A patient with type 1 DM expresses concern about developing retinopathy due to a chronic disease. How should the nurse reply?

Newer laser surgery can improve sight after retinal hemorrhage.

The high incidence of cataracts can be surgically corrected.

Good control of blood glucose and blood pressure can reduce the risk.

Diabetes is low as a cause for blindness in the United States.

Answer and Explanation

The Correct Answer is C

C. Good control of blood glucose levels and blood pressure is essential in reducing the risk of diabetic retinopathy and its progression. Research has shown that maintaining tight glycemic control and managing hypertension can significantly decrease the likelihood and severity of retinopathy in patients with diabetes.

A. Laser surgery is a treatment option for certain complications of diabetic retinopathy, such as retinal hemorrhage or retinal detachment. However, it's essential to emphasize that prevention through good glycemic control and regular eye exams is key to reducing the risk of these complications, rather than relying solely on surgical interventions after they occur.
B. Cataracts are more common in individuals with diabetes and can be surgically corrected but this statement does not directly address the concern about retinopathy. Cataracts and retinopathy are separate ocular complications of diabetes, each requiring different management strategies.
D. Diabetes remains one of the leading causes of blindness in the United States, primarily due to its association with diabetic retinopathy. While advancements in diabetes management and eye care have helped reduce the incidence of blindness, it is still a significant concern for individuals with diabetes.

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Free Nursing Study Resources

Correct Answer is D

Explanation

D. Duodenal ulcers are peptic ulcers that develop in the first part of the small intestine, known as the duodenum. They are the most common type of peptic ulcer. The classic symptom of a duodenal ulcer is intermittent upper abdominal pain that occurs about 2 to 3 hours after eating, particularly meals that contain acidic or spicy foods. The pain often wakes the patient from sleep and is relieved by eating or taking antacids.
A. Decubitus ulcers, also known as pressure ulcers or bedsores, are caused by prolonged pressure on the skin, typically over bony prominences. They occur due to impaired blood flow and tissue damage, often in individuals who are bedridden or immobile.
B. Gastric ulcers are peptic ulcers that develop in the lining of the stomach. While gastric ulcers can cause upper abdominal pain, they typically occur shortly after eating or during meals, rather than 3 hours after eating or at night.
C. Esophageal ulcers are peptic ulcers that develop in the lining of the esophagus. They are relatively rare compared to gastric and duodenal ulcers. Esophageal ulcers can cause symptoms such as chest pain, difficulty swallowing, and heartburn, but they are not typically associated with the timing of symptoms described by the client.

A. 92% to 95% B. 85% to 88% C. 95% to 100% D. 88% to 92%

Correct Answer is A

Explanation

A. This range is generally considered acceptable for most patients with COPD. It provides a balance between ensuring adequate oxygenation while avoiding the risk of oxygen toxicity. Oxygen saturation levels within this range can help alleviate symptoms of hypoxemia without causing hyperoxia.
B. Oxygen saturation levels below 90% can lead to significant hypoxemia and exacerbate respiratory distress in individuals with COPD. Maintaining oxygen saturation levels above 90% is typically recommended to prevent complications associated with hypoxemia.
C. This range is appropriate for some patients but it may not be ideal for all patients with COPD. Oxygen saturation levels at the higher end of this range (e.g., 100%) can increase the risk of oxygen toxicity in patients with COPD who retain carbon dioxide (CO2) due to their chronic respiratory condition.
D. Oxygen saturation levels within this range help to balance the need for oxygen supplementation with the risk of hyperoxia and oxygen toxicity. However, individual patient factors, such as the severity of COPD, baseline oxygen saturation levels, and comorbidities, should be considered when determining the target range for oxygen saturation.

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A patient with type 1 DM expresses concern about developing retinopathy due to a chronic disease. How should the nurse reply?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Your client has told you that they have been experiencing intermittent upper abdominal pain about 3 hours after eating and at times will even be awaken in the middle of the night by this pain. You suspect that your client may have which type of peptic ulcer?

Correct Answer is D

Explanation

What is the desired peripheral capillary oxygen saturation (Spo2) level in the patient with chronic obstructive pulmonary disease?

Correct Answer is A

Explanation

The nurse enters a room of a patient who is acutely short of breath. Which action should the nurse take first?

The nurse is providing discharge education about signs and symptoms of hypoglycemia and hyperglycemia. For each sign/symptom, indicate whether it is manifestation of hypoglycemia or hyperglycemia. Select one option in each row.

Which patient does the LPN/LVN identify at high risk for hospital-acquired pneumonia?

A nurse is reinforcing teaching about dietary recommendations for a client who has a hiatal hernia. Which of the following client statements indicate understanding of the teaching? (Select all that apply.)

The nurse knows a patient with type 1 diabetes needs more education when the patient makes which of the following statements?

Management of asthma involves avoidance of triggers. Which environmental triggers will the nurse suggest the patient eliminate? Select all that apply. (Select All that Apply.)

A nurse is reinforcing teaching with the parents of a child who is starting to use a spacer with a metered-dose inhaler (MDI) to treat asthma. Which of the following information should the nurse include in the teaching?

A nurse is collecting data from a client who has gastroesophageal reflux disease (GERD) and reports having heartburn every night. Which of the following actions should the nurse identify as a contributing factor to the client's heartburn?