NR 601 / NR601 Primary Care of the Maturing and Aged Family Practicum Week 5 Quiz Bank | LATEST, 2020/2021 | Chamberlain college

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NR 601 / NR601 Primary Care of the Maturing and Aged Family Practicum Week 5 Quiz Bank | LATEST, 2020/2021 | Chamberlain college a) Diabetes Mellitus 1. What is a long-term complication of diabete... s mellitus? a. Diverticulitis b. Renal failure c. Hypothyroidism d. Hyperglycemia ANS: B Long-term complications of diabetes include blindness, cardiovascular problems, and renal failure. 2.In diabetes insipidus, a deficiency of which hormone causes clinical manifestations? a. antidiuretic hormone (ADH) b. follicle-stimulating hormone (FSH) c. thyroid-stimulating hormone (TSH) d. adrenocorticotropic hormone (ACTH) ANS: A Diabetes insipidus is a transient or permanent metabolic disorder of the posterior pituitary in which ADH is deficient. 3.What should the nurse caution a type I diabetic about excessive exercise? a. It can increase the need for insulin and may result in hyperglycemia. b. It can decrease the need for insulin and may result in hypoglycemia. c. It can increase muscle bulk and may result in malabsorption of insulin. d. It can decrease metabolic demand and may result in metabolic acidosis. ANS: B The patient with diabetes should exercise regularly. Exercise can reduce insulin resistance and increase glucose uptake for as long as 72 hours, as well as reducing blood pressure and lipid levels. However, exercise can carry some risks for patients with diabetes, including hypoglycemia. 4.Which diagnostic test for diabetes mellitus provides a measure of glucose levels for the previous 8 to 12 weeks? a. Fasting blood sugar (FBS) b. Oral glucose tolerance test (OGT) c. Glycosylated hemoglobin (HbA1c) d. Postprandial glucose test (PPBG) ANS: C Glycosylated hemoglobin (HbA1c) This blood test measures the amount of glucose that has become incorporated into the hemoglobin within an erythrocyte. Because glycosylation occurs constantlyduring the 120-day life span of the erythrocyte, this test reveals the effectiveness of diabetes therapyfor the preceding 8 to 12 weeks. 5.Which test will furnish immediate feedback for a newly diagnosed diabetic who is not yet under control? a. Fasting blood sugar (FBS) b. Glycosylated hemoglobin (HgbA1c) c. Oral glucose tolerance test (OGTT) d. Clinitest ANS: A Diabetics should do a fingerstick blood glucose level test before each meal and at bedtime each day until their disease is under control. The HgbA1c serum test reveals the effectiveness of diabetes therapy for the preceding 8 to 12 weeks. 6.The patient is a 20-year-old college student who has type 1 diabetes and normally walks each evening as part of an exercise regimen. The patient plans to enroll in a swimming class. Which adjustment should be made based on this information? a. Time the morning insulin injection so that the peak action will occur during swimming class. b. Delete normal walks on swimming class days. c. Delay the meal before the swimming class until the session is over. d. Monitor glucose level before, during, and after swimming to determine the need for alterations in food or insulin. ANS: D Exercise can reduce insulin resistance and increase glucose uptake for as long as 72 hours, as well as reducing blood pressure and lipid levels. However, exercise can carry some risks for patients with diabetes, including hypoglycemia. 7.The nurse caring for a 75-year-old man who has developed diabetes insipidus following a head injury will include in the plan of care provisions for: a. limiting fluids to 1500 mL a day. b. encouraging physical exercise. c. protecting patient from injury. d. discouraging daytime naps. ANS: C The patients need protection from injury because they are often exhausted from sleep deprivation and having to get up frequently at night. Fluids should not be limited and their energy should be preserved. [Show More]

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