Selected Harry George (Room 401) Quiz | Lesson 22 | Diabetes Mellitus, Part 1

Quiz | Lesson 22 | Diabetes Mellitus, Part 1 Question 1 1 / 1 pts Exercise 2 - Virtual Hospital Activity Sign in to work at Pacific View Regional Hospital for Period of Care 1. (Note: If you are already in the virtual hospital from a previous exercise, click on Leave the Floor and then on Restart the Program to get to the sign-in window.) From the Patient List, select Harry George (Room 401). Click on Go to Nurses’ Station. Click on Chart and then on 401. Click on History and Physical. Exercise 2 - Question 1 What risk factors for diabetes are noted in Harry George’s history? Question 2 1 / 1 pts Exercise 2 - Question 2 Describe the history of his present illness. Question 3 1 / 1 pts Exercise 2 - Question 3 What is the relationship between the infection in Harry George’s foot and his diabetes mellitus? Question 4 1 / 1 pts Click on Laboratory Reports. Exercise 2 - Question 4 Harry George's blood glucose level on admission was ______ mg/dL. 380 Question 5 1 / 1 pts Exercise 2 - Question 5 What abnormalities in his urinalysis results can be attributed to diabetes? Explain the relationship. Question 6 1 / 1 pts Click on Emergency Department. Exercise 2 - Question 6 What factor in Harry George’s recent history most likely contributed to his hyperglycemia? (Hint: Read the emergency department physician’s notes for 1345.) Question 7 1 / 1 pts Click on Nursing Admission. Exercise 2 - Question 7 Listed below are clinical manifestations of diabetes mellitus identified in the textbook. For each manifestation, indicate (Yes or No) whether each manifestation is usually present in type 2 diabetes. Then indicate (with Yes or No) whether it is usually present in type 2 diabetes. Question 8 1 / 1 pts Exercise 2 - Question 8 To what extent does Harry George fit the typical picture of a patient with type 2 diabetes mellitus? Question 9 1 / 1 pts Click on Return to Nurses’ Station. Click on 401 to enter Harry George’s room. Click on Patient Care and then on Nurse-Client Interactions. Select and view the video titled 0735: Symptom Management. (Note: Check the virtual clock to see whether enough time has elapsed. You can use the fast-forward feature to advance the time by 2-minute intervals if the video is not yet available. Then click again on Patient Care and on Nurse-Client Interactions to refresh the screen.) Exercise 2 - Question 9 What does Harry George tell the nurse about his appetite? Your Answer: Question 10 1 / 1 pts Exercise 2 - Question 10 What diet has been ordered for the patient? (Hint: Review his chart.) Question 11 1 / 1 pts Exercise 2 - Question 11 Describe the principles of this diet. Question 12 1 / 1 pts Exercise 2 - Question 12 How might the patient’s alcohol intake affect his blood glucose levels? Question 13 1 / 1 pts Exercise 3 - Virtual Hospital Activity Sign in to work at Pacific View Regional Hospital for Period of Care 2. (Note: If you are already in the virtual hospital from a previous exercise, click on Leave the Floor and then on Restart the Program to get to the sign-in window.) From the Patient List, select Harry George (Room 401). Click on Go to Nurses’ Station. Click on Chart and then on 401. Click on Physician's Orders. Exercise 3 - Question 1 What test is ordered that can be used to determine Harry George’s control of diabetes mellitus? Describe the purpose of this test. How often should it be done? Question 14 1 / 1 pts Click on Laboratory Reports. Exercise 3 - Question 2 What were the results of this test for Harry George? Based on these results, evaluate and explain how well his diabetes is controlled. Question 15 1 / 1 pts Exercise 3 - Question 3 What implication does Harry George’s level of glycemic control have for his future? Question 16 1 / 1 pts Click on Return to Nurses’ Station. Click on 401 at the bottom of the screen. Click on Patient Care and then on Physical Assessment. Exercise 3 - Question 4 Perform a head-to-toe assessment on Harry George, focusing on the areas listed below. Document any abnormal results. Head & Neck Chest Back & Spine Upper Extremities Abdomen Pelvic Lower Extremities Question 17 1 / 1 pts Click on EPR and Login. Choose 401 from the Patient drop-down menu and Neurologic from the Category drop-down menu. Exercise 3 - Question 5 Below, document any abnormal information obtained from the neurologic assessment completed on Monday at 1835. Question 18 1 / 1 pts Select Cardiovascular from the Category drop-down menu. Exercise 3 - Question 6 Below, document any abnormal information obtained from the cardiovascular assessment completed on Monday at 1835. Question 19 1 / 1 pts Exercise 3 - Question 7 Describe the following potential long-term complications for diabetes mellitus. Cardiovascular disease Cerebrovascular disease Retinopathy (nonproliferative and proliferative) Peripheral vascular disease Neuropathy Nephropathy Erectile dysfunction Cerebrovascular disease Retinopathy (nonproliferative and proliferative) Peripheral vascular disease Neuropathy Nephropathy Erectile dysfunction Question 20 1 / 1 pts Exercise 3 - Question 8 Does Harry George exhibit signs or symptoms that would alert you to the possibility of any of the long-term complications noted in question 7? If so, explain. Question 21 1 / 1 pts Exercise 3 - Question 9 What interventions, including patient teaching, would you plan to offer Harry George for prevention of injury secondary to reduced sensation in his left foot?