Biology Forums - Study Force

The nurse is caring for a patient with type 1 diabetes who is diaphoretic and clammy. The patient complains of hunger but denies pain. The nurse performs a bedside blood glucose check. What should the nurse do next?
 
  a. Administer insulin as scheduled.
  b. Notify the charge nurse.
  c. Give 6 ounces of orange juice.
  d. Document the findings.

Question 2

The nurse is caring for a patient who just returned from surgical decompression of the carpal tunnel. Which finding requires the nurse's immediate action?
 
  a. The patient's fingers swollen and warm.
  b. The patient complains of generalized pain 5/10.
  c. The capillary refill time is 8 seconds.
  d. The patient's fingers are pink and cool bilaterally.

Question 3

The nurse is performing an assessment on a patient admitted for diagnostic testing to rule out fibromyalgia. Which assessment finding indicates that the patient actually may have the disord-er?
 
  a. A decreased response to painful stimuli
  b. A pain response to nonpainful stimuli
  c. Absent response to painful stimuli
  d. Numbness and tingling in response to painful stimuli

Question 4

The nurse is caring for a patient with Huntington disease. The patient asks if his disease will affect future children. Which reply is most appropriate?
 
  a. Huntingdon disease does not have a ge-netic component.
  b. Male children would have Huntington disease and female children would be car-riers.
  c. Huntington disease is caused by an au-toimmune response.
  d. The genetic nature of the disease means that 50 of your children will inherit it.

Question 5

The nurse is caring for a patient with ketosis. Which statement indicates that the patient correctly understands the phenomenon?
 
  a. I took too much insulin to decrease my body's glucose levels.
  b. The condition resulted when my body tried to break down and use my stores of fats.
  c. My blood glucose went over 150 mg/dL and caused this condition.
  d. I exercised too much reduced my blood glucose level too dramatically.

The answer to question 1  C
These findings are consistent with hypoglycemia; manifestations of hypoglycemia include tre-mulousness, hunger, headache, pallor, sweating, palpitations, blurred vision, and weakness. Management includes providing a source of quick-acting carbohydrate/glucose such as orange juice. The nurse should withhold the patient's scheduled insulin at this time. The nurse should document the findings and then notify the charge nurse.

The answer to question 2  C
A capillary refill of over 5 seconds is an indication of diminished perfusion. Pain and swelling are to be expected, and pink but cool fingers bilaterally do not indicate circulatory compromise.

The answer to question 3  B
Allodynia, pain response to nonpainful stimuli, is one of the signs typically seen in the patient with fibromyalgia. Patients with fibromyalgia often experience hyperalgesia, which is a heigh-tened response to painful stimuli.

The answer to question 4  D
Huntington disease is an autosomal dominant disorder, meaning that 50 of the children of a person who has the disease will inherit it. If a child does not inherit the disease, the gene is not passed on to the next generation. Huntington disease has an autosomal link and can be passed on to 50 of the children of a person with the disease.

The answer to question 5  B
People with type 1 diabetes are more prone to a serious complication, ketosis, associated with an excess production of ketone bodies, leading to ketoacidosis (metabolic acidosis). When the glu-cose level gets too high, the body attempts to metabolize fats for energy, and the result is a buil-dup of ketone bodies.

Exactly what I needed for my quiz :D