Chapter 32 High Acuity Nursing 6th Edition by Kathleen Dorman Wagner

Chapter 32 High Acuity Nursing 6th Edition by Kathleen Dorman Wagner

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

Question 1

Type: MCSA

A patient tells the nurse that there is a history of diabetes in the family and even though she has always tried to keep her blood glucose level on the “low side” she still developed diabetes. What information should the nurse provide?

1. Body weight is a big contributor to the development of all types of diabetes.
2. There is no way to stop the development of diabetes.
3. Diabetes can be caused by taking some medications.
4. It is thought that genetics is involved with the development of both type 1 and type 2 diabetes.

Correct Answer: 4

Rationale 1: Obesity in the presence of hereditary tendencies is a major risk factor for developing type 2 diabetes. Type I diabetes is not associated with obesity.

Rationale 2: Some risk factors for the development of diabetes can be controlled.

Rationale 3: Diabetes is not caused by medications.

Rationale 4: Type 1 diabetes seems to have a strong genetic component and is also a factor in development of type 2 diabetes.

Global Rationale:

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub: Physiological Adaptation

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 32-1

Question 2

Type: MCSA

A patient with acute pancreatitis asks the nurse why everyone is concerned about his blood glucose level. Which nursing response is appropriate?

1. Pancreatitis can injure the cells that produce insulin.
2. Since you are not eating, there is concern you won’t have enough glucose in your system.
3. Nearly everyone with pancreatitis develops diabetes.
4. Pancreatitis requires treatment with high amounts of intravenous fluids that can increase blood glucose.

Correct Answer: 1

Rationale 1: Insulin is a polypeptide produced by the beta cells of the islets of Langerhans in the pancreas whose role is to lower the blood glucose level. An injury to the pancreas can injure these cells.

Rationale 2: This is not the reason for concern regarding this patient’s blood glucose.

Rationale 3: This is not a true statement.

Rationale 4: This is not the reason for monitoring this patient’s glucose.

Global Rationale:

Cognitive Level: Applying

Client Need: Physiological Integrity

Client Need Sub: Physiological Adaptation

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 32-1

Question 3

Type: MCSA

A patient receiving an insulin injection for the first time asks the nurse how it works to reduce the blood glucose. Which of the following would be the best response for the nurse to make to the patient?

1. Insulin makes sure that fat is used as the body’s main energy source.
2. Insulin helps prevent fluid overload in the cells.
3. Insulin helps break down protein.
4. Insulin helps with cellular uptake of glucose.

Correct Answer: 4

Rationale 1: Insulin spares fat as the main energy source and makes sure that fat is not used as the main energy source.

Rationale 2: Lack of insulin results in intracellular dehydration.

Rationale 3: Insulin decreases the breakdown of protein and does not help the breakdown of protein.

Rationale 4: Under the influence of insulin, glucose is moved into cells for immediate use or stored for later use.

Global Rationale:

Cognitive Level: Analyzing

Client Need: Physiological Integrity

Client Need Sub: Physiological Adaptation

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 32-1