NR 283 Week 8 Comprehensive Final Exam - Hot Topics

NR 283 Final Exam Hot Topics A common physical feature of a patient with Cushing Syndrome is Weakness and weight loss Truncal obesity and moon face Beefy red tongue Bulging eyes The glycosylated hemoglobin (hemoglobin A1C) test is used as a clinical evaluation for Measuring fasting glucose levels Monitoring long-term serum glucose control Monitoring control of hypertension Checking for elevated cholesterol levels Type 1 Diabetes is caused by An infection of the liver Obesity and lack of exercise Immune destruction of the pancreas Long term hyperglycemia from intake of carbohydrates Of the following, who is most at risk for Gout? Men aged 40-50 years Premenopausal women Patients with diabetes mellitus type 2 Patients with rheumatoid arthritis A patient with rheumatoid arthritis asks the nurse what is the main problem happening inside my body to cause this. The nurse responds “it is a Degenerative disorder involving the small joints” Chronic inflammatory disorder affecting all joints” Systemic inflammatory disorder due to an autoimmune reaction” Inflammatory disorder causing damage to many organs” What hormone reacts in times of stress and during inflammatory responses? Aldosterone Norepinephrine Thyroxine Cortisol A patient presents to the Emergency room in a hypoglycemic episode related to his Diabetes Mellitus. The nurse would expect the patient to be experiencing: A slow heart rate Cool, clammy skin Diarrhea Fruity odor on the client’s breath. Diabetes insipidus is caused by an imbalance of what hormone? They urinate a lot, kidney is not balancing fluids. Insulin Cortisol Deficit of ADH (antidiuretic hormone) Progesterone A patient presents with a flare up of ulcerative colitis, what is the most common symptom for patients with UC? Intense abdominal cramps Fistula Profuse diarrhea Abdominal distention A nurse is caring for a patient who had bowel surgery 3 days ago. The physical exam indicates a possible bowel obstruction. What would indicate a possible bowel obstruction in this patient? Marked hypotension Active bowel sounds Marked abdominal distension Bloody stool A 47-year-old female presents to the emergency department with severe right lower quadrant abdominal pain, nausea and vomiting and reported fever of 101.4 F. The lab work shows that the WBC count is 17,000/mm^3. The nurse suspects Acute cystitis Diverticulitis Acute appendicitis Irritable bowel syndrome What changes are found in the bowel of a patient with Crohn’s disease? Loss of intestinal villi and mucous secretions in the colon Pouchings of the lining of the bowel resulting in inflammation A continuous area of mucosal inflammation and ulceration in the rectum and colon Inflamed areas of the wall of the ileum alternating with thick fibrotic or normal areas A patient with acute pyelonephritis is being discharged from the hospital. The nurse educates the patient they must follow up with the PCP in four weeks to evaluate if the Patient had any treatment reactions Prescribed medications were effective Patient is having secondary issues of renal calculi Patient requires injections of growth colony stimulating factor (gcsf) A patient is diagnosed with ascending colon cancer, what would be a typical early warning sign? Frank blood