Hondros College School Of Nursing

1. The practical nurse (PN) is caring for a client who was recently diagnosed with type 2 diabetes mellitus (DM). What information is most important for the PN to reinforce with the client about life-style changes 2. The practical nurse (PN) suspects that a male client is altering his own diabetic journals to please his healthcare provider. Which laboratory test should the PN review to evaluate the clients compliance with self management for type 1 diabetes mellitus (DM)? 3. The Practical n...

The practical nurse (PN) is caring for a client who was recently diagnosed with type 2 diabetes mellitus (DM). What information is most important for the PN to reinforce with the client about life-style changes - Portion-controlled, heart healthy diet selectiions The practical nurse (PN) suspects that a male client is altering his own diabetic journals to please his healthcare provider. Which laboratory test should the PN review to evaluate the clients compliance with self management for t...

Pharmacologic Treatment of Bipolar Disorder -Correct Answer Lithium Anticonvulsants Second generation antipsychotics Unipolar depression -Correct Answer major depressive disorder (MDD) one of the most common mental disorders -Approximately 7.1% of adults in the U.S. had episode in last year, prevalence highest (13.1%) among individuals aged 18-25 S/S -depressed mood -loss of interest or pleasure in daily activities -irritability -withdrawal -problems with sleep, eating, energy, co...

What to monitor for with appendicitis? Monitoring for s/s of peritonitis WBC count, RLQ pain, fever, swelling, urinating frequency and urgency What client statement would require immediate nursing intervention with appendicitis? The pain seems to be gone(this means the appendix has burst, sepsis can occur) Management of appendicitis prior to official diagnosis of it Pain relief meds(NSAIDs), fasting to minimize stomach contents, and close monitoring of symptoms What is the point/place of p...

Pt complains of the following symptoms associated with urinating; hesitancy, intermittent stream, frequency, urgency and nocturia what do you suspect is wrong? BPH Interventions after TURP bladder irrigation to prevent clots, blood in urine is normal, pain management for bladder spasms How do you prevent Cystitis(UTI)? wipe front to back, showers instead of baths, urinate after intercourse, increase fluids, no perfume or scented toilet paper, wear cotton underwear, cranberry juice Pt state...

The Glasgow coma scale measures responses in what three categories -Correct Answer Eye-opening response Verbal response Motor response A semi comatose patient would score What on the Glasgow Coma scale ? -Correct Answer Eight or less You walk into a patient room and find them totally unresponsive. The chart notes that they've been in a coma for at least three days. What would be their score on the Glasgow Coma Scale -Correct Answer Totally unresponsive patients score 3 whiskey Pati...

What three components does the glasgow coma scale measure? -Correct Answer eye response verbal response motor response Earliest sign of ICP? -Correct Answer Change in LOC headache do you perform a lumbar puncture on a patient with increased icp? -Correct Answer No What is decorticate posturing? -Correct Answer Abnormal flexion: Hands pulled to chest and hyper-extended. Internal rotation and adduction of the arms with flexion of the elbows, wrists & fingers. "flexor - toward...

You have a patient that comes to the ER blood sugar 602, breathing deeply, ketos in their urine. What would you think the next test be? -Correct Answer Blood Gases you want to see if they have DKA Your giving insulin. Can you mix Novolin R and Novolin N? -Correct Answer No, they have to go into separate syringes, one is long and one is short When your drawling up insulin what do you have to do first? -Correct Answer Put air in the cloudy first You're working in a long term care facil...

Interventions to prevent diabetes -Answer- Maintain healthy weight, diet and exercise Signs of type 1 diabetes -Answer- 3 polys, blurred vision, cold feet, numbness, shiny thin skin w/ no hair, age 30 and under, sudden onset, underweight, Signs of type 2 diabetes -Answer- No symptoms at first , later develop the 3 polys, obesity, Nigricans (black line on back of neck) skin tags S/S of hypoglycemia -Answer- Fatigue, weakness, irritability, reduce cognition, tremors, seizures, diaphoresis...

Ways to stop the chain of infection stop transmission, don't give it a reservoir reasons infectious agent can cause infection get in through break in skin, pt is immunocompromised what is true about Herpes Simplex Virus there are 2 types HSV1-cold sores and HSV 2-genital, there is no cure it lays dormant Tx for HSV-1 (meds) acyclovir, valacyclovir nursing interventions for HSV-2 treat symptoms, prevent spread, keep lesions clean and dry Herpes Zoster(shingles) occurs in pt with hx o...