Medical Test With Answers #4

Part 1 1/Mention two aims for management DKA? 2/ Enumerate two macrovascular complications of Diabetes mellitus? 3/ List four complications of liver cirrhosis? Part 2 A 1. What are the treatment options for the patient with Hepatitis virus? a. Antiviral medications b. Interferon c. Supportive care d. Hepatitis A vaccine e. Immune globulin. 2. What kind of isolation is required for patients with hepatitis B and non- A, non B hepatitis? a. Enteric. b. Respiratory. c. Strict. d. Blood and body fluids. e. Skin 3. Which of the following diet should be restricted if the liver is impaired? a. Fat to avoid hypercholesterolemia b. Protein to avoid ammonia concentrations. c. Salt to avoid edema d. Carbohydrate to avoid constipation e. Glucose to avoid hyperglycemia 4. Which of the following nursing interventions would be the Most important for a patient with hepatic cirrhosis who has altered clotting mechanisms? a. Allowing complete independence of mobility. b. Applying pressure to injection sites. c. Administering antibiotics as prescribed. d. Increasing nutritional intake. e. Administering vitamin K. 5. What are THE BEST foods for the patient who has recovered from acute cholecystitis? a.Lean meat, eggs, and fried foods b.Rice, cooked fruits, and fried foods c.Lean meats, mashed potatoes, and eggs d. Lean meat, eggs, and fried foods e.Cooked fruits, rice, lean meat laparoscopic 6. What is the serious potential complication after a cholecystectomy? The nurse should assess the patient for signs and symptoms of a. Diabetic coma t. Decubitus ulcer c. Wound evisceration d. Bile duct injury e. Paralytic ileus 7. A patient is admitted to the hospital with acute cholecystitis. Which of the following assessment information will be Most important for the nurse to report to the health care provider? a. The patient's urine is bright yellow. b. The patient's stools are grayish colored. c. The patient complains of chronic heartburn. d. The patient has an increase in pain before eating e. The patient's stool contains blood. 8. Which one of the following problems is the highest priority for the nurse to identify in the client after open cholecystectomy surgery? a.Alteration in nutrition. b.Alteration in skin integrity. c.Alteration in urinary pattern. d.Alteration in comfort. e.Ineffective breathing pattern 9. What is the priority nursing diagnosis for a patient diagnosed with end stage renal disease? a. Activity intolerance b. Fluid volume excess c. Knowledge deficit d. Pain e. Fluid volume deficit 10.What is a elinical feature that distinguishes betwecn hypoglycemic and a ketoacidosis reaction? a. Blurred vision b. Diaphoresis C. Nausca d. Weakness e. Weight gain 11.Which of the following indicate that "a client's blood gasses reflect diabetic acidosis"? a. Increased pH b. Decreased PO2 c. Increased PCO2 d. Decreased HCO3 e. Increase HCO3 12.What is the priority intervention for a client with hyperglycemic hyperosmolar non-ketotic syndrome (HHNS) admitted for the first time? a. Oxygen b. Carbohydrates c. Fluid replacement d. Dietary instruction e. Administering insulin 13.Which of the following conditions are the Most susceptible to a patient do not eat enough iodine in diet? a. Pheochromocytoma b. Hyperthyroidism c. Thyroid Storm d. Hypothyroidism e. Simple diffuse goiter 14.What is the best position for the patient 6 hours post-operative of thyroidectomy? a. Fowler's position b. Prone position c. Trendelenburg position d. Semi-Fowler's position e. Supine position 15.Which of the following conditions is suspected when the patient is very Fatigued, drowsy, heart rate 42, blood pressure 70/56, blood glucose 55mg/dl? a. Thyroid Storm b. Hyperthyroidism C. Myxedema Coma d.lodism e. Toxic Nodular Goiter Part 3 Read each statement carefully & put (T if the statement is true and (F) if the Satement is false and correct the false statement Statement Answer 1- There is vaccine to prevent hepatitis C infection Correction:A&B only 2- Portal vein hypertension develops in severe cirrhosis. Correction: 3- Hepatitis B is spread through dirty food and water Correction: A&E 4- It is important to remind the patient that fatty foods may induce an episode of cholecystitis Correction: 5- Types of hepatitis virus can be distinguished by clinical characteristics; need lab tests Correction: 6- The thyroid gland produces hormones that regulate temperature. Correction: 7. An abnormal enlargement of the thyroid gland is called a goiter. Correction: Part 4 Problem solving question : A 58 years old male patient, admitted to the medical department he was Pale, had bilateral pedal edema, lethargy, he was disorientated to time, and had past medical history for DM more than 10 years. The initial assessment revealed that temperature, 37.1 CBlood pressure, 140/90 mmHg. Heart rate, 60 bim Respiratory rate: 35 C/m. laboratory data: Blood Test revealed that; Hb 9.0 mg/dl, Potassium: 6.0 mmol L, Urea: 64.9 mmol/L, Creatinine: 924 umolL, ABG: (with oxygen 5L/min) pH 7.2 PC02 25.9 mmHg PO2 81.7mmHg HCO3-12.8mmol and ultrasound revealed that chronic renal failure. What are the priorities of nursing diagnosises for this patient (List four nursing diagnosis)?