CARE OF ADULTS EXAM 1 AND 2 QUESTIONS WITH COMPLETE SOLUTIONS

A 52 year old female is diagnosed by health care provider with Type 2 diabetes mellitus. The nurse knows which of the following data led to the diagnosis? a glycosylated hemoglobin over 6.0 and symptoms of polyuria complaints of sweatiness, dizziness and extreme fatigue a urinalysis with high ketones and glucose a blood glucose over 200 and complaints of recurrent yeast infections 1 of 108 Term The nurse is preparing a discharge plan for a patient who has been recently diagnosed with a sliding hiatal hernia. Which of the following outcomes is stated correctly? teach patient self-management of prescribed medications the patient will understand the discharge teaching the patient will identify three lifestyle changes appropriate for his condition prior to discharge reinforce the need to avoid the supine position near mealtime 2 of 108 Term Identify if you would find the following symptoms from a patient with left-sided or right-sided heart failure JUGULAR VEIN DISTENTION right-sided HF left-sided HF 3 of 108 Term Identify if you would find the following test or result with active TB or latent TB: CONTAGIOUS active TB latent TB 4 of 108 Term The health care provider prescribes an infusion of heparin and daily partial thromboplastin time (PTT) testing for a patient with venous thromboembolism (VTE). The nurse will plan to decrease the infusion when the PTT value is 65 secs avoid giving any IM medications to prevent localized bleeding monitor posterior tibial and dorsalis pedis pulses with the doppler have vitamin K available in case reversal of the heparin is needed 5 of 108 Term A patient with a venous thromboembolism (VTE) is started on IV Heparin and warfarin (Coumadin). The patient asks the nurse why two medications are necessary. Which response by the nurse is MOST appropriate? "taking two blood thinners reduce the risk for another clot to form" "because of the risk for a blood clot in the lungs, it is important for you to take more than one blood thinner" "Heparin will start to dissolve the clot, and Coumadin will prevent any more clots from forming" "Heparin will work right away, but Coumadin takes several days to have an effect on preventing clots" 6 of 108 Term The nurse is caring for a patient who was recently diagnosed with peptic ulcer disease. The patient asks the nurse about Omeprazole and Ranitidine, which are being used to treat her disease. Which of the following answers is correct? Omeprazole is also used to treat H. pylori infection Ranitidine is available only by prescription H2 receptor blocker meds such as Ranitidine block the H2 receptors in the parietal cells of the stomach Proton pump inhibitors should be taken 30 mins after a meal 7 of 108 Term Which of the following is the required indicator of correct NG feeding tube placement for enteral tube feedings prior to the initial feeding? x-ray evidence aspirated gastric secretions with a pH at 7.8