NUR 1211 MEDICAL SURGICAL 2026
ENDOCRINE AND METABOLIC DISORDERS
DIABETES CARE AND TREATMENT GUIDE
◉ A nurse is completing a nutritional status of a patient who has
been admitted with AIDS-related complications. What components
should the nurse include in this assessment? Select all that apply.
A) Serum albumin level
B) Weight history
C) White blood cell count
D) Body mass index
E) Blood urea nitrogen (BUN) level
Answer: A,B,D,E
A) Serum albumin level
B) Weight history
D) Body mass index
E) Blood urea nitrogen (BUN) level
Nutritional status is assessed by obtaining a dietary history and
identifying factors that may interfere with oral intake, such as
anorexia, nausea, vomiting, oral pain, or difficulty swallowing. In
,addition, the patients ability to purchase and prepare food is
assessed. Weight history (i.e., changes over time); anthropometric
measurements; and blood urea nitrogen (BUN), serum protein,
albumin, and transferrin levels provide objective measurements of
nutritional status. White cell count is not a typical component of a
nutritional assessment.
◉ 34. A nurse is assessing the skin integrity of a patient who has
AIDS. When performing this inspection, the nurse should prioritize
assessment of what skin surfaces?
A) Perianal region and oral mucosa
B) Sacral region and lower abdomen
C) Scalp and skin over the scapulae
D) Axillae and upper thorax
Answer: A) Perianal region and oral mucosa
The nurse should inspect all the patients skin surfaces and mucous
membranes, but the oral mucosa and perianal region are
particularly vulnerable to skin breakdown and fungal infection.
◉ A hospital nurse has experienced percutaneous exposure to an
HIV-positive patients blood as a result of a needlestick injury. The
nurse has informed the supervisor and identified the patient. What
action should the nurse take next?
,A) Flush the wound site with chlorhexidine.
B) Report to the emergency department or employee health
department.
C) Apply a hydrocolloid dressing to the wound site.
D) Follow up with the nurses primary care provider.
Answer: B) Report to the emergency department or employee health
department.
After initiating the emergency reporting system, the nurse should
report as quickly as possible to the employee health services, the
emergency department, or other designated treatment facility.
◉ The nurse care plan for a patient with AIDS includes the diagnosis
of Risk for Impaired Skin Integrity. What nursing intervention
should be included in the plan of care?
A) Maximize the patients fluid intake.
B) Provide total parenteral nutrition (TPN).
, C) Keep the patients bed linens free of wrinkles.
D) Provide the patient with snug clothing at all times.
Answer: C) Keep the patients bed linens free of wrinkles.
Skin surfaces are protected from friction and rubbing by keeping
bed linens free of wrinkles and avoiding tight or restrictive clothing.
◉ A patient has been diagnosed with AIDS complicated by chronic
diarrhea. What nursing intervention would be appropriate for this
patient?
A) Position the patient in the high Fowlers position whenever
possible.
B) Temporarily eliminate animal protein from the patients diet.
C) Make sure the patient eats at least two servings of raw fruit each
day.
D) Obtain a stool culture to identify possible pathogens.
Answer: D) Obtain a stool culture to identify possible pathogens.
ENDOCRINE AND METABOLIC DISORDERS
DIABETES CARE AND TREATMENT GUIDE
◉ A nurse is completing a nutritional status of a patient who has
been admitted with AIDS-related complications. What components
should the nurse include in this assessment? Select all that apply.
A) Serum albumin level
B) Weight history
C) White blood cell count
D) Body mass index
E) Blood urea nitrogen (BUN) level
Answer: A,B,D,E
A) Serum albumin level
B) Weight history
D) Body mass index
E) Blood urea nitrogen (BUN) level
Nutritional status is assessed by obtaining a dietary history and
identifying factors that may interfere with oral intake, such as
anorexia, nausea, vomiting, oral pain, or difficulty swallowing. In
,addition, the patients ability to purchase and prepare food is
assessed. Weight history (i.e., changes over time); anthropometric
measurements; and blood urea nitrogen (BUN), serum protein,
albumin, and transferrin levels provide objective measurements of
nutritional status. White cell count is not a typical component of a
nutritional assessment.
◉ 34. A nurse is assessing the skin integrity of a patient who has
AIDS. When performing this inspection, the nurse should prioritize
assessment of what skin surfaces?
A) Perianal region and oral mucosa
B) Sacral region and lower abdomen
C) Scalp and skin over the scapulae
D) Axillae and upper thorax
Answer: A) Perianal region and oral mucosa
The nurse should inspect all the patients skin surfaces and mucous
membranes, but the oral mucosa and perianal region are
particularly vulnerable to skin breakdown and fungal infection.
◉ A hospital nurse has experienced percutaneous exposure to an
HIV-positive patients blood as a result of a needlestick injury. The
nurse has informed the supervisor and identified the patient. What
action should the nurse take next?
,A) Flush the wound site with chlorhexidine.
B) Report to the emergency department or employee health
department.
C) Apply a hydrocolloid dressing to the wound site.
D) Follow up with the nurses primary care provider.
Answer: B) Report to the emergency department or employee health
department.
After initiating the emergency reporting system, the nurse should
report as quickly as possible to the employee health services, the
emergency department, or other designated treatment facility.
◉ The nurse care plan for a patient with AIDS includes the diagnosis
of Risk for Impaired Skin Integrity. What nursing intervention
should be included in the plan of care?
A) Maximize the patients fluid intake.
B) Provide total parenteral nutrition (TPN).
, C) Keep the patients bed linens free of wrinkles.
D) Provide the patient with snug clothing at all times.
Answer: C) Keep the patients bed linens free of wrinkles.
Skin surfaces are protected from friction and rubbing by keeping
bed linens free of wrinkles and avoiding tight or restrictive clothing.
◉ A patient has been diagnosed with AIDS complicated by chronic
diarrhea. What nursing intervention would be appropriate for this
patient?
A) Position the patient in the high Fowlers position whenever
possible.
B) Temporarily eliminate animal protein from the patients diet.
C) Make sure the patient eats at least two servings of raw fruit each
day.
D) Obtain a stool culture to identify possible pathogens.
Answer: D) Obtain a stool culture to identify possible pathogens.
