Adult Nursing II Exam 6 Questions

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Which cells make insulin?
a. alpha cells
b. beta cells
c. neurons
d. fat cells
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Terms in this set (56)
Which cells make insulin?
a. alpha cells
b. beta cells
c. neurons
d. fat cells
b. beta cells
Type 1 DM can be treated with diet modifications?
True or False
False
The goal when giving insulin is to mimic which organ?
a. liver
b. heart
c. pituitary gland
d. pancreas
d. pancreas
Which of these are risk factors for developing type 2 DM? SATA
a. BMI less than 25
b. sedentary life
c. HDL of 30
d. Blood pressure
b. sedentary life
c. HDL of 30
Which value would indicate diabetes? (2)
a. A1C 5.6 x2
b. A1C 6.8 x2
c. Fasting glucose test 130 x2
d. glucose without regard to meal time of 128 x2
b. A1C 6.8 x2
c. Fasting glucose test 130 x2
What are the classic manifestations of DM? "The 3 P's"
a. polygon
b. polymyalgia
c. polydipsia
d. polyuria
e. polyphagia
f. polycythemia
c. polydipsia
d. polyuria
e. polyphagia
Which are modifiable risk factors for type 1 DM?
a. candy
b. pork rinds
c. cake
d. there are no modifiable risk factors for type 1
d. there are no modifiable risk factors for type 1
Which is a manifestation of untreated type 1 DM? (2)
a. weight loss
b. excessive hunger (polyphagia)
c. weight gain
d. HTN
a. weight loss
b. excessive hunger (polyphagia)
Prandial means?
a. in the morning
b. at night
c. mealtime
c. mealtime
The type of insulin that will be given with/before meals & based on a sliding scale. (2)
a. Lantus
b. Glargine
c. Lispro
d. Regular
c. Lispro
d. Regular
Which insulin are used to achieve a basal level? (2) a. NPH b. Lispro c. Aspart d. Lantusa. NPH d. LantusWhich are manifestations of Diabetic Ketoacidosis? (3) a. Blood sugar 145 b. Blood sugar 675 c. dehydration d. pH 7.56 e. rapid deep respirations f. HTNc. dehydration d. pH 7.56 e. rapid deep respirationsSigns of hypoglycemia (4) a. confusion b. weakness c. polyphagia d. numb around lips e. shaking f. very thirstya. confusion b. weakness d. numb around lips e. shakingDr. Pepper is an okay treatment for hypoglycemia?trueDawn phenomenon causes hypoglycemia in the morningfalseMetformin helps the pancreas make insulinfalsePatients with DM need to eat only protein & as few carbs as possiblefalseA newly diagnosed client with type 2 DM that needs to lose weight would benefit from which medication? a. glipizide b. metformin c. aspirin d. lisinoprilb. metforminFor patients with DM, what would the foot care teaching include? a. weekly pedicures are recommended b. wear decent shoes c. check feet daily for any skin impairments/lesions d. toenails are best cut when they are soft after bathingb. wear decent shoes c. check feet daily for any skin impairments/lesions d. toenails are best cut when they are soft after bathingWhich is/are NOT a purpose of the renal system? SATA a. filter blood of waste b. regulate blood pressure c. acid base balance d. excrete bilirubin e. secretion of the hormone erythropoietin f. activation of vitamin Dd. excrete bilirubinA minimum systolic BP of what is required in order for the kidney to be able to filter? a. 70 b. 65 c. 100 d. 120a. 70The renal system plays a vital role in the acid-base balances. What is the normal pH range? a. 7.10-7.70 b. 7.15-7.35 c. 7.35-7.55 d. 7.35-7.45d. 7.35-7.45What factors trigger the kidney to release the hormone Renin? SATA a. decreased blood flow b. decreased blood volume c. increase in blood volume d. decreased BP e. decrease in sodium levels f. increase in BPa. decreased blood flow b. decreased blood volume d. decreased BP e. decrease in sodium levelsThe activated form of Vitamin D is called? a. D3 b. D2 c. Calcidiol d. Calciumc. CalcidiolThe right kidney is lower than the left kidneytrueUrine passes through the ureters by which of the following? a. gravity b. peristalsis c. celia d. pertioneumb. peristalsisThis is the outermost layer of the kidney that provides protection a. renal medulla b. renal sinus c. renal hilum d. renal capsuled. renal capsuleWhich section of the kidney contains the 12-18 triangular shaped sections that drain urine into the renal calyx? a. renal columns b. renal medulla c. renal hilum d. renal cortexb. renal medullaWhat is the functional unit of the kidney that filters waste & produces urine from the circulation of blood? a. Bowman's capsule b. Renal hilum c. Loop of Henie d. Nephrond. NephronGlycosuria occurs when glucose is above the renal threshold of what glucose level? a. glucose over 360 b. glucose over 140 c. glucose over 220 d. glucose over 100c. glucose over 220In order to provide fluid balance, which hormone is released by the hypothalamus to trigger the kidney to hold fluid? a. ADH b. Aldosterone c. Sodium d. Bicarbonatea. ADHSelect the commonly seen nephro toxic medications from the list. SATA a. NSAIDs b. Contrast Media c. ACE d. Vancomycin e. Diuretics f. Sulfonamidesa. NSAIDs b. Contrast Media c. ACE d. Vancomycin e. Diuretics f. SulfonamidesWhat is the correct order of assessing a kidney?Inspect, Ascultate, Palpate, PercussWhich normal range is INCORRECT? a. uric acid 3.5-8 b. calcium 8.2-10.2 c. pH 7.5-8.5 d. potassium 3.5-5.0 e. BUN 8-21 f. creatinine 0.5-1.2c. pH 7.5-8.5True or False, a 24-hour urine specimen must remain coldtrueWhich urine screening looks for the presence of cancer cells? a. creatinine clearance b. urine cytology c. urine c/s d. urinalysisb. urine cytologyWhich should be included in client teaching of Polycystic Kidney Disease? SATA a. low potassium b. low sodium c. low saturated fats d. low protein e. low phosphorous f. decreased fluid intakea. low potassium b. low sodium c. low saturated fats d. low protein e. low phosphorousWhich teaching topic should be included in client teaching for prevention of UTIs? SATA a. finish all antibiotics b. avoid harsh soaps c. urinate after sexual activity d. wear cotton underwear e. females wipe back to front f. drink cranberry juicea. finish all antibiotics b. avoid harsh soaps c. urinate after sexual activity f. drink cranberry juiceRenal Carcinoma that has spread to surrounding tissue is considered which stage? a. stage 1 b. stage 3 c. stage 2 d. stage 4b. stage 3Less than ___________ mL urine in 24-hours is considered oliguria400mLWhich of the following could cause a sudden reduction in blood pressure causing disrupted blood flow to the kidney? SATA a. sepsis b. dehydration c. hyperemesis d. hemorrhagea. sepsis b. dehydration c. hyperemesis d. hemorrhageWhich could cause direct injury to the kidney causing ACUTE Kidney Injury to occur? SATA a. drugs b. prolonged HTN c. Glomerulonephritis d. prolonged hypotension e. vasculitis f. severe renal infectiona. drugs c. Glomerulonephritis d. prolonged hypotension e. vasculitis f. severe renal infectionWhich lab would the nurse need to alert the advanced practice provider of immediately in an AKI client? a. creatinine 2.1 b. phosphorous 3.7 c. sodium 135 d. potassium 6.7d. potassium 6.7Select the renal diet safe low sodium food. SATA a. deli meat b. bell peppers c. canned peaches d. greek yogurtb. bell peppers c. canned peaches d. greek yogurtWhich is an appropriate access for hemodialysis? SATA a. port b. arteriovenous graft c. arteriovenous fistula d. perm-cathb. arteriovenous graft c. arteriovenous fistula d. perm-cathWhat will the nurse feel for when assessing a dialysis client's Arteriovenous Fistula?thrillHow does hemodialysis filter the blood? a. diffusion b. washing c. concentrate d. gravitya. diffusionWhat are the s/s of peritonitis? SATA a. fever b. abdominal pain c. increased thirst d. discharge from catheter site e. cloudy fluid f. diarrheaa. fever b. abdominal pain c. increased thirst d. discharge from catheter site e. cloudy fluid f. diarrheaWhich is a risk factor for urolithasis? SATA a. family history b. high protein diet c. high fat diet d. dehydrationa. family history b. high protein diet d. dehydrationClient should strain urine when diagnosed with urolithasis awaiting surgery.trueWhen client asks the purpose of stent placement post ureteroscopy the nurse responds with which teaching? SATA a. to keep ureter open from possible edema b. to enable residual stone fragments to pass c. to prevent UTI d. to relieve pressurea. to keep ureter open from possible edema b. to enable residual stone fragments to pass__________ incontinence urine leaks out when you jump, cough, or laugh. a. stress b. overflow c. functional d. urgea. stress__________ incontinence occurs when something blocks urine from flowing normally out of the bladder, as in the case of BPH. a. stress b. overflow c. functional d. urgeb. overflow_________ incontinence occurs in conjunction with a disease process such as dementia when client is unaware of urinary status. a. stress b. overflow c. functional d. urgec. functionalMost common risk factor for bladder & renal cancer? a. obesity b. smoking c. chronic HTN d. chronic diuretic useb. smokingWhich is lab is chronically low in Chronic Kidney Disease? a. potassium b. calcium c. creatinine d. BUNb. calcium