what should be a focus point of the visit?

Osteomalacia

A metabolic bone disease characterized by inadequate bone mineralization, and softening and weakening of the long bones that cause pain, tenderness, and deformities cause by the bowing of the bones and pathologic fractures is known as?

Kyphosis

A nurse is assessing an older adult client who has experienced some loss of bone density. The nurse observes a "hunchback" curvature on the client's spine. The nurse should expect the provider to document which of the following disorders?

Nonnutritive sugar substitute

A nurse is caring for a client who has Type 1 diabetes. Which of the following recommendations should the nurse make to the client for a sweetener?

"I will walk daily and gradually decrease the distance and pace of walking"

A nurse is caring for a client who has acute low back pain, Which statement by the client indicates that he needs additional education?`

Renal stones.

A nurse is caring for a client who has osteoporosis and takes a daily calcium supplement. Which of the following adverse effects should the nurse suspect when the client reports having flank pain?

-Literacy -Dexterity -Motivation -Culture

A nurse is caring for a client who has type 1 diabetes and is not following the guidelines for therapy. Which of the following should the nurse consider as contributing factors to the clients nonadherence? Select all that apply

-Teach the client to use the call light -Keep the client's bed in the lowest position -Place a fall-risk id band on the client's wrist

A nurse is caring for a client who is at risk for falls. Which of the following actions should the nurse take? Select all that apply.

Alendronate

A nurse is caring for a client with a new diagnosis of Paget's disease. The nurse anticipates the provider will prescribe which of the following medications for this client?

Alendronate

A nurse is caring for four clients for whom she has to administer oral medications in the morning. The nurse should administer which of the following medications before breakfast?`

Listen carefully to the patient's responses.

A nurse is conducting a health assessment and interviewing a patient. Which of the following will be MOST appropriate for the nurse to do?

Auscultation

A nurse is conducting a physical assessment of a patient with a cardiac murmur. Which technique would the nurse most likely use to assess the murmur?

Determine what the client knows about managing diabetes.

A nurse is developing a teaching plan for a client who has a new diagnosis of type 2 diabetes. Which of the following actions should the nurse plan to take first?

Wash and inspect feet daily.

A nurse is developing a teaching plan for a client with diabetes mellitus. A client with diabetes mellitus should:

Client's report pain on a pain scale.

A nurse is performing a pain assessment for a client who is postop. Which of the following findings should the nurse use to determine the severity of the client's pain?

-Moist clammy skin -Tachycardia -Blurred vision

A nurse is providing teaching to a client who has a new diagnosis of Type 2 diabetes. The nurse should recognize that the client understands the teaching when he identifies which of the following as manifestations of hypoglycemia? Select all that apply

3 oz canned salmon

A nurse is providing teaching to a client who has osteoporosis. Which of the following foods should the nurse recommend as being the highest in calcium?

Thyroid hormones

A nurse is reviewing risk factors for osteoporosis with a group of nursing students. The nurse should include that which of the following types of medication therapy is a risk for osteoporosis?

Expect the NPH to peak in 6-14 hours

A nurse is teaching a client who has diabetes mellitus and receives 25 units of NPH every morning if her blood glucose is above 200 mg/dL. Which of the following information should the nurse include?

Do not exercise if ketones are present in your urine.

A nurse is teaching a client who has type 1 diabetes about exercise. Which of the following instructions should the nurse teach the client?

"Take the medication with a meal".

A nurse is teaching a client who takes metformin XR for type 2 diabetes. Which of the following instructions should the nurse include in her teaching?

"Maintain a stable blood glucose level"

A nurse is teaching an older adult client who has diabetes mellitus about preventing the long term complications of retinopathy and nephropathy. Which of the following instructions should the nurse include?

True

A patient's history of present illness is the single most important factor in helping the health care team arrive at a diagnosis or determine the patient's current needs.

True

Due to the lack of insulin in Type 1 diabetes, the body uses fats and proteins for energy, leading to the acidosis with DKA.

Hearing loss

During a health history, the nurse notices that the client is watching the nurse's face intently and leaning in closer with each question asked. As the nurse becomes aware of such behaviors, she will inquire about which possible client impairment?

Slows down the transport of amino acids into cells

Functions of insulin include all of the following EXCEPT:

30 minutes 60 minutes

How long does a patient taking biphosphonates need to stay upright after administration? Select all that apply.

True

Nursing interventions for a patient undergoing surgery include a neurovascular assessment every 1 to 2 hours for the first 24 hours.

True

Osteoporosis frequently results in compression fractures of the neck or intertrochanteric region of the femur, and Colles fractures of the wrist.

True

Osteoporosis frequently results in compression fractures of the spine, fractures of the neck, or intertrochanteric region of the femur, and Colles' fracture of the wrist.

06:45

The client is scheduled to get a breakfast tray at 07:00. At what time should the client receive a prescribed dose of insulin lispro?

Relieve pain and discomfort while promoting quality of life.

The hospice nurse is assigned to care for a patient with metastatic bone cancer who wants to remain at home. What is the therapeutic goal in the care of this patient?

-HA1C monitors effectiveness of diabetic therapy. -HA1C reviews blood glucose control over a period of time. -HA1C result is altered in the presence of anemia.

The nurse knows that education regarding hemoglobin A1C has been effective if the patient makes which of the following statements about hemoglobin A1C? Select all that apply.

False

The nurse should recommend short periods of rest, in prone position, for patients experiencing back pain resulting from a compression fracture.

Increase in exercise and reduction of calorie intake.

The school nurse is working with a female high school junior whose BMI is 31. When planning the girl's care, the nurse should identify what goal?

Lift with the large leg muscles (quads), not the back muscles.

Using proper body mechanics to lift objects is essential to prevent exacerbation's of low back pain. Which of the following is most important teaching point?

Fracture, dislocation, infection, osteoarthritis, or scoliosis.

What findings can be determined with the use of radiography of the spine?

Deformity in which the great foot deviates laterally

What is Hallux valgus (Bunion)?

Foot with an abnormally high arch and a fixed equinus deformity of the forefoot.

What is pes cavus?

Perform a blood sugar analysis

What should be the nurse's initial response when a client diagnosed with Type 1 diabetes suddenly reports feeling weak, shaky, and dizzy?

"Regular exercise makes your body better able to use the insulin it produces."

What statement would be appropriately included in the teaching concerning type 2 diabetes?

Regular insulin

When considering the management of diabetic ketoacidosis (DKA), What type of insulin is administered intravenously?

Carpal tunnel syndrome

Which common problem of the upper extremity results from entrapment of the median nerve at the wrist?

lispro (Humalog)

Which of the following categories of insulin is rapid acting?

regular (Humalin R)

Which of the following categories of insulin is short acting?

Sciatica

_____ is an inflammation of the sciatic nerve, resulting in pain and tenderness along the nerve through the thigh and leg.

Latent autoimmune diabetes of adult (LADA)

______ is the subtype of diabetes in which progression of autoimmune beta cell destruction in the pancreas is slow and not insulin dependent in the first 6 months of disease onset.