Brunner & Suddarth's Textbook of Medical-Surgical Nursing 13e Edition
Brunner & Suddarth's Textbook of Medical-Surgical Nursing 13e Edition
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Chapter 51 Brunner & Suddarth’s Textbook of Medical-Surgical Nursing 13e Edition
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
| 1. | A patient with type 1 diabetes has told the nurse that his most recent urine test for ketones was positive. What is the nurse’s most plausible conclusion based on this assessment finding? | |
| A) | The patient should withhold his next scheduled dose of insulin. | |
| B) | The patient should promptly eat some protein and carbohydrates. | |
| C) | The patient’s insulin levels are inadequate. | |
| D) | The patient would benefit from a dose of metformin (Glucophage). | |
| Ans: | C | |
| Feedback: | ||
| Ketones in the urine signal that there is a deficiency of insulin and that control of type 1 diabetes is deteriorating. Withholding insulin or eating food would exacerbate the patient’s ketonuria. Metformin will not cause short-term resolution of hyperglycemia. | ||
| 2. | A patient presents to the clinic complaining of symptoms that suggest diabetes. What criteria would support checking blood levels for the diagnosis of diabetes? | |
| A) | Fasting plasma glucose greater than or equal to 126 mg/dL | |
| B) | Random plasma glucose greater than 150 mg/dL | |
| C) | Fasting plasma glucose greater than 116 mg/dL on 2 separate occasions | |
| D) | Random plasma glucose greater than 126 mg/dL | |
| Ans: | A | |
| Feedback: | ||
| Criteria for the diagnosis of diabetes include symptoms of diabetes plus random plasma glucose greater than or equal to 200 mg/dL, or a fasting plasma glucose greater than or equal to 126 mg/dL. | ||
| 3. | A patient newly diagnosed with type 2 diabetes is attending a nutrition class. What general guideline would be important to teach the patients at this class? | |
| A) | Low fat generally indicates low sugar. | |
| B) | Protein should constitute 30% to 40% of caloric intake. | |
| C) | Most calories should be derived from carbohydrates. | |
| D) | Animal fats should be eliminated from the diet. | |
| Ans: | C | |
| Feedback: | ||
| Currently, the ADA and the Academy of Nutrition and Dietetics (formerly the American Dietetic Association) recommend that for all levels of caloric intake, 50% to 60% of calories should be derived from carbohydrates, 20% to 30% from fat, and the remaining 10% to 20% from protein.Low fat does not automatically mean low sugar. Dietary animal fat does not need to be eliminated from the diet. | ||
| 4. | A nurse is providing health education to an adolescent newly diagnosed with type 1 diabetes mellitus and her family. The nurse teaches the patient and family that which of the following nonpharmacologic measures will decrease the body’s need for insulin? | |
| A) | Adequate sleep | |
| B) | Low stimulation | |
| C) | Exercise | |
| D) | Low-fat diet | |
| Ans: | C | |
| Feedback: | ||
| Exercise lowers blood glucose, increases levels of HDLs, and decreases total cholesterol and triglyceride levels. Low fat intake and low levels of stimulation do not reduce a patient’s need for insulin. Adequate sleep is beneficial in reducing stress, but does not have an effect that is pronounced as that of exercise. | ||
| 5. | A medical nurse is caring for a patient with type 1 diabetes. The patient’s medication administration record includes the administration of regular insulin three times daily. Knowing that the patient’s lunch tray will arrive at 11:45, when should the nurse administer the patient’s insulin? | |
| A) | 10:45 | |
| B) | 11:15 | |
| C) | 11:45 | |
| D) | 11:50 | |
| Ans: | B | |
| Feedback: | ||
| Regular insulin is usually administered 20–30 min before a meal. Earlier administration creates a risk for hypoglycemia; later administration creates a risk for hyperglycemia. | ||
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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.