Med Surg Quiz 1 Review

A

100

What is moral distress in nursing

the feeling of unease when a nurse knows what is morally right to do but is constrained from acting on it.

Going against core values

200

What is the goal of providing client centered care?

To achieve the best client outcomes

300

How is death defined?

when heart and lung function has stopped permanently. (Cessation of breathing and cessation of pulse)

400

What is Graves Disease and how does it present?

Graves = Autoimmune disorder, causes thyroid to produce too much thyroxine = hyperthyroidism

Presentation = swelling of tissues behind the eye (bulging eyes), thickening of skin on leg (near shin)

500

What are the benefits of evidence based practice? Name at least 2

• Provides nurses with decisions that are supported by scientific research.
• Encourages client-centered care.
• Improves time management, driving efficiency.
• Guides the implementation of new technology into the health care setting.
• Helps nurses to determine an effective course of action when providing client care.
• Helps nurses remain up to date regarding new protocols for client care.
• Increases the client’s chances for recovery as nursing decisions are based on documented interventions aligning with client profiles.
• Enables nurses to evaluate the research to adequately understand the risks and benefits surrounding medical interventions.
• Improves client outcomes, leading to decreasing demand for health care resources and costs.

Better client outcomes = client satisfaction

B

100

Use of clinical judgement / reviewing laboratory results is what step of the nursing process?

Analysis

200

Risk factors for Type 2 Diabetes? Name at least 3

•Age
•Genetics
•Obesity
•Sedentary lifestyle
•Smoking
•Hypertension
•History of gestational diabetes
•Stress
•Poor sleep habits
•Unbalanced diet

300

What does Metabolic Syndrome lead to if left untreated?

If left untreated, metabolic syndrome leads to Type 2 Diabetes or cardiovascular disease.

400

Hypothyroidism: 3 symptoms

Easily fatigued
Constipation
Weight Gain
Feeling cold
Dry Skin
Disrupted sleep
Menstrual changes
Swelling
Depression
Hair Loss
Carpal Tunnel Syndrome
Hypertension

500

Define Beneficence

Act in the best interest of the patient to promote well being

C

100

This part of the nursing process involves the nurse verifying the interventions have the desired effect / goals have been met

Evaluation

200

What is the goal for Type 1 Diabetes and how is this best done?

Goal is to manage disease and prevent complications. This is done by monitoring glucose levels and keeping it within the acceptable ranges

300

Name 3 risks for hyperglycemia?

•Obesity
•Smoking
•Medications
•Illness/Infection
•Genetics
•Chronic stress
•Insomnia
•Sedentary lifestyle

400

Treatment options for Type 2 Diabetes

Treatment option for Type 1 Diabetes

Type 1: INSULIN ONLY

Type 2:
-Lifestyle changes (such as diet and exercise)
-Oral Hypoglycemics (metformin and canagliflozin) and/or
-Insulin

500

What is the leading cause of preventable death in the US?

Tobacco use

D

100

Name 1 way a nurse can help a patient who has limited access to transportation

1. Involve social worker
2. Help facilitate telehealth/remote appointments
3. Information for free medical taxis (medicaid, etc)
4. Hospital transportation if offered
5. Bus routes

200

What is palliative care?

improve the client’s quality of life by controlling significant symptoms of the disease process while continuing to receive curative medical care. Palliative care also assists clients to understand their treatment choices.

-Maintain usual care and add symptom management

300

Common cause of Hypothyroidism:
1. What is the common cause worldwide?
2. What is the most common cause in US?

worldwide is iodine deficiency. 

Hashimoto’s disease (which is an autoimmune disease that causes damage to the thyroid and can even cause it to shrink over time)

400

Define Nonmaleficence

Avoid causing harm or unnecessary suffering

500

3 Recommendations for a client with Type 1 Diabetes during time of illness?

Monitor BG at least ever 4 hours
Continue insulin as ordered
Hydration (Consume 4-6 fluid ounces every 30 mins)
Nutrition (50g of carbs every 4 hours)
Daily Weights
Check Temps twice a day (AM and PM)
Monitor for s/s of DKA ( s/s increased thirst, polydipsia, fatigue, nausea, vomiting, dyspnea, confusion, and a fruity odor to breath; monitored via urine or blood ketone tests)

E

100

This part of the nursing process involves collecting both subjective and objective data

Assessment

200

Name 3 modifiable risk factors

Sedentary Lifestyle (exercise/physical activity)
Diet/Poor nutrition
Smoking
Alcohol
Obesity
High blood pressure

300

Complications of Type 2 Diabetes (name 3)

•Stroke
•Heart attack
•Peripheral artery disease
•Diabetic retinopathy
•Cataracts
•Glaucoma
•Diabetic foot
•Diabetic nephropathy
•Peripheral neuropathy

400

What is metformin and what is a rare but serious complication that can occur as an adverse effect?

Oral hypoglycemic medication used to lower glucose - used commonly in DMT2.

Rare and potentially life-threatening complication is lactic acidosis. This condition involves the buildup of lactic acid in the blood and can occur especially in clients with renal impairment, dehydration, or other risk factors  

500

Name 5 of the 8 dimensions of well-being

**Worth 1000 points if you can name all 8**

1. Intellectual Health (capacity to learn / barriers, patient understanding)
2. Environmental Health (access to clean air, food, water, partner or neighborhood violence)
3. Spiritual Health (beliefs, sense of belonging)
4. Social Health (healthy supportive relationships - friends/family/community)
5. Emotional/Mental Health (feelings, stressors)
6. Physical health (nutrition, movement, sleep)
7. Financial Health (affording housing, healthcare costs, insurance)
8. Occupational (work/life balance, job absence or assistance)