Question

please answer the following

1. The laboratory values of a client who has diabetes mellitus include a fasting blood glucose level of 89mg/dL and hemoglobin A1C of 6%. What is the nurse’s interpretation of these findings?

1. The client's glucose control for the past 24 hours has been good, but the overall control is poor.
2. The client's glucose control for the past 24 hours has been poor, but the overall control is good.
3. The values indicate the client has poorly managed his or her disease.
4. The values indicate that the client has managed his or her disease well

2. Which of these laboratory results would be most important for a nurse to monitor for a client with a lower gastrointestinal bleed?

1. Hemoglobin and hematocrit
2. Bleeding time
3. Platelet count
4. Potassium level

3. A nurse is caring for a patient who was prescribed high dose corticosteroid therapy for one month to treat severe inflammatory condition. the patient symptoms have now resolved, and the patient asks when can I stop taking these medications how would the nurse respond?

1. it is possible for the inflammation to recur if you stop the medication
2. once you start corticosteroids you have to be weaned off them
3. you must decrease the dose slowly so your hormones will work again
4. the drug suppresses your immune system which must be built back up

4. Continuous muscle spasms in a patient with hypoparathyroidism are related to which condition?

1. Nerve damage
2. Seizures
3. Tetany
4. Decreased potassium

5. A nurse is performing discharge teaching for a patient who was recently diagnosed with gastritis. Which of the following should be included in the teaching?

1. Exercise
2. Eat three large meals each day
3. Stress reduction
4. Take NSAIDS as prescribed

6. The nurse instructs the patient who was on prolonged cortisol therapy to report which signs and symptoms?

1. Anuria and hypoglycemia
2. weight gain and moon face
3. anorexia and muscle twitches
4. hypotension and fluid loss   drain

7. A nurse is caring for a patient recently diagnosed with Addison's disease. Which of the following signs and symptoms are consistent with this diagnosis?

1. increase appetite
2. muscle weakness
3. weight gain
4. hypertension

8. The nurse knows that which of the following is a therapeutic response to hydrocortisone for Addisonian crisis?

1. Weight gain
2. No signs of pitting edema
3. Increased urine output
4. Client is alert and oriented with improved lethargy

9. A nurse is caring for a patient recently diagnosed with a hiatal hernia. Which of the following is the least invasive surgical treatment for a patient with a hiatal hernia?

1. Nissen fundoplication
2. Endoluminal fundoplication
3. Pyloroplasty
4. Vagotomy

10. A nurse is caring for a 26-year-old female that presented to the emergency Department with abdominal pain, bloating, Constipation and bouts of diarrhea. Which of the following is the patient most likely exhibiting?

1. Intestinal obstruction
2. Hernia
3. Malabsorption Syndrome
4. Irritable bowel syndrome

11. Which of the following is a life-threatening emergency and serious complication of untreated or poorly treated hypothyroidism?

1. Endemic goiter
2. Thyroiditis
3. Myxedema coma
4. Multinodular toxic goiter

12. Kim is a 28-year-old female who presented to the emergency room with complaints of abdominal pain, nausea, and vomiting for the past 24 hours. Kim is afebrile, heart rate is 130 BPM, and blood pressure is 90/60 MM HG. During the pain assessment, Kim rates her pain attend on a scale 0-10. You note her pain to be in the periumbilical region. Based on the assessment findings, which of the following would you anticipate being Kim's diagnosis.

1. Peritonitis
2. Appendants
3. Crohn's disease
4. Ulcerative colitis

Answer 1

1). (d)The values indicate that the client has managed his or her disease well. As the HbA1c is less than 6.5% indicates good glucose control.

2). (b) bleeding time

3). (c) you must decrease the dose slowly so your hormones will work again.

4). (c) tetany

5). (c) stress reduction

6). (b) Weight gain and moon face popularly known as Cushing syndrome

7). (b) muscle weakness

8). (d) Client is alert and oriented with improved lethargy.

9). (b) endoluminal fundoplication

10). (d) irritable bowel syndrome

11). (c) myxedema coma.

12). (b) appendicitis