Mdc 2 Final Exam

MDC 2 FINAL EXAM 1. A nurse is teaching a patient with diabetes mellitus who asks, “why is it necessary to maintain my blood glucose levels no lower than about 60 mg/dL (3.3 mmol/L)?” How would the nurse respond? a. “Glucose is the only fuel used by the body to produce the energy that it needs.” b. “Your brain needs a constant supply of glucose because it cannot store it.” c. “Without a minimum level of glucose, your body does not make red blood cells.” d. “Glucose in the blood prevents the formation of lactic acid and prevents acidosis.” 2. Which of the following surgical procedures is appropriate for a patient with chronic pancreatitis? a. Radical pancreatectomy b. Sphincterotomy c. Fistulotomy d. Proctocolectomy 3. The nurse identifies which lab result is consistent with a client’s diagnosis of hyperthyroidism? a. Decreased T3 and T4 levels b. Elevated serum thyrotropin-releasing hormone (TRH) level c. Decreased radioactive iodine uptake d. Increased serum T3 and T4 levels 4. A nurse is caring for a patient recently diagnosed with diabetes insipidus. Which of the following medications would be appropriate for this disorder? a. Furosemide b. Diltiazem c. Vasopressin d. Growth Hormone antagonist 5. A nurse is caring for a patient recently diagnosed with thyroid cancer. Which of the following lab results will validate this diagnosis? a. Increased Calcium b. Increase phosphorus c. Increased serum thyroglobulin level d. Decreased thyroglobulin level 6. Which food does the nurse teach the client with hypoparathyroidism to avoid in their diet? a. Canned vegetables b. Fresh fruit c. Red meat d. Milk 7. Which nursing intervention helps to prevent adrenocortical insufficiency a. Administering diuretic therapy b. Teaching the patient about a low-sodium diet c. Discontinuing high-dose steroid therapy quickly d. Reducing high-dose steroid therapy gradually 8. Which of the following is a common diagnostic study for patients with upper gastrointestinal disorder? a. Arterial blood gas b. Liver function test c. Barium enema d. Esophagogastroduodenoscopy 9. A nurse is caring for a 57-year-old Hispanic male who was recently diagnosed with Cushing’s disease. Which of the following laboratory tests validate the diagnosis? a. Elevated lymphocyte count b. Decreased late-night salivary cortisol test c. Decreased urine specific gravity d. Elevated urine cortisol level 10. A nurse is caring for a patient diagnosed with severe gastroesophageal reflux disease (GERD). Which of the following medications would the nurse expect the provider to order? a. Pantoprazole b. Metoclopramide c. Diphenoxylate/atropine d. Sucralfate 11. A nursing is caring for a patient recently diagnosed with pancreatitis. Which of the following are treatment options for pancreatitis? (select all that apply) a. Nothing by mouth b. Pain management c. Antacids d. IV fluids 12. James is a 56-year-old male who was recently diagnosed with Type 2 diabetes. Which of the following diagnostic tests would correlate with this diagnosis? (select all that apply). a. Increased Hemoglobin A1C level b. Increased random blood glucose c. Increased fasting blood glucose d. Increased hemoglobin level 13. The nurse identifies which lab result is consistent with a client’s diagnosis of hyperthyroidism? a. Decreased T3 and T4 levels b. Elevated serum thyrotropin-releasing hormone (TRH) level c. Decreased radioactive iodine uptake d. Increased serum T3 and T4 levels 14. Which of the following is hallmark assessment finding in a client with hyperthyroidism? a. Weight gain b. Increased libido c. Hearth intolerance d. Diarrhea 15. A nurse cares for your patient with adrenal hyperfunction. The patient screams at her husband, burst into tears, and throws her water pitcher against the wall. She then tells the nurse, “I feel like I'm going crazy.” How would the nurse respond? a. “I will ask your doctor to order a psychiatric consult for you.” b. “You feel this way because of your hormone levels.” c. “Can I bring you information about support groups.” d. “I will close the door to your room and restrict visitors.” 16. Which statement by a patient with diabetes shows an understanding of the importance of self-care? a. “I really don't like having to stick myself to check my sugar.” b. “I plan to measure the sugar in my urine throughout the day.” c. “I am planning on getting my spouse to exercise with me to spend time in each other's company.” d. “I can use my regular cough medicine if I get a cold.” 17. Sam, a 44-year-old male, was recently diagnosed with gastric cancer. Sam has a wife and three small children. Sam and his wife are having a difficult time dealing with the recent diagnosis. Which of the following nursing interventions is appropriate for this patient? a. Educate on treatment options b. Consult the dietitian regarding nutritional needs c. Monitor lab values for abnormalities d. Consult social services to provide support to Sam and his family 18. A patient underwent a colon resection with colostomy placement. which of the following would the surgeon consult post operatively for colostomy management? a. dietitian b. respiratory therapy c. physical therapy d. wound, ostomy and continence nurse 19. The nurse knows which intervention is needed for a client with pheochromocytoma? a. Assist to chair for blood pressure monitoring b. Education not to drink coffee or smoke c. Education on an exercise schedule to include activities such as running d. Encourage one glass of red wine each night to promote a good rest 20. You are providing discharge instructions to a patient who was recently diagnosed with hiatal hernia. The patient also has a history of GERD. Which of the following should be included in the patient and family education? a. Remain in an upright position one to two hours after eating b. Take antacids prior to eating c. Drink a carbonated beverage prior to meals d. Sleep with the head of the bed flat 21. A nurse is caring for a 29-year-old male patient with a history of alcoholism. He has been having frequent episodes of vomiting of bright red blood. what would be appropriate for this patient except: a. Make the patient NPO b. Transfusion of blood products c. Perform gastric lavage d. Encourage liquid intake 22. A nurse is providing patient and family education for a patient diagnosed with irritable bowel syndrome. Which of the following is important to include in the education? (select all that apply) a. Modify diet b. Stress reduction c. Adhere to prescribed medications d. Limit physical activity 23. Which of the following patients are at risk for developing stomatitis? a. A 48-year-old patient diagnosed with osteoarthritis b. A 70-year-old obese male c. A 55-year-old male with colon cancer d. A 50-year-old patient diagnosed with heart failure 24. A nurse is caring for a patient recently diagnosed with anorectal Abscess. Which of the following are appropriate nursing interventions for this patient? (select all that apply). a. Pain management b. Sitz bath c. Bed rest d. Fluid restriction