NURS 444 SUGERY SHERPATH
QUESTIONS AND ANSWERS To pass.
Which source of fat should the nurse instruct the patient with diabetes to
include in the diet at least twice a week?
Correct Answer -Fish
Which actions should the nurse take when administration of NPH and
regular insulin is required for a patient with
diabetes?
Correct Answer --Have a second nurse check the insulin type and dosage
before administration.
-Assess the patient's capillary blood glucose level before the injection.
-Withdraw the regular insulin first, then the NPH, in the same syringe.
A patient with diabetes asks the nurse about the option of using inhaled
insulin because of a fear of self-administered injections. Which finding in
the medical record would prevent the patient using this form of
insulin?
Correct Answer -Tobacco use (1 pack of cigarettes per day)
The nurse is caring for a patient with diabetes who underwent magnetic
resonance imaging with and without intravenous (IV) contrast dye
yesterday. Which medication should the nurse
withhold?
Correct Answer -Metformin
The nurse is caring for a patient with diabetes who is also receiving
treatment for chronic obstructive pulmonary disease. The nurse should
obtain capillary blood glucose levels based on documentation of which
,medication in the patient's chart?
Correct Answer -Prednisone
A patient reports a new onset of increased thirst, hunger, and frequent
urination. Which action should the nurse take
first?
Correct Answer -Obtain a random plasma glucose level.
A nurse is preparing a patient with suspected diabetes for a fasting blood
glucose test. The nurse should ask the patient about which
factors?
Correct Answer --History of recent exercise
-History of alcohol use
-Recent acute illness
The nurse is providing patient education to a high school athlete with
diabetes who was seen in the emergency department after a syncopal
episode during a basketball game. Which teaching interventions are
appropriate for the nurse to provide?
Correct Answer --"Carry a source of quick-acting carbohydrate with you."
-"Obtain a capillary blood glucose level before you exercise."
Which subjective assessment finding indicates a need for further patient
education about reducing the risk of developing complications from
diabetes?
Correct Answer -Reports walking barefoot only when it is warm outside
A nurse is providing dietary teaching to a patient with diabetes. Which
patient action indicates a good understanding of dietary
,restrictions?
Correct Answer -Using artificial sweeteners for beverages
A 16-year-old patient with diabetes reports to the nurse that morning
blood glucose levels have been averaging around 200 mg/dL but are
within an acceptable range the rest of the day. Which situation should the
nurse suspect?
Correct Answer -The patient is experiencing the dawn phenomenon.
A patient with newly diagnosed type 1 diabetes tells the nurse that he or
she likes to go camping, but is now afraid to go because of insulin needs.
Which information should the nurse provide to the patient?
Correct Answer -Insulin can be stored at room temperature.
The nurse administers a dose of NPH insulin to a patient at 8:00 am. At
which time should the nurse provide a snack or
meal?
Correct Answer -12:00 pm
A nurse is caring for a patient who has been diagnosed with cirrhosis; the
disease is in the early stages. Which clinical manifestation would the nurse
expect the patient to exhibit?
Correct Answer -Fatigue
The nurse is caring for a patient with cirrhosis and an elevated
prothrombin time/international normalized ratio (PT/INR). Which
complication is this patient most at risk for
developing?
Correct Answer -Gastrointestinal hemorrhage
, Which laboratory values will the nurse expect to be decreased in the
patient with cirrhosis?
Correct Answer -Albumin
Calcium
Potassium
Which laboratory value must the nurse assess before administration of
lactulose?
Correct Answer -Ammonia level
Which item should the nurse remove from the dinner tray of a patient with
cirrhosis?
Correct Answer -Bacon
Which priority assessments should the nurse make before a patient
undergoes a transjugular intrahepatic portosystemic shunt (TIPS)
procedure?
Correct Answer -Ammonia level
Prothrombin time
Which intervention should the nurse include when planning care to
improve the nutritional status of a patient with
cirrhosis?
Correct Answer -Give the patient smaller meals and snacks throughout the
day.
The nurse is providing care to a confused patient with hepatic
encephalopathy who refuses to stay in bed and is at risk for falling. Which
intervention will the nurse implement to keep the patient
QUESTIONS AND ANSWERS To pass.
Which source of fat should the nurse instruct the patient with diabetes to
include in the diet at least twice a week?
Correct Answer -Fish
Which actions should the nurse take when administration of NPH and
regular insulin is required for a patient with
diabetes?
Correct Answer --Have a second nurse check the insulin type and dosage
before administration.
-Assess the patient's capillary blood glucose level before the injection.
-Withdraw the regular insulin first, then the NPH, in the same syringe.
A patient with diabetes asks the nurse about the option of using inhaled
insulin because of a fear of self-administered injections. Which finding in
the medical record would prevent the patient using this form of
insulin?
Correct Answer -Tobacco use (1 pack of cigarettes per day)
The nurse is caring for a patient with diabetes who underwent magnetic
resonance imaging with and without intravenous (IV) contrast dye
yesterday. Which medication should the nurse
withhold?
Correct Answer -Metformin
The nurse is caring for a patient with diabetes who is also receiving
treatment for chronic obstructive pulmonary disease. The nurse should
obtain capillary blood glucose levels based on documentation of which
,medication in the patient's chart?
Correct Answer -Prednisone
A patient reports a new onset of increased thirst, hunger, and frequent
urination. Which action should the nurse take
first?
Correct Answer -Obtain a random plasma glucose level.
A nurse is preparing a patient with suspected diabetes for a fasting blood
glucose test. The nurse should ask the patient about which
factors?
Correct Answer --History of recent exercise
-History of alcohol use
-Recent acute illness
The nurse is providing patient education to a high school athlete with
diabetes who was seen in the emergency department after a syncopal
episode during a basketball game. Which teaching interventions are
appropriate for the nurse to provide?
Correct Answer --"Carry a source of quick-acting carbohydrate with you."
-"Obtain a capillary blood glucose level before you exercise."
Which subjective assessment finding indicates a need for further patient
education about reducing the risk of developing complications from
diabetes?
Correct Answer -Reports walking barefoot only when it is warm outside
A nurse is providing dietary teaching to a patient with diabetes. Which
patient action indicates a good understanding of dietary
,restrictions?
Correct Answer -Using artificial sweeteners for beverages
A 16-year-old patient with diabetes reports to the nurse that morning
blood glucose levels have been averaging around 200 mg/dL but are
within an acceptable range the rest of the day. Which situation should the
nurse suspect?
Correct Answer -The patient is experiencing the dawn phenomenon.
A patient with newly diagnosed type 1 diabetes tells the nurse that he or
she likes to go camping, but is now afraid to go because of insulin needs.
Which information should the nurse provide to the patient?
Correct Answer -Insulin can be stored at room temperature.
The nurse administers a dose of NPH insulin to a patient at 8:00 am. At
which time should the nurse provide a snack or
meal?
Correct Answer -12:00 pm
A nurse is caring for a patient who has been diagnosed with cirrhosis; the
disease is in the early stages. Which clinical manifestation would the nurse
expect the patient to exhibit?
Correct Answer -Fatigue
The nurse is caring for a patient with cirrhosis and an elevated
prothrombin time/international normalized ratio (PT/INR). Which
complication is this patient most at risk for
developing?
Correct Answer -Gastrointestinal hemorrhage
, Which laboratory values will the nurse expect to be decreased in the
patient with cirrhosis?
Correct Answer -Albumin
Calcium
Potassium
Which laboratory value must the nurse assess before administration of
lactulose?
Correct Answer -Ammonia level
Which item should the nurse remove from the dinner tray of a patient with
cirrhosis?
Correct Answer -Bacon
Which priority assessments should the nurse make before a patient
undergoes a transjugular intrahepatic portosystemic shunt (TIPS)
procedure?
Correct Answer -Ammonia level
Prothrombin time
Which intervention should the nurse include when planning care to
improve the nutritional status of a patient with
cirrhosis?
Correct Answer -Give the patient smaller meals and snacks throughout the
day.
The nurse is providing care to a confused patient with hepatic
encephalopathy who refuses to stay in bed and is at risk for falling. Which
intervention will the nurse implement to keep the patient
