Malnutrition & Obesity
List one client population at risk for malnutrition.
What is...Older adults, cancer patients, low income, chronic illness, eating disorders, post-surgery, etc.
Classic signs of hypoglycemia?
What is...Shaky, sweaty, confused, tachycardia
Which insulin has the fastest onset?
What is...rapid acting
What is the most important nursing intervention to prevent complications of immobility?
What is early mobilization/frequent repositioning
A common complication after joint replacement
What is a DVT or pneumonia
A hospitalized client with obesity reports avoiding walking in the hallway because they feel embarrassed. What nursing objective does this relate to?
Addressing psychosocial impact of malnutrition/obesity
A client with blood glucose 52 mg/dL is conscious. What is your first action?
What is...15 grams rapid-acting carbohydrate
A hospitalized client with diabetes is NPO for surgery but received their usual insulin dose. What is the priority nursing concern?
What is hypoglycemia?
First assessment priority after fracture?
What are neurovascular checks (5 Ps)
After a hip arthroplasty (total hip replacement), what positions should be avoided?
What is hep flexion > 90, adduction, crossing legs
A client has albumin 2.8 g/dL (LOW) and 2+ edema. What does this indicate about fluid balance?
Low oncotic pressure → fluid shifting to interstitial space
A client has:
Type 1 DM
BG 450
Polyuria
Dry skin
Fruity breath
Most likely condition?
What is...DKA
A hospitalized patient accidentally receives the wrong insulin dose. What is the nurse’s immediate priority?
What is monitor blood glucose closely and assess for hypoglycemia.
What are the 5 Ps of compartment syndrome?
Priority assessments after back surgery
What are Neuro checks, bowel/bladder functions
Who should the nurse collaborate with for a newly diagnosed malnourished patient?
Who is...Dietitian, provider, social worker, PT/OT if needed
Which client do you see first?
A. BG 68, awake
B. BG 350, thirsty
C. BG 42, confused
D. BG 280, eating dinner
Who is...C BG 42, confused
A patient injects insulin into the same abdominal spot every day. What complication is most likely?
What is Lipohypertrophy (fatty tissue buildup that affects absorption)
Why are patients with hip fracture at risk for a fat embolism?
What is...entry of long bone marrow fat entering bloodstream
A below-knee amputation client reports burning pain in the absent foot. This is:
What is phantom limb pain
A malnourished client begins aggressive nutrition therapy and develops weakness and arrhythmias. What complication is most concerning?
Refeeding syndrome
A patient with type 2 diabetes has A1C 9.2% (Normal is > 5.7). What does this tell you about therapy effectiveness?
What is...Poor long-term glucose control
A patient receiving insulin states, “I’m afraid to exercise because my sugar might drop.” What is the best nursing response?
What is teach how to monitor glucose before/after exercise and carry rapid carbohydrate — encourage safe activity, not avoidance.
A patient with rheumatoid arthritis reports extreme fatigue and joint selling in both hands. What type of process occurs in RA?
What is an autoimmune inflammatory response
Which interdisciplinary team members are essential for a new amputee?
Who are PT, OT, prosthetist, social worker, wound care, provider, case manager