Medsurg 1- Brunner and Suddarth Final Exam

A diabetic patient calls the clinic complaining of having a "flu bug." The nurse tells him to take his regular dose of insulin. What else should the nurse tell the patient? A. "Make sure to stick to your normal diet." B. "Try to eat small amounts of carbs, if possible." C. "Ensure that you check your blood glucose every hour." D. "For now, check your urine for ketones every 8 hours." - B A nurse cares for a client with obesity who is scheduled to undergo vagal blocking therapy. When teaching the client about the procedure or device, which statements will the nurse include? Select all that apply. A. "It is a pacemaker-type device that is implanted under your skin." B. "A pre-programed pulsating signal is delivered." C. "Recharge the device two times per week." - ABC A nurse cares for an obese client who wants more information about naltrexone/bupropion to help with weight loss. Which medical conditions does the nurse recognize as contraindications to this medication? Select all that apply. A. Uncontrolled hypertension B. History of alcohol abuse C. History of bulimia D. Epilepsy - ABCD A nurse educator is teaching a group of recent nursing graduates about their occupational risks for contracting hepatitis B. What preventative measures should the educator promote? Select all that apply. A. Immunization B. Use of standard precautions C. Consumption of a vitamin-rich diet D. Annual vitamin K injections E. Annual vitamin B12 injections - AB A nurse is caring for a patient in the late stages of esophageal cancer. The nurse should plan to prevent or address what characteristics of this stage of the disease? Select all that apply. A. Perforation into the mediastinum B. Development of an esophageal lesion C. Erosion into the great vessels D. Painful swallowing E. Obstruction of the esophagus - ACE