Test 4

Question 1

Teaching for diabetic patient that is sick

Answer 1

Never eliminate insulin when feeling ill, check BG every 4 hours
Stay hydrated and eating

Question 2

Best teaching for a newly diagnosed diabetic patient on discharge

Answer 2

Teach back method

Question 3

Emergency care for diabetics with low glucose

Answer 3

Look at patient, Level of consciousness,
Unconscious= IV Dextrose 50%

Question 4

Proper education for diabetes

Answer 4

Can eat more carbs than they think, eating carbs sustains appropriate blood glucose levels

Question 5

Diabetes complications

Answer 5

Vascular disease, heart attack

Question 6

Side effect of long term steroid use in patients

Answer 6

Increases blood glucose and risk of infection

Question 7

What to do when stopping steroids when patients are experiencing flares

Answer 7

Taper down, do not stop abruptly

Question 8

Appearance of Cushing’s syndrome

Answer 8

Big round belly and face, thin extremities,
Nursing diagnosis- body image

Question 9

Symptoms of addisonian crisis

Answer 9

High HR and RR

Question 10

What to assess for portal hypertension

Answer 10

Assess abdomen-ascites and weight daily

Question 11

What is prescribed to often pull off from fluid build up

Answer 11

Diuretics

Question 12

What is asterixis

Answer 12

Flapping of the hands

Question 13

Liver patients can experience mental status changed called and what lab value is a issue of causing it

Answer 13

Hepatic encephalopathy, ammonia

Question 14

Diet for a patient with liver problems

Answer 14

Reduce sodium

Question 15

What monitoring do patients on tube feed need for pancreatitis

Answer 15

Blood glucose

Question 16

What are patients at risk for with drains that have liver or pancreas problems

Answer 16

Impaired skin integrity

Question 17

Patient who drink alcohol excessively and have had gallstones in the past are at risk for

Answer 17

Pancreatitis

Question 18

What is important to watch after gall bladder surgery

Answer 18

Fat in diet to avoid GI upset

Question 19

What can the removal of the thyroid with involvement of the parathyroid cause

Answer 19

Muscle twitching and spasms

Question 20

Hyperthyroidism symptoms

Answer 20

Patients are thin, fast metabolism so smaller frequent meals, heat intolerance, weight loss