Understanding Medical Surgical Nursing 5th Edition by Linda S. Williams Paula D. Hopper
Understanding Medical Surgical Nursing 5th Edition by Linda S. Williams Paula D. Hopper
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Chapter 41. Genitourinary and Reproductive System Function and Assessment
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. A patient is experiencing rapid deep breathing, fruity odor, lethargy, and weight loss. Laboratory results include a blood glucose of 720 mg/dL. Which symptom should indicate to the nurse that the patient has type 1 diabetes mellitus?
| a. | Thirst |
| b. | Hunger |
| c. | Lethargy |
| d. | Fruity odor |
____ 2. The nurse is reviewing the causes for the development of type 1 diabetes mellitus with a patient who is newly diagnosed with the disorder. What major factor in the development of this disease should the nurse include?
| a. | Obesity |
| b. | A high-fat diet |
| c. | An autoimmune response |
| d. | A diet high in concentrated carbohydrates |
____ 3. A patient with type 1 diabetes mellitus asks what caused the fruity odor that was present at diagnosis. How should the nurse respond?
| a. | “Excess sugar is excreted in the urine, which causes the fruity odor.” |
| b. | “The proteins in the blood are metabolized to a substance that has a fruity odor.” |
| c. | “The excess sugar in the blood is metabolized to fructose and excreted via the lungs.” |
| d. | “In the absence of available sugar, the body breaks down fat into ketones, which have a fruity odor.” |
____ 4. A patient is newly diagnosed with type 1 diabetes mellitus. How should the nurse respond when the patient asks how long insulin injections will be necessary?
| a. | “You will need insulin injections for the rest of your life.” |
| b. | “Once your pancreas recovers, you may be able to discontinue the injections.” |
| c. | “If you follow your diet closely, your blood sugar may be controlled by just taking insulin pills.” |
| d. | “You may be able to stop the injections if you exercise regularly and adhere to the prescribed diet.” |
____ 5. The nurse is assisting with nutrition teaching for a patient who voices concern over coping with a diabetic diet. What response about medical nutrition therapy is correct?
| a. | “You will have a well-balanced, individualized meal plan that will be healthy for your whole family.” |
| b. | “You will need to avoid sugars and fats, but the dietitian will assist you in finding acceptable alternatives.” |
| c. | “Your diabetes will require special foods, but many stores now stock a variety of choices for people with diabetes.” |
| d. | “Medical nutrition therapy stresses high protein and low carbohydrate intake, but most people readily adapt to these restrictions.” |
MULTIPLE CHOICE
Fruity odor occurs with ketoacidosis in type 1 diabetes, which is very rare in type 2. A. B. C. The symptoms can occur in either type 1 or type 2 diabetes mellitus.
PTS: 1 DIF: Moderate
KEY: Client Need: Physiological Integrity—Physiological Adaptation | Cognitive Level: Analysis
In type 1 diabetes, it is believed that the pancreas may attack itself following certain viral infections or administration of certain drugs; this is called an autoimmune response. Almost 90% of patients newly diagnosed with type 1 diabetes have islet cell antibodies in their blood. B. D. Diet can be a risk factor in many disorders but does not directly cause diabetes. A. Obesity is a risk factor for type 2 diabetes.
PTS: 1 DIF: Moderate
KEY: Client Need: Physiological Integrity—Reduction of Risk Potential | Cognitive Level: Application
The expired air has a fruity odor caused by the ketones which occurs when fat is broken down and may be mistaken for alcohol. Some nurses have likened the odor to Juicy Fruit gum. A. B. C These responses do not correctly describe the process for the fruity odor.
PTS: 1 DIF: Moderate
KEY: Client Need: Physiological Integrity—Physiological Adaptation | Cognitive Level: Application
Unless the patient receives a pancreas or islet cell transplant, insulin will be required for life. B. The pancreas will not recover. D. Patients with type 1 diabetes must have insulin to survive. C. Oral insulin is not available.
PTS: 1 DIF: Moderate
KEY: Client Need: Physiological Integrity—Pharmacological and Parenteral Therapies | Cognitive Level: Application
Because all diabetic nutrition recommendations emphasize low fat intake and balanced intake of other food groups, it is healthy for the whole family. B. Patients with diabetes do not have to avoid all sugars and fats. D. High protein is not recommended; low protein may be necessary if nephropathy occurs. C. Special foods are not necessary.
PTS: 1 DIF: Moderate
KEY: Client Need: Health Promotion and Maintenance | Cognitive Level: Application
Original price was: $30.00.$20.00Current price is: $20.00.
Original price was: $30.00.$20.00Current price is: $20.00.
Original price was: $30.00.$20.00Current price is: $20.00.
Original price was: $30.00.$20.00Current price is: $20.00.
Original price was: $30.00.$20.00Current price is: $20.00.
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