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bobo bobo
wrote...
Posts: 567
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6 years ago
Which actual structural unit secretes insulin?
 
  a. Pancreas
  b. Islets of Langerhans
  c. Beta cell
  d. Alpha cell

Question 2

Which herbs and supplements lower cholesterol? (Select all that apply.)
 
  a. Garlic
  b. Bananas
  c. Oatmeal
  d. St. John's wort
  e. Soy products

Question 3

The nurse is caring for a patient immediately following a liver biopsy. Which actions are appropriate for the nurse to take? (select all that apply.)
 
  a. Position the patient on the right side.
  b. Assess the patient's pain.
  c. Monitor vital signs every 15 minutes for the first hour.
  d. Instruct patient to cough and deep-breathe.
  e. Assess for hematoma at puncture site.

Question 4

The nurse is caring for a long-term diabetic patient with a glycosylated hemoglobin (HbA1c) level of 5. Which statement indicates that the patient understands this laboratory result?
 
  a. My hemoglobin A levels are excellent.
  b. I am anemic and may need a blood transfusion.
  c. I should meet with the dietician to dis-cuss better food choices.
  d. My glucose control has been excellent for the last few weeks.

Question 5

When caring for a male patient with a suspected gonorrheal infection, which action is most important for the nurse to take?
 
  a. Report the infection to the local public health agency.
  b. Assess the patient's temperature hourly.
  c. Administer antibiotics before cultures are drawn.
  d. Wait 1 hour after the patient voids to col-lect a urethral swab.

Question 6

The nurse is caring for a patient who has orders for a 17-ketosteroid (17-KS) test. Which preparation is most important for the nurse to make?
 
  a. Keep the patient NPO after midnight the night before the test.
  b. Ensure adequate space for the specimen container is available in the refrigerator.
  c. Withhold the patient's metformin for 24 hours prior to the test.
  d. Request an order for an antacid.

Question 7

The nurse instructs a patient that the pain of angina is due to ischemia of the myocardium. Which factors are causative agents for angina? (Select all that apply.)
 
  a. Exertion
  b. Emotional excitement
  c. Eating heavy meals
  d. Exposure to cold
  e. Allergic reactions
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Replies
wrote...
6 years ago
The answer to question 1  C
The actual structural unit that secretes insulin is the beta cell. Beta cells are found on the islets of Langerhans, which are in the pancreas.

The answer to question 2  A, C, E
Garlic, whole-grain foods, and soy products are thought to decrease cholesterol. Bananas and St. John's wort are not known to lower cholesterol.

The answer to question 3  A, B, C, E
The liver biopsy is performed under local or general anesthesia. Postprocedural care will include positioning on the right side for the first 2 hours, and assessing pain, vital signs and the puncture site. The patient should not cough as it increases intra-abdominal pressure and may stimulate bleeding.

The answer to question 4  D
The hemoglobin A1c (A1C) test (formerly called the glycosylated hemoglobin test) measures blood glucose over a period of many weeks. Glucose in the bloodstream attaches itself to the hemoglobin A (red blood cell) molecule and remains there for the life span of the red blood cell. Physicians use A1C test results to prescribe adjustments to a patient's treatment program for managing diabetes. Results of 4.9 to 6.7 are considered excellent results. Good results are between 7.6 and 8.5. Fair results are between 9.4 and 10.0. Poor control is considered between 12.1 and 13.0.

The answer to question 5  D
Since the urine will have flushed out the organisms, the nurse should wait at least 1 hour postvo-id before collecting the specimen. The infection has not been confirmed, so no report should be made at this time. The patient's temperature should be obtained each shift. Administering anti-biotics before cultures are drawn may cause cultures to be negative even though the drug or the dose may not be sufficient to cure the infection. If possible, obtain cultures prior to administering antibiotics.

The answer to question 6  B
The 17-KS test is used to determine the amount of androgen metabolites in the urine and requires a 24-hour urine collection. The urine collection container must be kept chilled, so the nurse should ensure that adequate space is available in the specimen refrigerator. This test does not require the patient to fast. The nurse should consult with the physician and laboratory regarding the patient's medications but should not withhold any without orders. Antacids will not alter the test results.

The answer to question 7  A, B, C, D
Angina may be caused by exertion, emotional excitement, eating heavy meals, and exposure to cold. Angina is not brought on by allergy.
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