NURS 172 Exam 2 Questions With Correct
Answers
Which |of |the |following |would |contribute |to |a |client's |excessive |weight |gain? |(Select |all |that |
apply.)(There |are |3 |correct |answers)
1. |A |hypothalamus |lesion
2. |Hyperthyroidism
3. |High |levels |of |serotonin
4. |Cushing's |disease
5. |Diabetes |mellitus |- |CORRECT |ANSWER✔✔-1. |A |hypothalamus |lesion
4. |Cushing's |disease
5. |Diabetes |mellitus
Lesions |in |the |appetite |and |satiety |centers |in |the |hypothalamus |may |contribute |to |overeating |
and |lead |to |obesity. |Hypothyroidism, |not |hyperthyroidism, |is |a |problem |that |interferes |with |
basal |metabolism |and |may |lead |to |weight |gain. |Weight |gain |can |also |occur |in |response |to |the |
decreased |insulin |production |of |diabetes |mellitus |and |the |increased |cortisone |production |of |
Cushing's |disease. |New |evidence |also |exists |to |indicate |that |low |levels |of |the |neurotransmitter
|serotonin |may |play |a |role |in |compulsive |eating.
A |nurse |should |identify |topiramate |(Topamax) |as |the |drug |of |choice |for |which |of |the |following
|conditions? |(Select |all |that |apply.)(There |are |2 |correct |answers)
1. |Bingeing |and |purging |with |a |diagnosis |of |bulimia |nervosa
2. |Weight |loss |with |a |diagnosis |of |anorexia |nervosa
3. |Amenorrhea |with |a |diagnosis |of |anorexia |nervosa
4. |Emaciation |with |a |diagnosis |of |bulimia |nervosa
,5. |Binge |eating |with |a |diagnosis |of |obesity |- |CORRECT |ANSWER✔✔-1. |Bingeing |and |purging |
with |a |diagnosis |of |bulimia |nervosa
5. |Binge |eating |with |a |diagnosis |of |obesity
The |nurse |should |identify |that |topiramate |is |the |drug |of |choice |when |treating |binge |eating |
with |a |diagnosis |of |obesity |or |bingeing |and |purging |with |a |diagnosis |of |bulimia |nervosa. |
Topiramate |is |an |anticonvulsant |that |produces |a |significant |decline |in |binge |frequency |and |
reduction |in |body |weight.
A |nursing |instructor |is |teaching |about |the |DSM-5 |criteria |for |the |diagnosis |of |binge-eating |
disorder. |Which |of |the |following |student |statements |indicates |that |further |instruction |is |
needed? |(Select |all |that |apply.)(There |are |3 |correct |answers)
1. |"In |this |disorder, |distress |regarding |binge |eating |is |absent."
2. |"In |this |disorder, |binge |eating |occurs |exclusively |during |the |course |of |bulimia |nervosa."
3. |"In |this |disorder, |binge |eating |occurs, |on |average, |at |least |once |a |week |for |three |months."
4. |"In |this |disorder, |binge |eating |occurs, |on |average, |at |least |two |days |a |week |for |six |months."
5. |"In |this |disorder, |distress |regarding |binge |eating |is |present." |- |CORRECT |ANSWER✔✔-1. |"In |
this |disorder, |distress |regarding |binge |eating |is |absent."
2. |"In |this |disorder, |binge |eating |occurs |exclusively |during |the |course |of |bulimia |nervosa."
4. |"In |this |disorder, |binge |eating |occurs, |on |average, |at |least |two |days |a |week |for |six |months."
According |to |the |DSM-5 |criteria |for |the |diagnosis |of |binge-eating |disorder, |binge |eating |should
|not |occur |exclusively |during |the |course |of |anorexia |nervosa |or |bulimia |nervosa. |The |new |time
|frame |criteria |in |the |DSM-5 |states |that |binge |eating |must |occur, |on |average, |at |least |once |a |
week |for |three |months |not |two |days |a |week |for |six |months. |The |DSM-5 |criteria |states |that |
distress |regarding |binge |eating |would |be |present.
Anorexia |nervosa |deals |with |issues |of |control |and |a |struggle |between |dependence |and |
independence.
,True
False |- |CORRECT |ANSWER✔✔-True. |Anorexia |nervosa |deals |with |issues |of |control |and |a |
struggle |between |dependence |and |independence. |It |is |often |associated |with |parent-child |
conflicts |about |dependency |issues. |Children |often |feel |as |though |their |bodies |and |weight |are |
their |only |areas |of |control. |It |occurs |primarily |in |adolescents |and |young |adults. |It |is |more |
common |in |females |than |males.
Bulimia |deals |with |loss |of |control |(binge |eating) |and |guilt |(purging).
True
False |- |CORRECT |ANSWER✔✔-True. |Bulimia |deals |with |loss |of |control |(binge |eating) |and |guilt |
(purging). |Bulimia |is |characterized |by |eating |excessive |amounts |of |food |followed |by |self-
induced |purging |by |vomiting, |misuse |of |laxatives, |diuretics |or |other |medications, |fasting, |
and/or |excessive |exercise.
Fatty |foods |are |the |common |food |intolerances |for |clients |with |cholelithiasis.
True
False |- |CORRECT |ANSWER✔✔-True. |Fatty |foods |are |the |common |food |intolerances |for |clients |
with |cholelithiasis.
Teaching |in |relation |to |home |management |following |a |laparoscopic |cholecystectomy |should |
include
a. |reporting |any |bile-colored |drainage |or |pus |from |any |incision.
b. |keeping |the |bandages |on |the |puncture |sites |for |48 |hours.
c. |using |over-the-counter |antiemetics |if |nausea |and |vomiting |occur.
, d. |emptying |and |measuring |the |contents |of |the |bile |bag |from |the |T |tube |every |day. |- |CORRECT
|ANSWER✔✔-a. |reporting |any |bile-colored |drainage |or |pus |from |any |incision.
The |following |discharge |instructions |are |taught |to |the |patient |and |caregiver |after |a |
laparoscopic |cholecystectomy. |First, |remove |the |bandages |on |the |puncture |site |the |day |after |
surgery |and |shower. |Second, |notify |the |surgeon |if |any |of |the |following |signs |and |symptoms |
occur: |redness, |swelling, |bile-colored |drainage |or |pus |from |any |incision; |and |severe |abdominal
|pain, |nausea, |vomiting, |fever, |or |chills. |Third, |gradually |resume |normal |activities. |Fourth, |
return |to |work |within |1 |week |of |surgery. |Fifth, |resume |a |usual |diet, |but |a |low-fat |diet |is |
usually |better |tolerated |for |several |weeks |after |surgery. |T |tube |is |not |inserted |when |a |
lap.chole. |is |performed.
The |nursing |management |of |the |client |with |cholecystitis |associated |with |cholelithiasis |is |based
|on |the |knowledge |that
a. |laparoscopic |cholecystectomy |is |the |treatment |of |choice |in |most |clients |who |are |
symptomatic.
b. |shock-wave |therapy |sould |be |tried |initially.
c. |once |gallstones |are |removed, |they |tend |not |to |recur.
d. |the |disorder |can |be |successfully |treated |with |oral |bile |salts |that |dissolve |gallstones. |- |
CORRECT |ANSWER✔✔-a. |laparoscopic |cholecystectomy |is |the |treatment |of |choice |in |most |
clients |who |are |symptomatic.
Laparoscopic |cholecystectomy |is |the |treatment |of |choice |for |symptomatic |cholelithiasis |
because |of |its |success. |Approximately |90% |of |cholecystectomies |are |done |laparoscopically. |
Usually |shock-wave |therapy |(ESWL) |and |oral |dissolution |therapy |are |used |together. |Gallstones |
are |not |usually |treated |with |drugs |because |gallstones |may |recur. |Endoscopic |retrograde |
cholangiopancreatography |(ERCP) |is |especially |effective |in |removing |common |bile |duct |stones.
To |care |for |a |T-tube |in |a |client |following |an |open/incisional |cholecystectomy, |the |nurse
Answers
Which |of |the |following |would |contribute |to |a |client's |excessive |weight |gain? |(Select |all |that |
apply.)(There |are |3 |correct |answers)
1. |A |hypothalamus |lesion
2. |Hyperthyroidism
3. |High |levels |of |serotonin
4. |Cushing's |disease
5. |Diabetes |mellitus |- |CORRECT |ANSWER✔✔-1. |A |hypothalamus |lesion
4. |Cushing's |disease
5. |Diabetes |mellitus
Lesions |in |the |appetite |and |satiety |centers |in |the |hypothalamus |may |contribute |to |overeating |
and |lead |to |obesity. |Hypothyroidism, |not |hyperthyroidism, |is |a |problem |that |interferes |with |
basal |metabolism |and |may |lead |to |weight |gain. |Weight |gain |can |also |occur |in |response |to |the |
decreased |insulin |production |of |diabetes |mellitus |and |the |increased |cortisone |production |of |
Cushing's |disease. |New |evidence |also |exists |to |indicate |that |low |levels |of |the |neurotransmitter
|serotonin |may |play |a |role |in |compulsive |eating.
A |nurse |should |identify |topiramate |(Topamax) |as |the |drug |of |choice |for |which |of |the |following
|conditions? |(Select |all |that |apply.)(There |are |2 |correct |answers)
1. |Bingeing |and |purging |with |a |diagnosis |of |bulimia |nervosa
2. |Weight |loss |with |a |diagnosis |of |anorexia |nervosa
3. |Amenorrhea |with |a |diagnosis |of |anorexia |nervosa
4. |Emaciation |with |a |diagnosis |of |bulimia |nervosa
,5. |Binge |eating |with |a |diagnosis |of |obesity |- |CORRECT |ANSWER✔✔-1. |Bingeing |and |purging |
with |a |diagnosis |of |bulimia |nervosa
5. |Binge |eating |with |a |diagnosis |of |obesity
The |nurse |should |identify |that |topiramate |is |the |drug |of |choice |when |treating |binge |eating |
with |a |diagnosis |of |obesity |or |bingeing |and |purging |with |a |diagnosis |of |bulimia |nervosa. |
Topiramate |is |an |anticonvulsant |that |produces |a |significant |decline |in |binge |frequency |and |
reduction |in |body |weight.
A |nursing |instructor |is |teaching |about |the |DSM-5 |criteria |for |the |diagnosis |of |binge-eating |
disorder. |Which |of |the |following |student |statements |indicates |that |further |instruction |is |
needed? |(Select |all |that |apply.)(There |are |3 |correct |answers)
1. |"In |this |disorder, |distress |regarding |binge |eating |is |absent."
2. |"In |this |disorder, |binge |eating |occurs |exclusively |during |the |course |of |bulimia |nervosa."
3. |"In |this |disorder, |binge |eating |occurs, |on |average, |at |least |once |a |week |for |three |months."
4. |"In |this |disorder, |binge |eating |occurs, |on |average, |at |least |two |days |a |week |for |six |months."
5. |"In |this |disorder, |distress |regarding |binge |eating |is |present." |- |CORRECT |ANSWER✔✔-1. |"In |
this |disorder, |distress |regarding |binge |eating |is |absent."
2. |"In |this |disorder, |binge |eating |occurs |exclusively |during |the |course |of |bulimia |nervosa."
4. |"In |this |disorder, |binge |eating |occurs, |on |average, |at |least |two |days |a |week |for |six |months."
According |to |the |DSM-5 |criteria |for |the |diagnosis |of |binge-eating |disorder, |binge |eating |should
|not |occur |exclusively |during |the |course |of |anorexia |nervosa |or |bulimia |nervosa. |The |new |time
|frame |criteria |in |the |DSM-5 |states |that |binge |eating |must |occur, |on |average, |at |least |once |a |
week |for |three |months |not |two |days |a |week |for |six |months. |The |DSM-5 |criteria |states |that |
distress |regarding |binge |eating |would |be |present.
Anorexia |nervosa |deals |with |issues |of |control |and |a |struggle |between |dependence |and |
independence.
,True
False |- |CORRECT |ANSWER✔✔-True. |Anorexia |nervosa |deals |with |issues |of |control |and |a |
struggle |between |dependence |and |independence. |It |is |often |associated |with |parent-child |
conflicts |about |dependency |issues. |Children |often |feel |as |though |their |bodies |and |weight |are |
their |only |areas |of |control. |It |occurs |primarily |in |adolescents |and |young |adults. |It |is |more |
common |in |females |than |males.
Bulimia |deals |with |loss |of |control |(binge |eating) |and |guilt |(purging).
True
False |- |CORRECT |ANSWER✔✔-True. |Bulimia |deals |with |loss |of |control |(binge |eating) |and |guilt |
(purging). |Bulimia |is |characterized |by |eating |excessive |amounts |of |food |followed |by |self-
induced |purging |by |vomiting, |misuse |of |laxatives, |diuretics |or |other |medications, |fasting, |
and/or |excessive |exercise.
Fatty |foods |are |the |common |food |intolerances |for |clients |with |cholelithiasis.
True
False |- |CORRECT |ANSWER✔✔-True. |Fatty |foods |are |the |common |food |intolerances |for |clients |
with |cholelithiasis.
Teaching |in |relation |to |home |management |following |a |laparoscopic |cholecystectomy |should |
include
a. |reporting |any |bile-colored |drainage |or |pus |from |any |incision.
b. |keeping |the |bandages |on |the |puncture |sites |for |48 |hours.
c. |using |over-the-counter |antiemetics |if |nausea |and |vomiting |occur.
, d. |emptying |and |measuring |the |contents |of |the |bile |bag |from |the |T |tube |every |day. |- |CORRECT
|ANSWER✔✔-a. |reporting |any |bile-colored |drainage |or |pus |from |any |incision.
The |following |discharge |instructions |are |taught |to |the |patient |and |caregiver |after |a |
laparoscopic |cholecystectomy. |First, |remove |the |bandages |on |the |puncture |site |the |day |after |
surgery |and |shower. |Second, |notify |the |surgeon |if |any |of |the |following |signs |and |symptoms |
occur: |redness, |swelling, |bile-colored |drainage |or |pus |from |any |incision; |and |severe |abdominal
|pain, |nausea, |vomiting, |fever, |or |chills. |Third, |gradually |resume |normal |activities. |Fourth, |
return |to |work |within |1 |week |of |surgery. |Fifth, |resume |a |usual |diet, |but |a |low-fat |diet |is |
usually |better |tolerated |for |several |weeks |after |surgery. |T |tube |is |not |inserted |when |a |
lap.chole. |is |performed.
The |nursing |management |of |the |client |with |cholecystitis |associated |with |cholelithiasis |is |based
|on |the |knowledge |that
a. |laparoscopic |cholecystectomy |is |the |treatment |of |choice |in |most |clients |who |are |
symptomatic.
b. |shock-wave |therapy |sould |be |tried |initially.
c. |once |gallstones |are |removed, |they |tend |not |to |recur.
d. |the |disorder |can |be |successfully |treated |with |oral |bile |salts |that |dissolve |gallstones. |- |
CORRECT |ANSWER✔✔-a. |laparoscopic |cholecystectomy |is |the |treatment |of |choice |in |most |
clients |who |are |symptomatic.
Laparoscopic |cholecystectomy |is |the |treatment |of |choice |for |symptomatic |cholelithiasis |
because |of |its |success. |Approximately |90% |of |cholecystectomies |are |done |laparoscopically. |
Usually |shock-wave |therapy |(ESWL) |and |oral |dissolution |therapy |are |used |together. |Gallstones |
are |not |usually |treated |with |drugs |because |gallstones |may |recur. |Endoscopic |retrograde |
cholangiopancreatography |(ERCP) |is |especially |effective |in |removing |common |bile |duct |stones.
To |care |for |a |T-tube |in |a |client |following |an |open/incisional |cholecystectomy, |the |nurse
