WorksheetsChapter 51 & 8
Total questions: 109
Worksheet time: 3hrs 44mins
A metabolic disorder of the pancreas, affects CHO, fat, and protein metabolism
(a)
Includes obesity; especially in the abdominal area; high BP; elevated triglyceride, low-density lipoprotein, blood glucose levels; and a low high-density lipoprotein level
(a)
Can lead to type 2 diabetes, heart disease, and stoke
(a)
Blood test performed to detect and monitor DM
(a)
Blood test used to evaluate a client's metabolism of orally ingested glucose
(a)
Breakdown of fat
(a)
When ketones form in the blood, clients w/ diabetes are prone to developing a form of metabolic acidosis known as
(a)
Glucose in the urine
(a)
The ability to reabsorb glucose and return it to the bloodstream
(a)
Excessive urine production
(a)
Excessive thirst
(a)
Excessive hunger/eating more
(a)
Chemical intermediate products in fat metabolism, such as beta-hydroxybutyric acid, acetoacetic acid, and acetone, cause ketoacidosis when they accumulate
(a)
Increased ketones in the blood
(a)
Fast, deep, labored breathing
(a)
HHNKS
(a)
Substances in urine from the breakdown of fat metabolism
(a)
Blood test used to assess blood sugar following a meal
(a)
Measures capillary blood glucose form blood sampled from a finger stick
(a)
Involves maintaining near-normal blood glucose levels by taking short-acting insulin throughout the day and intermediate-acting insulin at bedtime
(a)
A measure of how fast CHO food is likely to raise blood sugar, to help maintain normal blood sugar levels
(a)
Amount of glucose stored by Hgb, also called Hgb A1C
(a)
The client's own naturally produced insulin will regulate blood glucose levels within consistently normal ranges
(a)
Breakdown of SQ fat at the site of repeated injections
(a)
Buildup of SQ fat at the site of repeated injections
(a)
Operative procedures on the stomach and small intestine for the purpose of achieving weight loss
(a)
A type of potentially life-threatening metabolic acidosis, occurs when there is an accumulation of ketones, a product of fat metabolism when cells cannot utilize glucose for energy
(a)
Refers to pathologic changes in the retina that are experienced by persons with diabetes
(a)
The prescribed treatment for a client with diabetes involved the self-administration of a combo of two insulins, short-acting insulin (Humulin R) and intermediate-acting insulin (Humulin N). What action indicates that the client needs more practice?
The client instills air into the short-acting and intermediate-acting insulin vials
The client withdraws the intermediate-acting insulin first and then the short-acting insulin
The client rolls the vial of intermediate-acting insulin to mix it with its additive
The client inverts each vial prior to withdrawing the specified amount of insulin
In what location should the nurse recommend injecting a bedtime injection of glargine (Lantus) insulin?
Upper arm
Upper thigh
Abdomen
Buttocks
What signs will the nurse detect if a client with DM develops hypoglycemia? Select all that apply.
Flushed, warm skin
Confusion
Hunger
Tremors
Thirst
When a client with long-standing diabetes comes to the clinic for a routine visit, what statement best indicates that the nurse is assessing for a complication related to the disease?
"What does your blood pressure usually run?"
"Have you had any heart palpitations?"
"What is the color of your urine?"
"Have you had your eyes checked recently?"
The American Diabetes Association estimates that there are _______ Americans with diabetes
30.3 million
29.1 million
35.5 million
27.6 million
The onset of rapid-acting insulin is __ to __ minutes
10 to 20
5 to 10
15-20
5 to 15
A clients with ______ diabetes must rely on insulin therapy
Type 1
Type 2
The buildup of SQ fat at the site of repeated injections that eventually interferes with insulin absorption in the tissue is called
(a)
______ and _______ are described as "insulin releasers" because they stimulate the pancreas to secrete more insulin
Sulfanylureas
Biguanides
Thiazolidinediones
Meglitinides
______ _____ refers to the progressive decrease in renal function that occurs with DM
(a)
Usual pH of the blood in hyperosmolar hyperglycemic nonketotic syndrome
Less than 7.35
Normal
More than 7.45
_______ ______ is the cornerstone of treatment for all clients with diabetes, regardless of weight, blood glucose levels, or use of medication
(a)
A syndrome that includes obesity, especially in the abdominal area; high BP; elevated triglyceride, LDL, and blood glucose levels; and a low HDL level
(a)
An elevated blood glucose level
(a)
This system attempts to neutralize ketones
(a)
Lantus insulin has a peak
False
True
The breakdown of SQ fat at the site of repeated injections
(a)
Always a potential adverse reaction when administering medications for diabetes
(a)
Clients may not experience any visual changes for some time. When symptoms do occur, clients report blurred vision, no vision in spotty areas, or seeing debris floating about the visual field
(a)
These "insulin sensitizers" help tissues use available insulin more effectively
(a)
Measures capillary blood glucose from blood sampled from a finger stick
(a)
The results of this test reflect the amount of glucose that is stored in the hemoglobin molecule during its life span of 120 days, also called hemoglobin A1C
(a)
Normally contains no detectable glucose or ketones; in diabetes, one or both may be present
(a)
Blood is drawn at 30 minutes and at 1-, 2-, and 3-hour intervals after the ingestion of glucose solution
(a)
Blood sample is taken 2 hour after a high-CHO meal
(a)
Blood specimen is obtained after abstaining from eating for 8 hours. In the nondiabetic clientm the glucose level will be between 70 and 110 mg/dL
(a)
A client with type 1 DM asks a nurse to identify the goal of a pancreas and islet cell transplant. What is the nurse's most accurate answer?
The transplant reduces the amount on insulin you require
The transplant reduces the number of daily injections
The transplant prevents fewer episodes of ketoacidosis
The transplant eliminates the need for insulin injections
Which of the following actions is most appropriate when a nurse cares for a client with DM who is on the hospital unit?
Insert an indwelling urinary catheter
Stock quick acting CHO
Arrange for an insulin pump
Administer insulin by the IV route
Which of the following nursing actions helps the nurse detect evidence of albuminuria when caring for a client with diabetic neuropathy.
Check the urine with a test strip
Check the Hgb A1C results
Check the postprandial glucose test results
Check the fasting blood glucose test results
A client is brought to the emergency department with suspected diabetic ketoacidosis. What assessment findings will the nurse identify with this condition?
Diaphoresis
Drowsiness
Fruity breath
Flushed skin
Deep breathing
How can the nurse anticipate that the client with diabetic ketoacidosis will be treated?
Administration of glucose tablets
Administration of regular insulin
Give 50% dextrose IV
Provide a high CHO diet
A nurse administers NPH insulin, which is classified as intermediate acting. At what time should the nurse expect the client to most likely experience hypoglycemia?
Before breakfast
During mid-day
During the night
Before bedtime
A nurse should have a client's dietary tray immediately available when administering which of the following types of insulin?
Glargine (Lantus)
Lispro (Humalog)
Detemir (Levemir)
Zinc suspension (Lente)
When the nurse administers an alpha-glucosidase inhibitor like miglitol (Glyset), how should the nurse manage hypoglycemia if it occurs?
Give the client 1/2 cup of grape juice
Give a rapid-acting type of insulin like glulisine (Apidra)
Have the client consume graham crackers and milk
Administer oral glucose tabs
What is the best method the nurse can use to avoid a medication error when administering insulin?
Consult the pharmacist about the usual type and dose of insulin
Ask the client their usual insulin dose
Look up the amount of the previous insulin injection
Have another nurse check the amount and type of insulin against the order
The ability to understand the client's worldview as well as their own and how these worldviews affect nursing care
(a)
A means for understanding people's values and beliefs, including those that relate to health practices
(a)
The stereotyping of older adult behavior or vulnerability based on an individual's prior experiences or anticipation of behaviors
(a)
Refers to a particular group that shares characteristics identifying the group as a distinct entity
(a)
Describes a population subgroup where cultural characteristics or physical characteristics or both differ from the majority of the population
(a)
The bond or kinship that people feel with their country of birth or place of ancestral origin
(a)
Refers to genetically transmitted traits, such as skin color, bone structure, and eye shape
(a)
Means assuming that all people in a particular cultural, racial, or ethnic group share the same values and beliefs, behave similarly, and are basically alike
(a)
Acknowledges common trends in a group while recognizing that more information is needed
(a)
The belief that one's own ethnic heritage is the "correct" one and superior to others
(a)
A person's ideas about the role of the person who is ill, what causes the illness, how to restore health, and how one stays healthy
(a)
The actions a person takes to maintain or restore health based on their health beliefs
(a)
An area of study that examines biologic cultural differences, with a particular emphasis on adaptation and homestasis
(a)
Founded by Leininger (1977), is considered a specialty in nursing. Refers to nursing care that is provided within the context of another's culture.
(a)
A nurse is explaining why it is important that the client follow the diet prescribed by the primary provider, even though the diet includes meat, something this client does not eat based on religious observance.
Advocacy
Ethnocentrism
Generalization
Stereotyping
A nurse of the opposite sex needs to administer medications to a client of different heritage and check this client's BP. The client looks alarmed and covers up with blankets. What is the nurse's best action?
Ask a family member to stay while administering care
Explain to the client what the nurse plans to do
Ignore the client and carry out the procedures
Request that a nurse of the same sex give the meds and check the BP
The LPN needs to complete the admission data sheet for an Asian American client. This client may be offended by which of the following actions by the nurse?
The nurse asks the client to speak more loudly
The nurse maintains minimal direct eye contact
The nurse sits to the side of the client while asking questions
The nurse touches the client's head as a gesture of empathy
The nurse needs to reinforce principles of good body mechanics in the discharge teaching for a client who has had a spinal surgery. The client speaks very little English. Which strategy will provide the best information regarding body mechanics for the non-English-speaking client?
Have the client watch a video
Speak slowly while looking at the client
Use colorful pictures or diagrams
Write the instructions on paper
A client from Japan who does not speak English arrives at a clinic. The client is accompanied by a family member of the opposite sex who speaks English and offers to serve as an interpreter. The LPN states that the clinic prefers that an interpreter assists with translation for which of the following reasons? Select all that apply.
The client may not want to discuss problems with a relative of the opposite sex present
The nurse will be reluctant to ask questions of a sexual nature
The family member may be embarrassed to answer some questions
The relative may not understand the questions asked
A client who is an African American person tells the nurse that the miseries continue following a surgical procedure. What is the nurse's best response?
"Can you explain or describe the miseries for me?"
"I am sorry you are miserable. What would help you?"
"Is there someone with you who can interpret for you?"
"Please use words that provide me with a better understanding."
(a) provides a means for understanding people's values and beliefs, including those related to health practices
_______ _______ refers to the activities governed by the rules of behavior that a particular cultural group avoids, forbids, or prohibits
(a)
________ ________ means the nurse understands their own worldview as well as the client's and how these worldviews affect nursing care
(a)
(a) refers to genetically transmitted traits, such as skin color, bone structure, and eye shape
(a) acknowledges common trends in a group while recognizing that more information is needed
(a) refers to a particular group that shares characteristics identifying that group as a distinct entity
Assuming that all people in a particular cultural, racial, or ethnic group share the same values and beliefs, behave similarly, and are basically alike
(a)
The belief that one's own ethnic heritage is the "correct" one and is superior to others
(a)
An inability to recognize the values, beliefs, and practices of others because of strong ethnocentric practices
(a)
The care that fits a person's cultural values
(a)
A person's ideas about what causes illness, the role of the person with the sickness, how to restore health, and how one stays healthy
(a)
The stereotyping of older adults' behavior or vulnerability based on an individual's prior experiences
(a)
An inclination to impose one's cultural beliefs, values, and patterns of behavior on persons from a different culture
(a)
Supernatural forces dominate
Macro-religious perspective
Biomedical or scientific perspective
Naturalistic of holistic perspective
Embraces a cause-and-effect philosophy of human body functions
Biomedical or scientific perspective
Macro-religious perspective
Naturalistic of holistic perspective
Espouses that human beings are only one part of nature; natural balance or harmony is essential for health
Biomedical or scientific perspective
Naturalistic of holisitic perspective
Macro-religious perspective
An older woman client of Asian origin continually agrees with the nurse even though they do not understand each other. What generalized cultural information would the nurse use to help provide appropriate cultural care for this client?
The client considers it shameful to express her inability to understand the nurse
The client considers it disrespectful to disagree with the nurse
The client believes that disagreeing with the nurse would harm her spirit
The client believes that listening to the nurse nonjudgmentally is polite
The nurse educator who is providing health care in-service instruction is asked about the biomedical or scientific perspective to explain illness or disease. Which statement by the nurse educator demonstrates and understanding of this view?
This view is based on a cause-and-effect philosophy of human body function
This view is based on a belief that humans are only one part of nature
This view is based on a belief that supernatural forces dominate
This view is based on a belief that natural balance or harmony is necessary for health
The nurse needs to communicate with a client who does not speak English. Which communication technique would be most appropriate for the nurse to use?
Repeat the question without changing words
Look at the translator when asking questions
Speak slowly, using simple words and short sentences
Refer to an English or foreign language dictionary for bilingual words
The nurse is caring for a group of culturally diverse clients. Which nursing action provides culturally competent care for all individuals?
Becoming familiar with physical differences among ethnic groups
Learning to speak a second language
Developing strategies to avoid cultural imposition
Consulting the client about ways to solve health problems
Which of the following techniques would nurses use to facilitate interactions between themselves and their clients?
Ask questions that can be answered with "yes" or "no"
Sit within the client's comfort zone
Avoid making eye contact
Address clients by their first names
The nurse is completing an admission on a new client. What does the nurse believe is the rationale for assessing the client's health beliefs and practices?
To possess knowledge of health problems affecting a particular cultural group
To accept each client as an individual
To provide culturally competent care to the client
To view the situation from the client's perspective
A nurse tells another nurse that the client admitted for surgery is of a different culture and most likely does not speak any English. What is this nurse engaged in?
The nurse is generalizing about a culture
The nurse is stereotyping about a particular culture
The nurse is assuming ethnocentric traits
The nurse is imposing cultural characteristics
Which of the following is the most important factor for the nurse to acknowledge when caring for a client from another culture?
The nurse does not need to do a cultural assessment on most clients
The nurse must not judge a client's beliefs or practices
The nurse must explain that it is essential that the client follow the treatment plan
The nurse can only be concerned about the physical assessment and objective data
Assessment includes the documentation of biologic differences in physical features, such as skin color, bone structure, and eye shape. What term should the nurse use to describe these biologic differences?
Culture
Ethnicity
Race
Minority
The nurse is completing a biocultural assessment made up of four areas. In what area would the nurse document the assessment of gait and range of motion?
Physical appearance
Mobility
Behavior
Body structure
