DIABETES
A patient with type 2 diabetes asks why exercise helps lower blood glucose.
What is exercise increases cellular uptake of glucose?
A patient correctly states their name and location but believes it is 2018.
The nurse documents the patient as:
What is alert and oriented ×2?
A patient with a tibial fracture reports increasing pain despite receiving prescribed analgesics.
The nurse understands this finding may indicate:
What is compartment syndrome?
The nurse auscultates bowel sounds every 5–15 seconds throughout all four quadrants.
What finding would be considered normal?
What are normoactive bowel sounds?
A nurse is caring for a patient with diabetes who reports feeling shaky and sweaty.
What assessment should the nurse perform first?
What is check the blood glucose level?
A nurse is assessing a patient with blood glucose of 52 mg/dL.
Which assessment finding would the nurse expect?
A. Warm dry skin
B. Bradycardia
C. Diaphoresis and tremors
D. Kussmaul respirations
What are diaphoresis and tremors?
The nurse asks a patient to smile, raise their eyebrows, and puff out their cheeks.
Which cranial nerve is being assessed?
What is Cranial Nerve VII (Facial)?
The nurse assesses a patient with a cast and notes:
These findings suggest impaired:
What is neurovascular status?
The nurse notes jugular venous distention while assessing a patient in semi-Fowler's position.
This finding is most commonly associated with dysfunction of which body system?
What is the cardiovascular system?
A patient with osteoarthritis states, "I stopped walking because it hurts my joints."
What is the nurse's best response?
What is encourage activity and exercise within tolerance to maintain joint mobility and function?
The nurse is caring for a patient with newly diagnosed diabetes.
The patient states, "Insulin helps sugar leave my body through my urine."
The nurse's best response is:
What is insulin helps glucose move from the bloodstream into the cells?
A patient opens eyes to speech, is confused when answering questions, and obeys commands.
Calculate the Glasgow Coma Scale.
What is 13?
(Eye Opening = 3, Verbal Response = 4, Motor Response = 6)
A patient in Buck's traction repeatedly slides toward the foot of the bed.
The nurse recognizes that this will interfere with:
What is the effectiveness of traction by reducing countertraction?
A patient has:
The nurse suspects fluid overload affecting which organ system?
What is the cardiovascular system (heart failure)?
A patient recovering from hip surgery refuses to get out of bed.
The nurse's greatest concern is the development of:
What is complications of immobility (DVT, pneumonia, pressure injuries, constipation)?
A patient arrives with:
The nurse recognizes these findings are most consistent with:
What is diabetic ketoacidosis (DKA)?
A patient suddenly develops:
What is the nurse's priority action?
What is activate the stroke protocol/notify the rapid response team immediately?
A patient 24 hours after a long bone fracture develops:
The nurse suspects:
What is fat embolism syndrome?
The nurse obtains the following findings:
Which assessment finding is most concerning?
What is use of accessory muscles/respiratory distress?
A patient has diabetes and decreased sensation in both feet.
What teaching is most important?
What is daily foot inspection?
The nurse is reviewing assessment findings from four patients with diabetes.
Which patient requires immediate intervention?
A. Reports numbness in feet
B. Blood glucose 285 mg/dL
C. Blood glucose 42 mg/dL and confusion
D. A1C 9.2%
What is blood glucose 42 mg/dL and confusion?
A patient with a head injury develops:
The nurse recognizes these findings are most consistent with:
What is increased intracranial pressure (ICP)?
The nurse is assessing four patients. Which patient should be seen first?
A. Osteoarthritis pain rated 7/10
B. Rheumatoid arthritis with morning stiffness
C. Fracture patient reporting numbness and absent pedal pulse
D. Osteoporosis patient requesting discharge instructions
What is the fracture patient reporting numbness and absent pedal pulse?
A nurse completes a head-to-toe assessment on four patients. Which patient should be assessed first?
A. Patient with edema and BP 148/92
B. Patient with crackles and SpO₂ 90%
C. Patient with pain 8/10
D. Patient with blood glucose 220 mg/dL
What is the patient with crackles and SpO₂ 90%?
The nurse documents:
The nurse is most concerned about:
What is deep vein thrombosis (DVT)?