What are possible causes of gall stones? Select all that apply.

hypomotility of bile, bile super saturated with cholesterol

There is an increase in a client's dose of metformin,the nurse should prioritize which of the following assessments?

Reviewing the client's creatinine and BUN levels

What would be the best way for an educator to assess a client's knowledge of nutritional therapy in diabetes?

Ask the client to keep a food diary and review it with the nurse.

Diagnosis of hyperthyroidism. What s/s would we expect to see if the patient is experiencing a thyroid storm? SATA

Temperature of 103.4, Hypermetabolism, A heart rate of 142 bpm

A student nurse is educating a patient on warfarin. What statement is incorrect?

Avoid ALL green leafy vegetables

A 14 yo with type 1 diabetes has to give themselves 10 units of regular insulin & 15 units of NPH. How is it given?

First draw up regular then draw up NPH in same syringe

A common cause of metabolic acidosis is?

high blood glucose in a client with type 1 diabetes.

Which statement by a nurse to a patient newly diagnosed with type 2 diabetes is accurate?

Changes in diet and exercise may control blood glucose in type 2 diabetes.

Which of the following S/S causes concern & requires nursing intervention for a patient who's had a thyroidectomy?

Heart rate of 120, blood pressure 220/102, temperature 103.2 ‘F

A nurse is expected to find which signs and symptoms in a client experiencing hypoglycemia? Select all that apply.

Dry Mouth, Confusion, Diaphoresis

A patient with type 2 diabetes with a prescription for Glipizide is breastfeeding newborn. What is nurse's best action?

Hold the drug and clarify the order with HCP

You just gave your patient lispro (Humalog) insulin and now they are refusing to eat. What should you do?

Monitor for signs/symptoms of hypoglycemia

Type 1 DM,admitted with DKA.The nurse should prioritize what assessment during the client's initial phase of treatment?

Maintaining and monitoring the client's fluid balance

A client with type 1 DM is seeing the nurse to review foot care.What would be a priority instruction to give the client?

Avoid hot-water bottles and heating pads.

Teaching basic survival skills to a client newly diagnosed with type 1 DM. What topic should the nurse address?

Recognition of hypoglycemia and hyperglycemia

A patient presents with the symptoms of confusion, sweating, and tremors. What do you expect?

The patient has administered an extra dose of insulin

The nurse is planning to teach an older patient about diverticulitis. What topic does the nurse include?

Dietary fiber and fluids will reduce the symptoms.

You are screening a group of workers for DM. What statement should the nurse interpret as being suggestive of diabetes?

Lately, I drink and drink and can't seem to quench my thirst.

Client with type 1 dm. What is the best way to assess the client's ability to prepare and self-administer insulin?

Observe the client drawing up and administering the insulin.

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Exam 2 Quiz #1

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1
A patient with symptoms of hyper-excitability,irritability,weakness,amenorrhea, and palpitations. Anticipated Diagnosis?
Hypothyroidism
Myxedema Coma
Hyperthyroidism
Anxiety
2
This type of hormone works on the same cell that secreted it.
Apocrine
Melocrine
Endocrine
Autocrine
3
An patient reports “losing urine” when bending over . What type of incontinence does the nurse plan interventions for?
Stress
Functional
Overflow
Urge
4
What are possible causes of gall stones? Select all that apply.
hypomotility of bile
eating too much pizza
dehydration
bile super saturated with cholesterol
5
A patient has to undergo a liver biopsy. The nurse administers what pre-op medication?
Coumadin.
Vitamin A.
Vitamin K.
Vitamin B-12.
6
A 65-year-old patient with pneumonia is receiving garamycin (Gentamicin). Most important for a nurse to monitor.
Hemoglobin and hematocrit
Platelet count and clotting time
BUN and creatinine
Sodium and potassium
7
There is an increase in a client's dose of metformin,the nurse should prioritize which of the following assessments?
Assessing the client for signs of impaired liver function
Monitoring the client's neutrophil levels
Monitoring the client's level of consciousness and behavior
Reviewing the client's creatinine and BUN levels
8
What would be the best way for an educator to assess a client's knowledge of nutritional therapy in diabetes?
Have the client describe an optimally healthy meal.
Ask the client to keep a food diary and review it with the nurse.
Have the client's family describe what he typically eats.
Ask the client to describe a typical day's food intake.
9
Diagnosis of hyperthyroidism. What s/s would we expect to see if the patient is experiencing a thyroid storm? SATA
Temperature of 103.4
A heart rate of 56 bpm
Hypermetabolism
A heart rate of 142 bpm
10
A student nurse is educating a patient on warfarin. What statement is incorrect?
Avoid ALL green leafy vegetables
Soy bean oil should be used in moderation
You should continue a leafy green diet as normal
Do not increase your normal intake of mayonnaise
11
A 14 yo with type 1 diabetes has to give themselves 10 units of regular insulin & 15 units of NPH. How is it given?
First draw up regular then draw up NPH in same syringe
First draw up NPH then draw up regular in same syringe
First draw up and give regular, then draw up and give NPH
Draw up and inject NPH, wait 15 min then draw up and inject regular
12
A common cause of metabolic acidosis is?
opiate overdose in a client with depression.
high blood glucose in a client with type 1 diabetes.
hyperventilation in a client with anxiety
vomiting in a client with gastrointestinal infection.
13
Gall stones can be formed by...
Hydrochloric acid
Pepsin
Bile
Saliva
14
Which would aid in the diagnosis of diabetes?
Fasting glucose of 101
HbA1c of 6.4%
Oral glucose tolerance of 205
Random glucose of 175
15
From the picture below, what disease process do you suspect the patient is experiencing
Cushing syndrome
Diabetes Mellitus
Addison's Disease
Lupus nephritis
16
Your patient is showing signs of hemorrhage. You see he is taking Heparin. What's priority?
Administer Warfarin
Bandage any open wounds
Ask which other meds he is currently taking
Administer Protamine Sulfate
17
Which statement by a nurse to a patient newly diagnosed with type 2 diabetes is accurate?
Insulin is not used to control blood glucose in type 2 diabetes.
Type 2 is usually diagnosed when a patient is in hyperglycemic coma.
Complications of type 2 diabetes are less serious than type 1.
Changes in diet and exercise may control blood glucose in type 2 diabetes.
18
Which of the following S/S causes concern & requires nursing intervention for a patient who's had a thyroidectomy?
Heart rate of 35, blood pressure 60/43, temperature 95.3 ‘F
Heart rate of 120, blood pressure 220/102, temperature 103.2 ‘F
Constipation, drowsiness, goiter
Soft hair, irritability, diarrhea
19
(ABG) is drawn. The ABG has the following values: pH 7.21, PaCO2 64 mm Hg, HCO3 = 24 mm Hg. What does the ABG reflect?
Metabolic alkalosis
Respiratory alkalosis
Respiratory acidosis
Metabolic acidosis
20
A nurse is expected to find which signs and symptoms in a client experiencing hypoglycemia? Select all that apply.
Dry Mouth
Confusion
Nervousness
Diaphoresis
21
A patient diagnosed with Cushing Syndrome has a decrease in adrenal secretions and needs corticosteroids for life
True
False
22
The nurse will anticipate preparing an older patient who is vomiting "coffee-ground" emesis for
endoscopy
gastric analysis
angiography
barium swallow
23
A patient reports they do not eat enough iodine in their diet. What condition are they susceptible to?
Hypothyroidism
Thyroid Storm
Pheochromocytoma
Hyperthyroidism
24
A patient with type 2 diabetes with a prescription for Glipizide is breastfeeding newborn. What is nurse's best action?
Instruct the UAP to check blood sugar then give the med
Hold the drug and clarify the order with HCP
Administer before breakfast
Administer as ordered with meals
25
You just gave your patient lispro (Humalog) insulin and now they are refusing to eat. What should you do?
Administer Metformin to lower need for insulin
Nothing, this medication does not require food to be eaten after dose
Speak with the patients friends/family to help convince him
Monitor for signs/symptoms of hypoglycemia
26
A patient is diagnosed with hyperthyroidism, upon doing a physical assessment which would be present?
strong thick nails
enlarged cervical lymph nodes
goiter
bradycardia
27
Type 1 DM,admitted with DKA.The nurse should prioritize what assessment during the client's initial phase of treatment?
Assessing the client's level of consciousness
Maintaining and monitoring the client's fluid balance
Assessing the client for signs and symptoms of venous thromboembolism
Monitoring the client for dysrhythmias
28
What type of diabetes in most common?
Type II
Gestational
Congenital
Type I
29
Your unconscious PT. is has a medical alert tattoo indicating history of diabetes, your first action is to?
Medical alert tattoo's aren't recognized as real medical alerts.
Give oral glucose.
Assess the airway
Determine the type of diabetes he has.
30
If your diabetes isn't under control, it can harm which body part?
Heart
Liver
Both Heart, Kidneys, and Eyes
Eyes and kidneys
31
What in a diabetic patient would alter mechanics of gait & excessive pressure on metatarsals?
Peripheral neuropathy
Encephalopathy
Recurrent yeast infections
Chronic liver disease
32
A patient has severe Hypoglycemia and is taking the meds below. Which med should be stopped?
Amiodarone
Beta-Blocker
Thyroid Drug
Thiazides
33
A client with type 1 DM is seeing the nurse to review foot care.What would be a priority instruction to give the client?
Examine feet weekly for redness, blisters, and abrasions.
Avoid hot-water bottles and heating pads.
Dry feet vigorously after each bath.
Avoid the use of moisturizing lotions.
34
Teaching basic survival skills to a client newly diagnosed with type 1 DM. What topic should the nurse address?
Effects of surgery and pregnancy on blood sugar levels
Signs and symptoms of diabetic nephropathy
Management of diabetic ketoacidosis
Recognition of hypoglycemia and hyperglycemia
35
A patient presents with the symptoms of confusion, sweating, and tremors. What do you expect?
The patient is in DKA
The patient has administered an extra dose of insulin
The patient is hyperglycemic
The patient skipped their insulin dose on accident
36
What diagnosis would the nurse expect? If the patient had cold intolerance, sleep problems, weight gain, and fatigue.
Hyperthyroidism
Upper respiratory infection
Hypothyroidism
Diabetes Mellitus
37
A patient presents with decreased vital signs and fatigue. What would you expect labs to be?
Low TSH, Low T3, High T4
High TSH, Low T3, Low T4
High TSH, Low T3, High T4
Low TSH, Low T3, Low T4
38
The nurse is planning to teach an older patient about diverticulitis. What topic does the nurse include?
Abdominal cramping and severe diarrhea should be reported.
Diverticulosis rarely reoccurs once it has been treated.
It is unusual to see diverticula in older persons.
Dietary fiber and fluids will reduce the symptoms.
39
A patient with cholecystitis, and is experiencing abdominal pain. Where else do you expect to find pain.
Jaw and Neck
Right Shoulder
Chest Pain
Inguinal Pain
40
In order to avoid macrovascular complication of diabetes, what should treatment focus on?
Strict A1c goals
Strict glycemic control
Strict BP control
Strict compliance w/ insulin regimen
41
You are screening a group of workers for DM. What statement should the nurse interpret as being suggestive of diabetes?
I've always been a fan of sweet foods, but lately, I'm turned off by them
No matter how much sleep I get, it seems to take me hours to wake up
When I went to the washroom the last few days, my urine smelled odd
Lately, I drink and drink and can't seem to quench my thirst.
42
Which organ is affected by gall stones?
None of the above
Gall bladder
Liver
Kidney
43
Client with type 1 dm. What is the best way to assess the client's ability to prepare and self-administer insulin?
Review the client's first hemoglobin A1C result after discharge.
Observe the client drawing up and administering the insulin.
A health education session with the main points of insulin delivery.
Ask the client to describe the process in detail.
44
At what time of day would you administer insulin to a patient who is type 1 diabetic?
Type 1 Diabetics should be taking a sulfonyurea
At night
In the morning
Before Meals
45
A client with severe metabolic alkalosis is admitted to the unit. Which is the priority for the client?
Monitoring oxygen saturation
Setting goals for the client with metabolic alkalosis
Administering medication for metabolic alkalosis
Teaching the client the risk factors for metabolic alkalosis
46
Patient teaching: the body needs iodine for the thyroid to function.What would be the best source of iodine for the body
Red meat
Table salt
Shellfish
Eggs
47
Which is a term for gall stones?
tonsololiths
nephrolithasis
cystolith
cholelithasis
48
This type of hormone travels through blood stream to effector organ.
Endocrine
Exocrine
Holocrine
Paracrine
49
A patient is suspected to have hypokalemia, what would the nurse anticipate the doctor to order to confirm?
A serum electrolyte panel
Ax-ray film of long bones
A CBC
An ABG
50
The nurse is caring for a patient with pneumonia using ________ precautions.
Droplet
Airborne
airborne & droplet
Enteric
51
A patient is admitted to the hospital with a massive PE, which drug would be administered?
Clopidogrel
Heparin
Alteplase
Warfarin
52
You are educating on taking an anti-thyroid medication. Which of the following statements is INCORRECT?
It may be a while before I notice any signs it's helping my condition.
“I will take this medication at the same time every day.”
“I will continue taking aspirin daily.”
“I will avoid foods containing high levels of iodine.”
53
Medic Alert bracelet indicates type 1 DM and the client's blood glucose is 22 mg/dL. Anticipated intervention?
IV bolus of 5% dextrose in 0.45% NaCl
Subcutaneous administration of 12 to 15 units of regular insulin
Subcutaneous administration of 10 units of Humalog
IV administration of 50% dextrose in water
54
Hyperthyroidism. What pharmacological therapies would be used to treat this patient?
Inderal
Potassium
Synthroid
PTU and Tapazole
55
A hospitalized patient with diabetes is caught picking at calluses on the feet. The nurse should immediately do what?
Check the patient's shoes for their fit in the area of the calluses
Reinforce teaching the patient the importance of effective foot care
Suggest the patient wear white cotton socks
Warn the patient of the danger of infection
56
A patient on desmopressin needs to have what serum lab value monitored closely?
Magnesium, Normal Range: 1.6–2.6 mEq/L
Sodium Normal Range: 136–145 mEq/L
Calcium , Normal Range: 8.6–10.2 mg/dL
Potassium- Normal range: 3.5–5.0 mEq/L
57
Hypothyroidism: Which medication is most commonly prescribed for this condition?
Inderal
Tapazole
Synthroid
Propylthiouracil (PTU)
58
A patient is being diagnosed for Hyperthyroidism. What labs would correlate with diagnosis?
Low TSH, High T3, High T4
High TSH, Low T3, High T4
High TSH, Hight T3, High T4
Low TSH, Low T3, High T4
59
An EKG of a patient with Hypocalcemia would most likely show which abnormality?
Flattened T wave
Osborn wave
Tall T wave
Prolonged QT
60
A patient has a frequent history of thrombosis. Which med could be for long term prophylaxis?
Dabigatron
Warfarin
Heparin
Alteplase
61
Client with type 2 DM who is recovering from surgery.In addition to BS level,what should the nurse recognize as HHS?
Excessive sweating
Insomnia
Increased urine output
Edema
62
A desmopression challenge test will confirm central Diabetes Insipidus with what results?
Dilute urine
Concentrated urine
Increased plasma ADH
Lack of urine output
63
A patient has a high T3 and T4 level. Which of the following signs and symptoms DO NOT present with this condition?
Hair loss
Weight loss
Intolerance to heat
Smooth skin
64
Which of the following is not used to diagnose diabetes?
Urinalysis
Fasting glucose
HbA1c
Oral Glucose tolerance
65
Etiologic causes of pancreatitis include: Select all that apply
Bladder Cancer
Diabetes
History of Gall Stones
High Fat Diet
Genetics
Alcohol consumption
66
A patient has been admitted with new atrial fibrillation. What additional diagnostic testing does the nurse anticipate?
Thyroid hormones
Platelet count
Urinalysis
Blood glucose
67
What Asymptomatic patient w/ Hyperparathyroidism would be a candidate for surgery?
51 y.o w/ hx of osteopenia
45 y.o w/ hx of osteoporosis
53 y.o w/ hx of osteoporosis
53 y.o w/ hx of osteopenia
68
Gall stones are made of
bile salts
stored urea
excess iron
cholesterol
69
A patient is admitted with metabolic acidosis. While gathering respiratory information, the nurse would expect what?
Normal respiratory rate and rhythm
Deep, rapid respiratory pattern
Shallow, rapid, panting respirations
Shallow, slow respiratory pattern
70
A patient with type 1 diabetes is experiencing hypoglycemia. What data support this conclusion? Select all that apply
Vomiting
Headache
Cool clammy skin
Tachycardia
71
After the change-of-shift report, which patient should the nurse asses first?
50 yr pt who uses exenatide and is complaining of acute abdominal pain
40 yr pt who is pregnant and whose oral glucose tolerance test is 200 mg/dL
23 yr pt with Type 1 diabetes who has a blood glucose of 22 mg/dL
19 yr pt with Type 1 diabetes who has a hemoglobin A1C of 11.5%
72
In order to diagnose with diabetes a fasting blood glucose test would be more than?
116
126
136
146
73
A pt with type 1 diabetes told the nurse that his urine test for ketones was positive. Meaning?
The patient should promptly eat protein and carbohydrates.
The patient’s insulin levels are inadequate.
The pt should withhold his next scheduled dose of insulin.
The patient would benefit from a dose of metformin.
74
What type of insulin does not have a peak level effect?
detemir (Levemir)
lispro (Humalog)
aspart (Novolog)
glargine (Lantus)
75
A patient is diagnosed with type 1 diabetes. They are low income. Which med option is best.
Metformin
Humalin
insulin Lispro
Humalog
76
A patient is receiving TPN, what should the nurse be sure to check?
Blood glucose
Urine for specific gravity
Stool for occult blood
Abdomen for bowel sounds
77
Which information indicates to the nurse that the patient is not an appropriate candidate for kidney transplantation?
The patient is infected with human immunodeficiency virus.
The patient has a history of chronic hepatitis C infection.
The patient has metastatic lung cancer.
The patient has type 1 diabetes.
78
Type 1 diabetes typically have the following clinical characteristics:
Overweight, young, with no ketones present in the urine
Thin, young, with ketones in the urine
Overweight, adult-aged with ketones present in urine
Thin, older adult with glycosuria
79
Type 2 diabetes mellitus is characterized by which underlying pathophysiology?
Impaired insulin uptake
Insulin resistance
Excessive insulin production
Inability of the pancreas to produce insulin
80
A Type I diabetic controls their diabetes by;
Diet and exercise
Taking oral medication
All of the above
Taking insulin
81
A patient is newly diagnosed with type 2 diabetes. You see an allergy for Sulfa. Which is best
Glucagon
insulin Lispro
Metformin
Glyburide
82
Patient arrives at the ER with epistaxis that has not resolved after an hour of applying pressure. What should nurse do?
Have the patient blow their nose firmly
Give the patient a heat pack to use for comfort.
Have the patient lean forward while sitting upright.
Have the patient apply direct vertical pressure
83
A patient presents with a waxy expressionless appearance. What condition might the nurse think he is presenting with?
Hypothyroidism
Hyperthyroidism
Thyroid Storm
Myxedema
84
A patient is currently taking Levothyroxine. Which interactions are accurate.
Increased chance for developing Hypothyroidism
Increased chance for Adrenal Insufficiency
Warfarin will have increased effects
Digoxin will have increased affects
85
T/F: A patient with SxS of DKA should be treated in an outpatient setting.
True
False
86
A nurse is assessing a client with hyperthyroidism. What findings should the nurse expect? Select all that apply
Weight loss
Tachycardia
Nervousnessc.
Brittle nails
87
A patient has just been administered glucagon. What do you do next
Administer D5W
Nothing, the patient will feel better soon
Administer insulin
Have the patient eat immediately after
88
How would you advise the patient to store their insulin at home?
It doesn't matter if sunlight reaches the insulin
In the refrigerator if you will be using less than a month
Remove from the frigerator at least 30 minutes before admin
Out of the frigerator if to be used for longer than a month
89
For a diabete getting insulin 3 times a day with meals, if lunch is at 11:45, what time do you give the insulin?
11:15
10:30
11:45
11:00
90
New diagnosis of type 2 DM is attending a nutrition class. What general guidelines should the nurse teach the clients?
Protein should constitute 30% to 40% of caloric intake.
Animal fats should be eliminated from the diet.
Most calories should be derived from carbohydrates.
Low fat generally indicates low sugar.
91
A patient presents with extreme thirst and poor skin turgor. What should you do FIRST
monitor vital signs
Check Blood Glucose Level
Consult the Dr. for a rx for metformin
Administer glucocorticoid
92
A patient presents with protruding eyeballs & pretibial myxedema on the legs and feet. Which is the likely cause?
Grave’s Disease
Deficiency of iodine consumption
Hypothyroidism
Thyroiditis
93
What vitamin deficiency can facilitate the production of gall stones?
Vitamin D
Vitamin B
Vitamin A
Vitamin C
94
DKA is most commonly associated w/ pts who have been diagnosed with...?
Type 2
Type 1

Exam 2 Quiz #1 Flashcards | StudBud