Exam 2 qs
Which laboratory result would the nurse review for a patient suspected of having cholecystitis? Select all that apply. One, some, or all responses may be correct. Hematocrit Alkaline phosphate Liver function tests Platelets White blood cells
Alkaline phosphate Liver function tests White blood cells
A patient admitted with diabetic ketoacidosis was treated for metabolic acidosis with IV fluids and insulin. Which electrolyte imbalance would the nurse monitor for as the acid-base imbalance resolves? Hypernatremia Hypokalemia Hyponatremia Hyperkalemia
Hypokalemia
Which clinical findings in a patient indicate ulcerative colitis? Inflammation of the ileum and colon Bowel fistulas Presence of blood and mucus in the stool Thickened bowel wall
Presence of blood and mucus in the stool
Which instruction would the nurse include when teaching a spouse and patient with hepatitis C about preventing the spread of infection? "You should use a separate bathroom." "Drink only bottled water." "Donate blood only once yearly." "Do not share toothbrushes."
"Do not share toothbrushes."
When providing discharge teachings to a patient with peripheral neuropathy secondary to diabetes, which patient statement indicates understanding of injury prevention? Select all that apply. One, some, or all responses may be correct. "I can break in my shoes by wearing them all day." "I should never go barefoot." "I should quit smoking." "I need to monitor my feet daily for blisters or skin breaks."
"I should never go barefoot." "I should quit smoking." "I need to monitor my feet daily for blisters or skin breaks."
Which of the four assigned patients would the nurse see first? A patient diagnosed with diabetic ketoacidosis (DKA) and scheduled subcutaneous insulin A patient diagnosed with hypoglycemia has a blood glucose level of 72 mg/dL A patient diagnosed with new onset type 1 diabetes who now has positive urine ketones A patient diagnosed with hyperglycemic-hyperosmolar state (HHS) and receiving 0.45% sodium chloride at 100 ml/hr
A patient diagnosed with new onset type 1 diabetes who now has positive urine ketones
Which complication of gastroesophageal reflux disease (GERD) is common in older adults? Select all that apply. One, some, or all responses may be correct. Dementia Aspiration pneumonia Barrett esophagus Esophageal erosins Hiatal hernia
Aspiration pneumonia Barrett esophagus Esophageal erosins
Elevation of which laboratory value is associated with jaundice for a patient with hepatitis? Aspartate aminotransferase (AST) Blood urea nitrogen (BUN) Alanine aminotransferase (ALT) Bilirubin
Bilirubin
For the patient newly diagnosed with diabetes, which priority information would the nurse teach the patient and the patient's family when everyone is not ready or willing to learn diabetes control during the hospital stay? Insulin administration Dietary control Causes and treatment of hyperglycemia Causes and treatment of hypoglycemia
Causes and treatment of hypoglycemia
Which chronic complication may occur in patients with diabetes? Diabetic ketoacidosis caused by lack of insulin and ketosis Hypoglycemia from too much insulin or too little glucose Hyperglycemic- hyperosmolar state caused by insulin deficiency and profound dehydration Cell death from macrovascular changes
Cell death from macrovascular changes
Which complication is seen exclusively in patients with ulcerative colitis? Cholelithiasis Malabsorption Abscess formation Colorectal cancer
Colorectal cancer
Which condition would the nurse anticipate incorporating into the plan of care for a patient who reports sharp, shocklike, burning, shooting pain in the feet and legs that is associated with numbness? Pancreatitis Rheumatoid arthritis Diabetic neuropathy Bone metastasis
Diabetic neuropathy
When a patient's 7:00 a.m. finger stick blood glucose readings are between 286 and 353 mg/dL for three mornings in a row, which finding supports the nurse's suspicion that the patient may have dawn phenomenon? Early morning glucose elevations Postprandial glucose elevations Bedtime hypoglycemia unless the patient eats a snack Morning glucose elevations preceded by hypoglycemia during the night
Early morning glucose elevations
Which finding is consistent with a diagnosis of acute cholecystitis? Select all that apply. One, some, or all responses may be correct. Eructation (Belching) Vomiting Right lower quadrant pain Blumberg sign Dysphagia
Eructation (Belching) Vomiting Blumberg sign
A patient who is admitted with severe diabetic ketoacidosis has an arterial blood gas result that reveals a pH of 7.21. Which factor is causing this patient's acidosis? Anaerobic metabolism Excessive intake of alcoholic beverages Excessive breakdown of fatty acids Excessive intake of insulin
Excessive breakdown of fatty acids
Which laboratory assessment finding may indicate diabetes mellitus? Glucose tolerance test of 139 mg/dL in a 23 year old pregnant woman Glycosylated hemoglobin (HbA1C) of 7.5% in a 30-year-old adult Random blood glucose level of 126 mg/dL in a patient asymptomatic for hyperglycemia Fasting blood glucose of 100 mg/dL in an 80-year old adult
Glycosylated hemoglobin (HbA1C) of 7.5% in a 30-year-old adult
The nurse is reviewing the medications prescribed for a patient with peptic ulcer disease (PUD). Which drug treats Helicobacter pylori infection? Metronidazole Nizatidine Pantoprazole Aluminum hydroxide
Metronidazole
When screening patients in a clinic, the nurse would associate which population with belonging to a higher-risk group for developing type 2 diabetes? Select all that apply. One, some, or all responses may be correct. Women School aged children Patients diagnosed with type 1 diabetes Patients with glucose intolerance during pregnancy Mexican Americans
Patients with glucose intolerance during pregnancy Mexican Americans
The nurse is providing teaching to a patient with gastroesophageal reflux disease (GERD). Which statement by the patient indicates a need for further teaching? "It's important for me to stop drinking alcohol" "The belching I've been experiencing is probably because of my GERD" "I should sit up for about 20 minutes after I eat" "Antacids should help provide some relief"
"I should sit up for about 20 minutes after I eat"
A patient is experiencing bleeding related to peptic ulcer disease (PUD). Which action would the nurse take? Starting a large-bore IV Preparing equipment for intubation Administering IV pain medication Monitoring the patient's anxiety level
Starting a large-bore IV