Medical Surgical Test Questions

30問 • 3年前

問題一覧

Which of the following laboratory values should a nurse expect to be elevated in a patient who has pancreatitis ?

Serum Amylase

SITUATION : CLIENTS WITH PANCREATITIS The initial diagnosis of pancreatitis is confirmed if the client's blood shows a significant in elevation of which of the following serum values ?

Amylase

Which of the following signs and symptoms would the nurse expect to see in a client with acute pancreatitis ?

Jaundice

The nurse evaluates the client's most recent laboratory data. Which laboratory findings would be consistent with a diagnosis of acute pancreatitis ?

Hyperglycemia

The initial plan for a client with pancreatitis most likely would focus on which of the following as a priority?

Resting the gastrointestinal tract

The nurse carefully monitors the client with acute pancreatitis for which of the following complications ?

Pneumonia

SITUATION : CLIENTS WITH PANCREATITIS The nurse is discharging a client with chronic pancreatitis . Which of the following measures would be essential to include in the client's discharge instruction ?

Diet modifications avoiding high -fat foods, caffeine and alcohol

The nurse about the is asked risk factors for pancreatitis . The nurse responds that which of the following clients is more likely to develop pancreatitis ?

Client with a stone lodged in the pancreatic duct

Which nonpharmacologic measure is particularly useful for a client with acute pancreatitis?

Placement in a side - lying position with knees to chest and pillow against the abdomen

During a home health visit , you are assessing how a patient takes the prescribed pancreatic enzyme . The patient is unable to swallow the capsule whole , so they open the capsule and mix the beads inside the capsule with food / drink . Which food or drink is safe for the patient to mix the beads with :

Applesauce

The physician orders a patient with pancreatitis to take a pancreatic enzyme . What assessment finding demonstrates the pancreatic enzymes are working properly ?

Abdominal girth is decreased

Situation : Client with Diabetes Mellitus Keyser, a 50 year old college professor of medical anthropology with a history of type 2 DM for the past 10 years. He has been controlling his glucose by taking glyburide and using a 2000-calorie diet recommended by his endocrinologist. He is aware of the higher incidence of type 2 DM nowadays and is open to anything he can learn about it. His blood glucose level had been fairly consistent with an average AM reading of 200mg /dl . He is 6'2 ' and weighs 220 , having lost 10lbs the past month. Six months after hospitalization for viral pneumonia , Keyser is readmitted for hyperglycemia . He has been running higher blood glucose levels (280 to 300mg/dl) and has lost 10 lbs. He is currently on a medical leave of absence from work. His medical history includes a myocardial infarction , hypertensionand renal insufficiency over Which of the following patient statements about the diabetic diet regime is correct ?

"Foods that are high in mono and poly fats are avocados, olives, and nuts."

A patient with diabetes asks you about what type of exercise they should perform throughout the week. The best response is:

Swimming

A patient is scheduled to take 10 units of Humulin N at 1100. When is the patient most susceptible for hypoglycemia ?

1900

A patient has a blood glucose of 400. Which of the following medications could be the cause of this?

Prednisone

A patient is scheduled to take 5 units of Humulin R and 10 units of NPH. What is the proper way of mixing these insulins?

Draw up the Humulin R insulin first and then the NPH insulin

Which of the following insulins has no peak but a duration of 24 hours ?

Lantus

SITUATION: CLIENTS WITH DIABETES MELLITUS The nurse conducts a health history for a client with type diabetes mellitus. Which of the following client statements best describes the onset characteristics of this type of diabetes ?

One day passed out after had terrible nausea, vomiting and abdominal pain.

Which of the following should be included in the assessment of a client with diabetes mellitus who is experiencing a hypoglycemic reaction? Select all that apply : 1. Tremors 2. Flushed skin 3. Nervousness 4. Profuse perspiration 5. Extreme thirst 6. Constricted pupils

1,3,4

Which of the following nutritional goals would be most important in the teaching plan for a client with diabetes mellitus?

Include all essential food components in the diet plan

The nurse is observing a staff member preparing to give a client in diabetic ketoacidosis 40 units of NPH insulin IV bolus. Which of the following interventions by the nurse is appropriate?

Tell the staff member that the only regular insulin may be administered intravenously

Which of the following should the nurse include in the medication instructions for a client taking chlorpropamide (Diabetes)?

Avoid drinking alcohol

SITUATION : CLIENTS WITH DIABETES MELLITUS A client with diabetes mellitus receives Humulin regular insulin 8 units subcutaneously at 7:30am. The nurse would be most alert to signs of hypoglycemia at what time during the day ?

09:30 am to 11:30 am

24. During the routine visit to the physician's office for monitoring of diabetic control, an older client with diabetes mellitus complains to the nurse of vision changes. The client describes blurring of the vision with difficulty in reading and with driving at night. Given the client's history, the nurse interprets that the client is probably developing :

Cataracts

The nurse is discussing the treatment regimen for a client newly diagnosed with type 1 diabetes mellitus . While discussing Insulin administration , the client asks, "Why can I just take a pill like my friend does ?" which of the following statement indicates the client understands the nurse's explanation?

Because my body does not produce insulin, I must receive the injection.

27. The nurse is caring for two clients newly diagnosed with diabetes mellitus. One client has type 1 diabetes and the other client has type 2 diabetes. The nurse understands that the main difference between newly diagnosed type 1 and type 2 diabetes mellitus that in type diabetes

Complications are not present at time of diagnosis

Which nursing Intervention takes priority when a client is first admitted with hyperglycemic hyperoemolar nonketotic syndrome (HHNS) ?

Administering fluid replacements

The nurse concludes that a client newly diagnosed with type 1 diabetes mellitus requires further teaching after the client makes which statement?

I will not take my insulin if im sick and cannot eat

29. The nurse is caring for a client with a diagnosis of diabetes. When monitoring this client for hyperglycemia , the nurse understands that the adaptations associated with diabetic coma result from an excess accumulation in the blood of :

Ketones from rapid fat breakdown , causing acidosis

Laboratory test are performed on a client with diabetic ketoacidosis . Which should the nurse expect the tests to reveal ?

Low CO2 level

Critical Med Surg Pentagon

Castle Aranza · 31問 · 3年前

Critical Med Surg Pentagon