Med Surg Exam 4

Question 1

What are some nursing interventions for glomerulonephritis?

Accepted Answer

Sodium restriction

Question 2

What should a patient taking insulin do during a sick day? (SATAP)

Accepted Answer

Continue taking insulin even if vomiting, Call the doctor when glucose begins peaking

Question 3

Which of the following would you anticipate being ordered in the treatment of DVT?

Accepted Answer

Alteplase, Heparin

Question 4

What are some ways to prevent PAD? (SATAP)

Accepted Answer

Decrease lipid consumption, Statin medications

Question 5

What are some long term complications of diabetes?

Accepted Answer

Atherosclerosis, Retinopathy

Question 6

Obstruction of the venous valves in legs/reflux of blood through the valves is…..

Accepted Answer

Venous insufficiency

Question 7

What are some signs of DKA? (SATAP)

Accepted Answer

Kussmaul respirations, Polyuria

Question 8

Which of the following can help prevent deep vein thrombosis? (SATAP)

Accepted Answer

Low-molecular weight heparin, Early ambulation and leg exercises

Question 9

Metabolic acidosis is most commonly found in….

Accepted Answer

Type 1 diabetes mellitus

Question 10

Which of the following medications are sulfonylureas?

Accepted Answer

Glipizide, Glyburide

Question 11

The phase of AKI where there is a gradual increase in urine output is….

Accepted Answer

Diuresis phase

Question 12

What is likely in a patient with glomerulonephritis?

Accepted Answer

Azotemia, Hyperkalemia, Proteinuria

Question 13

What should the nurse monitor the patient for during the diuresis phase of AKI?

Accepted Answer

Dehydration

Question 14

Type 1 diabetes is best described as being caused by…

Accepted Answer

Destruction of pancreatic beta cells

Question 15

What is the cause of glomerulonephritis?

Accepted Answer

Strep infections

Question 16

What are some clinical manifestations of the diuresis phase of AKI? (SATAP)

Accepted Answer

Hypokalemia, Dehydration, Hypotension

Question 17

What are some modifiable risk factors for PAD? (SATAP)

Accepted Answer

Tobacco use, Hypertension, Stress

Question 18

What are some nursing interventions for an AKI patient in the oliguric phase? (SATAP)

Accepted Answer

Phosphate binders, Low protein diet, Fluid restriction

Question 19

Which of the following is true regarding nursing care for a patient with PAD? (SATAP)

Accepted Answer

Extremities should be at heart level or dependent position, Discourage the patient from crossing their legs

Question 20

Which of the following is a possible treatment for PAD? (SATAP)

Accepted Answer

Trental, Exercise program

Question 21

What causes calculi to form?

Accepted Answer

When urinary concentrations of calcium increase

Question 22

Which of the following is a doppler ultrasound used for?

Accepted Answer

When a pulse can’t be reliably palpated

Question 23

Increased ketone bodies are caused by….

Accepted Answer

Fat breakdown

Question 24

What are some clinical manifestations of glomerulonephritis?

Accepted Answer

Edema, Proteinuria

Question 25

What are some causes of Intrarenal AKI? (SATAP)

Accepted Answer

Aminoglycoside use, Glomerulonephritis

Question 26

An ulcer that is large, superficial, and exudative is characteristic of which of the following?

Accepted Answer

Venous ulcer

Question 27

What are some ways to prevent hypoglycemia? (SATAP)

Accepted Answer

Carrying a simple sugar, Consistent meal and insulin schedule

Question 28

Which of the following is true for a diabetic diet? (SATAP)

Accepted Answer

50-60% of calories should be from carbohydrates

Question 29

What are some common characteristics of HHS?

Accepted Answer

Dehydration, Hypotension, Blood glucose of 600-1200 mg/dL

Question 30

What is involved in the nursing management of a patient with an arterial/venous ulcer (SATAP)

Accepted Answer

Use mild soap and lukewarm water to clean the ulcer, Educate on strategies to avoid trauma, Eat a high protein diet

Question 31

Which of the following can lead to venous stasis?

Accepted Answer

Decreased skeletal muscle contraction

Question 32

The phase of AKI in which serum concentrations of urea and creatinine are high is….

Accepted Answer

Oliguric phase

Question 33

All of the following are nursing interventions for a patient with venous insufficiency EXCEPT? (remember, wrong answer)

Accepted Answer

Encourage constricting garments

Question 34

Why is fiber beneficial to add to the diet for someone with diabetes?

Accepted Answer

Helps control blood sugar level

Question 35

What lab values should be monitored for a patient on coumadin? (SATAP)

Accepted Answer

INR, PT

Question 36

What are some causes of type 1 diabetes?

Accepted Answer

Genetic susceptibility

Question 37

Muscular/cramp-like pain in extremities usually caused by exercise that relieves with rest is common with which disease?

Accepted Answer

Peripheral arterial insufficiency

Question 38

A patient with a history of diabetes mellitus begins experiencing more frequent hypoglycemic episodes. What do u suspect

Accepted Answer

Nephropathy

Question 39

What are some causes of Pre-renal AKI? (SATAP)

Accepted Answer

Hemorrhage, Decreased Cardiac output

Question 40

The phase of AKI in which urine output is decreased is…

Accepted Answer

Oliguric phase

Question 41

What is the action of sulfonylureas?

Accepted Answer

Stimulates beta cells of pancreas to secrete insulin

Question 42

How is PAD diagnosed? (SATAP)

Accepted Answer

ABI, Duplex ultrasonography

Question 43

What can be a major complication of uncontrolled type 1 diabetes?

Accepted Answer

Diabetic ketoacidosis (DKA)

Question 44

For which of the following conditions would the nurse encourage fluid intake? (SATAP)

Accepted Answer

Ureteritis, Pyelonephritis

Question 45

What is true of chronic pyelonephritis?

Accepted Answer

Can lead to CKD

Question 46

What lab values should be monitored for a patient taking heparin? (SATAP)

Accepted Answer

aPTT

Question 47

An ulcer that is small, circular, and deep is characteristic of which of the following?

Accepted Answer

Arterial ulcer

Question 48

What is the core cause leading to HHS?

Accepted Answer

Insulin deficiency

Question 49

What are some clinical manifestations of diabetes? (SATAP)

Accepted Answer

Polyphagia, Polyuria

Question 50

What are some nursing implications for a patient taking metformin?

Accepted Answer

Monitor renal function

Question 51

What are some clinical manifestations of PAD? (SATAP)

Accepted Answer

Cold extremities, Intermittent claudication, Diminished or absent peripheral pulses

Question 52

Type 2 diabetes is caused by….

Accepted Answer

Hyperglycemic hyperosmolar syndrome (HHS)

Question 53

A casual blood glucose of 69 is suggestive of...

Accepted Answer

Hypoglycemia

Question 54

How do the kidneys regulate blood pressure?

Accepted Answer

Secrete renin

Question 55

Which of the following values in addition to symptoms can be used to diagnose diabetes?

Accepted Answer

Fasting plasma glucose 131 mg/dL

Question 56

What are some clinical manifestations for an AKI patient in the oliguric phase? (SATAP)

Accepted Answer

Metabolic Acidosis, Edema, Dysrhythmias, Pulmonary congestion

Question 57

What are some clinical manifestations of venous insufficiency? (SATAP)

Accepted Answer

Altered pigmentation, Edema

Question 58

What are some clinical manifestations of nephrolithiasis?

Accepted Answer

Kidney pain, Hematuria

Question 59

What are some nursing implications for sulfonylureas?

Accepted Answer

Avoid alcohol, Monitor for hypoglycemia

Question 60

Which of the following describes the dawn phenomenon?

Accepted Answer

A rise in blood sugar around the time a person wakes up

Question 61

Urolithiasis is located in the…

Accepted Answer

Urinary tract

Question 62

Where would the pain specifically be in pyelonephritis?

Accepted Answer

Mid back

Question 63

What is involved in the management of DKA? (SATAP)

Accepted Answer

Potassium replacement, IV fluids, Insulin administration

Question 64

What are some controllable risk factors associated with type 2 diabetes?

Accepted Answer

Obesity

Med Surg Exam 4

Questions 70

Med Surg Exam 4

Questions 70