ATI Leadership and Management Quiz 2 ACTUAL
QUESTIONS AND CORRECT DETAILED ANSWERS
Save
Terms in this set (140)
The nurse is caring for an older •Assess ability to measure and inject insulin and to
patient with type 1 diabetes and monitor blood glucose levels
diabetic retinopathy. What is the
nurse's priority concern for assessing •The older patient with diabetic retinopathy also
this patient? has general age-related vision changes, and the
ability to perform self-care may be seriously
•Assess ability to measure and inject affected. He or she may have blurred vision,
insulin and to monitor blood glucose distorted central vision, fluctuating vision, loss of
levels color perception, and mobility problems resulting
from loss of depth perception. When a patient has
•Assess for damage to motor fibers, visual changes, it is especially important to assess
which can result in muscle weakness his or her ability to measure and inject insulin and to
monitor blood glucose levels to determine if
•Assess which modifiable risk factors adaptive devices are needed to assist in self-
can be reduced management. The other options are important but
are not specific to diabetic retinopathy.
•Assess for albuminuria, which may
indicate kidney disease
,An older patient with type 2 diabetes •Sit the patient up slowly on the side of the bed
has cardiovascular autonomic before standing
neuropathy (CAN). Which instruction
would the nurse provide for the •CAN affects sympathetic and parasympathetic
unlicensed assistive personnel (UAP) nerves of the heart and blood vessels. It may lead
assisting the patient with morning to orthostatic (postural) hypotension and syncope
care? (brief loss of consciousness on standing) caused by
failure of the heart and arteries to respond to
•Provide a complete bed bath for this position changes by increasing heart rate and
patient vascular tone. The nurse should be sure to instruct
the UAP to have the patient change positions
•Sit the patient up slowly on the side slowly when moving from lying to sitting and
of the bed before standing standing.
•Only let the patient wash his or her
face and brush his or her teeth
•Be sure to provide rest periods
between activities
,The nurse is preparing to review a •Glycosylated hemoglobin (HgbA1c) level
teaching plan for a patient with type
2 diabetes mellitus. To determine the •The higher the blood glucose level is over time,
patient's level of compliance with his the more glycosylated the hemoglobin becomes.
prescribed diabetic regimen, which The HgbA1c level is a good indicator of the
value would the nurse be sure to average blood glucose level over the previous 120
review? days. Fasting glucose and oral glucose tolerance
tests are important diagnostic tools. Fingerstick
•Fasting glucose level blood glucose monitoring provides information
that allows adjustment of the patient's therapeutic
•Oral glucose tolerance test results regimen.
•Glycosylated hemoglobin (HgbA1c)
level
•Fingerstick glucose findings for 24
hours
A patient has newly-diagnosed type •Checking the patient's glucose level before each
2 diabetes. Which task should the RN meal
delegate to an experienced
unlicensed assistive personnel •The experienced UAP would have been taught to
(UAP)? perform tasks such as checking pulse oximetry and
glucose checks, and these actions would be part
•Arranging a consult with the dietitian of his or her scope of practice. Arranging for a
consult with the dietitian is appropriate for the unit
•Assessing the patient's insulin clerk. Teaching and assessing require additional
injection technique education and should be carried out by licensed
nurses.
•Teaching the patient to use a
glucometer to monitor glucose at
home
•Checking the patient's glucose level
before each meal
, A patient with newly diagnosed 1. "Clean and inspect your feet every day."
diabetes has peripheral neuropathy.
Which key points should the nurse 2. "Be sure that your shoes fit properly."
include in the teaching plan for this
patient? 5. "Report any nonhealing skin breaks to your
health care provider (HCP)."
Select all that apply.
6. "Use a thermometer to check the temperature of
1. "Clean and inspect your feet every water before taking a bath."
day."
•Sensory alterations are the major cause of foot
2. "Be sure that your shoes fit complications in patient with diabetes, and patients
properly." should be taught to examine their feet on a daily
basis. Properly fitted shoes protect the patient from
3. "Nylon socks are best to prevent foot complications. Broken skin increases the risk of
friction on your toes from shoes." infection. Cotton socks are recommended to
absorb moisture. Using a bath thermometer can
4. "Only a podiatrist should trim your prevent burn injuries. Patients, family, or HCPs may
toenails." trim toenails.
5. "Report any nonhealing skin breaks
to your health care provider (HCP)."
6. "Use a thermometer to check the
temperature of water before taking a
bath."
QUESTIONS AND CORRECT DETAILED ANSWERS
Save
Terms in this set (140)
The nurse is caring for an older •Assess ability to measure and inject insulin and to
patient with type 1 diabetes and monitor blood glucose levels
diabetic retinopathy. What is the
nurse's priority concern for assessing •The older patient with diabetic retinopathy also
this patient? has general age-related vision changes, and the
ability to perform self-care may be seriously
•Assess ability to measure and inject affected. He or she may have blurred vision,
insulin and to monitor blood glucose distorted central vision, fluctuating vision, loss of
levels color perception, and mobility problems resulting
from loss of depth perception. When a patient has
•Assess for damage to motor fibers, visual changes, it is especially important to assess
which can result in muscle weakness his or her ability to measure and inject insulin and to
monitor blood glucose levels to determine if
•Assess which modifiable risk factors adaptive devices are needed to assist in self-
can be reduced management. The other options are important but
are not specific to diabetic retinopathy.
•Assess for albuminuria, which may
indicate kidney disease
,An older patient with type 2 diabetes •Sit the patient up slowly on the side of the bed
has cardiovascular autonomic before standing
neuropathy (CAN). Which instruction
would the nurse provide for the •CAN affects sympathetic and parasympathetic
unlicensed assistive personnel (UAP) nerves of the heart and blood vessels. It may lead
assisting the patient with morning to orthostatic (postural) hypotension and syncope
care? (brief loss of consciousness on standing) caused by
failure of the heart and arteries to respond to
•Provide a complete bed bath for this position changes by increasing heart rate and
patient vascular tone. The nurse should be sure to instruct
the UAP to have the patient change positions
•Sit the patient up slowly on the side slowly when moving from lying to sitting and
of the bed before standing standing.
•Only let the patient wash his or her
face and brush his or her teeth
•Be sure to provide rest periods
between activities
,The nurse is preparing to review a •Glycosylated hemoglobin (HgbA1c) level
teaching plan for a patient with type
2 diabetes mellitus. To determine the •The higher the blood glucose level is over time,
patient's level of compliance with his the more glycosylated the hemoglobin becomes.
prescribed diabetic regimen, which The HgbA1c level is a good indicator of the
value would the nurse be sure to average blood glucose level over the previous 120
review? days. Fasting glucose and oral glucose tolerance
tests are important diagnostic tools. Fingerstick
•Fasting glucose level blood glucose monitoring provides information
that allows adjustment of the patient's therapeutic
•Oral glucose tolerance test results regimen.
•Glycosylated hemoglobin (HgbA1c)
level
•Fingerstick glucose findings for 24
hours
A patient has newly-diagnosed type •Checking the patient's glucose level before each
2 diabetes. Which task should the RN meal
delegate to an experienced
unlicensed assistive personnel •The experienced UAP would have been taught to
(UAP)? perform tasks such as checking pulse oximetry and
glucose checks, and these actions would be part
•Arranging a consult with the dietitian of his or her scope of practice. Arranging for a
consult with the dietitian is appropriate for the unit
•Assessing the patient's insulin clerk. Teaching and assessing require additional
injection technique education and should be carried out by licensed
nurses.
•Teaching the patient to use a
glucometer to monitor glucose at
home
•Checking the patient's glucose level
before each meal
, A patient with newly diagnosed 1. "Clean and inspect your feet every day."
diabetes has peripheral neuropathy.
Which key points should the nurse 2. "Be sure that your shoes fit properly."
include in the teaching plan for this
patient? 5. "Report any nonhealing skin breaks to your
health care provider (HCP)."
Select all that apply.
6. "Use a thermometer to check the temperature of
1. "Clean and inspect your feet every water before taking a bath."
day."
•Sensory alterations are the major cause of foot
2. "Be sure that your shoes fit complications in patient with diabetes, and patients
properly." should be taught to examine their feet on a daily
basis. Properly fitted shoes protect the patient from
3. "Nylon socks are best to prevent foot complications. Broken skin increases the risk of
friction on your toes from shoes." infection. Cotton socks are recommended to
absorb moisture. Using a bath thermometer can
4. "Only a podiatrist should trim your prevent burn injuries. Patients, family, or HCPs may
toenails." trim toenails.
5. "Report any nonhealing skin breaks
to your health care provider (HCP)."
6. "Use a thermometer to check the
temperature of water before taking a
bath."
