Quiz #3

diabetes is diagnosed when the fasting blood glucose is greater than...

126mg/dL

for which of the following blood glucose results would the nurse administer a "fast sugar"?

48

a nursing home resident with a long history of diabetes requests a heating pad for cold, numb feet. what is the best response by the nurse?

a heating pad can cause burns, but can i bring you some extra socks?

in bullies the purging is done to achieve which of the following?

a release of tension followed by depression and guilt

a nurse is assisting with the admission of a client for a total hip arthroplasty. the client takes hydrocortisone for addison disease. which of the following actions is the nurses priority?

administering a supplemental dose of hydrocortisone

an infant was born 36 hours ago. laboratory tests have just been ordered for the neonatal screenings, including hypothyroidism. why is the not the optimal time to test the infants thyroid level?

after 24 hours there is a natural ride in the tsh

an appropriate nursing diagnosis for a patient with anorexia might be?

altered nutrition, less than required amount, as evidence by distress eating

an eating disorder that is characterized as the aversion to food is called

anorexia nervosa

which hormones are secreted by the posterior pituitary gland?

antidiuretic hormones oxytocin

bulimia nervosa is characterized by all the following except...

being able to control eating pattern

a nurse is caring for a client who is taking propythiouracil. which of the following findings should the nurse monitor for as an adverse effect of this medication?

bradycardia

your new admission, a 14 year old female, presents with multiple symptoms including recent extreme dieting, use of laxative and diuretics, thoughts of suicide, impulsive behavior and erosion of enamel on her teeth. the patients medical diagnosis is likely...

bulimia nervosa

the parents of a 10 year old boy diagnosed with type 2 diabetes asks the nurse what aspects of their sons diabetes management he should be involved in. which respond by the nurse is correct?

carb counting meal planning choosing after school activities to increase exercise recording blood sugar test results in a log testing blood sugar at home as ordered

aliyah, age 16, was diagnosed with with type 2 diabetes 3 months ago and was instructed by her nurse practitioner to eat fewer carbs, lose weight and exercise more. today she is following up with her NP. what is the most accurate way to assess aliyah's compliance with the diet and exercise regimen?

drawing blood for an HbA1c level

a nurse is discussing the best way to continue playing on the football team with a 16 year old high school junior with type 1 diabetes. what should the nurse instruct the teen to do before exercising?

drink two 8oz bottles of electrolyte sports drinks

a key nursing intervention to help parents with eating disorders is?

encourage the patient to express their underlying feelings about food, body image and self worth

your 19 yr old patient has a diagnosis of anorexia nervosa. you notice that she seems to spend more time playing with her food than eating it. you know patients with anorexia...

fear being fat

which of the following are initial symptoms of a new diagnoses of type 1 diabetes?

fruit, sweet odor on breath extreme thirst frequent urination increased appetite

which nursing action is appropriate when assisting the health care provider with palpitation of the thyroid gland during a routine physical examination?

give the patient a sip of water

a nurse is reviewing the medical record of a client who takes desmopressin for diabetes insipidus. the nurse should identify that which of the following findings can be an adverse effect of desmopressin?

headache

a nurse is caring for a client who is taking somatropin to stimulate growth. the nurse should plan to monitor the client for which of the following as an adverse effect of this medication?

hyperglycemia

which of the following statements by the patient with hypothyroidism indicates to the nurse that the plan of care has been effective?

i feel so much better now that my energy is returning.

the nurse knows a patient with type 1 diabetes needs more education when the patient makes which of the following statements?

i must take insulin pills for the rest of my life

which statements by the patients with a new diagnosis of diabetes show understanding of instructions related to leading a healthy life and preventing complications?

i should have a yearly eye examination i must check my feet daily i should aim to keep my prenatal blood glucose readings under 130mg/dL

a nurse is reinforcing teaching with a client who has type 2 diabetes mellitus and is starting repaglinide. which of the following statements by the client indicates understanding of the administration of this medication?

i'll take this medicine 30 minutes before i eat

donald has just been admitted to your surgical unit after undergoing stomach stapling surgery, you prepare your list for post operative care and include therapeutic communication statements such as...

i'm here to help you in any way i can

a patient is started on levothyroxine to replace T4 for a new diagnosis of hypothyroidism. what effects can the patient expect as the med begins to work?

increased energy

a nurse is reinforcing teaching with a client who has a prescription for pranlintide for type 1 diabetes mellitus. which of the following information should the nurse take?

inject pramlintide just before a meal discard open vials after 28 days

a patient who is preparing for surgery asks the nurse why the healthcare provider discontinued oral hypoglycemic agent orders and initiated sliding scale insulin. which response by the nurse is the best?

it helps us maintain better control of your blood glucose during surgery. you will most likely be back on your pills before you go home.

a nurse is caring for a client who has been taking acarbose for type 2 diabetes mellitus. which of the following laboratory test should the nurse plan to monitor?

liver function tests

in SIADH the amount of antidiuretic hormone being produced decreases. what should the nurse expect to observe in the patient with SIADH?

oliguria

which breakfast menu is most appropriate for a patient with diabetes?

one slice whole grain toast with peanut butter, skim milk and orange juice

which action by the nurse is most important following hypophoysectomy?

performing a routine neurologic assessment

which assessment finding should the nurse expect to see in the patient with uncontrolled diabetes insipudis?

polyuria polydipsia dehydration

the nurse is doing an admission assessment on a new resident to a long term care facility. the patients face and shoulders seem to have a lot of fat, but the patients arms and legs are thing. which of the patients routine meds might me involved?

prednisone

a nurse is reinforcing teaching with a client who has graves' disease and a new prescription for propranolol. which of the following client statements indicates effective reinforcement?

propranolol will decrease my tremors and fast heart beat

a nurse is reinforcing teaching with clients about the use of insulin to treat type 1 diabetes mellitus. for which of the following types of insulin should the nurse tell the clients to expect a peak effect 1 to 5 hrs after administration?

regular insulin

the endocrine system is responsible for which of these body functions?

regulating the child's metabolism growth fluid and electrolyte balance stress response sexual reproduction

an obese adult patient is admitted to the hospital for shoulder repair. the nurse notes that the patient gets up four times during the night to urinate. which action by the nurse is most important at this time?

request an order for a fasting blood glucose test

which meal plan is best for the patient with reactive hypoglycemia?

small, frequent meals.

a nurse is reinforcing teaching with a client who has a new prescription for metformin. which of the following findings should the nurse instruct the client to report as an adverse effect of metformin?

somnolence

is is donald's second post operative day. he is scheduled to have his first oral liquids. as you check in his progress at lunch you note he has not touched his beverage. "i'm afraid to tell you" he tells you. your response might me?

tell me more about your fear

your patient with anorexia is admitted to your medical surgical unit for malnutrition. she tells you she does not want to eat when her tray is delivered. which statement identifies the best response?

tell me what happens to you when you see the food tray

a nurse is caring for an older adult client who has hypothyroidism and a new prescription for levothyroxine. which of the following dosage schedules should the nurse expect for this client?

the client will start on a low dosage, which can be gradually increased

a father brings his 13 year old son to the pediatric clinic and states that he is concerned that the teen has minimal body hair and a high voice. what is the most appropriate response by the nurse?

there is no concern at this time. teens progress through puberty at various times.

which assessment finding in a patient who has just returned from having a thyroidectomy should be immediately reported to the health care provider?

tingling finger tips

a nurse is teaching an 11yr old she rotating injection sites for her insulin. which response by the patient indicates that she understands the reason for rotating injection sites?

using the same site can lead to changes in fat under the skin

which of the following nursing assessments is most important in the print with hyperthyroidism and risk for thyrotoxic crisis?

vital signs

a 17 year old male asks the nurse why he has to learn how to inject insulin rather than just take a pill like his grandmother does for her diabetes. what is the best response by the nurse?

you have a different type of diabetes that needs to be controlled by insulin injections.

a parents with syndrome of a inappropriate antidiuretic hormone asks the nurse why he has gained 10 pounds. which response is best?

you have too much of a hormone in your system that causes you to retain water. the extra 10 pounces is likely water weight.

which of the following instructions should the nurse provide to the patient who is being discharged after a thyroidectomy?

you must take your thyroid replacement every day just as the healthcare provider prescribed.

when explaining a thyroid scan to a patient, much of the following statements are correct?

you will receive an injection of radioactive material, and then a special camera will take pictures of your thyroid gland