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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Correct Answer is A

Explanation

A. Asthma is a chronic respiratory condition characterized by inflammation and hyperresponsiveness of the airways. This inflammation leads to bronchoconstriction, causing symptoms like wheezing, shortness of breath, chest tightness, and coughing. This description accurately captures the primary pathological features of asthma.
B. Fluid in the lungs, also known as pulmonary edema, is not a characteristic of asthma. Pulmonary edema is usually associated with conditions such as heart failure or acute respiratory distress syndrome (ARDS), not asthma.
C. Airway stretching and nonfunctionality are not characteristics of asthma. Conditions like bronchiectasis involve permanent dilation and damage to the airways, leading to chronic infections and impaired clearance of mucus, but this is different from asthma.
D. Asthma is not primarily caused by an infection, although infections can trigger asthma exacerbations. The primary issue in asthma is chronic inflammation and hyperresponsiveness of the airways, which are not caused by a low-grade infection but by a combination of genetic and environmental factors.

A. A 35-year-old patient using the incentive spirometer following abdominal surgery B. A 55-year-old patient who is eating in the chair following a rhinoplasty C. A 40-year-old patient who refuses to cough and deep breath following a splenectomy D. A24-year-old patient ambulating in the hall following an appendectomy

Correct Answer is C

Explanation

C. This patient is at high risk for hospital-acquired pneumonia. After a splenectomy (removal of the spleen), patients may experience pain and discomfort, which can make them reluctant to perform necessary activities like coughing and deep breathing. These activities are crucial for preventing lung complications such as atelectasis and pneumonia.
A. This patient is actively using an incentive spirometer, which is a device that encourages deep breathing and helps keep the lungs clear. This practice significantly reduces the risk of developing pneumonia by preventing atelectasis (collapse of part of the lung) and promoting lung expansion.

B. This patient is out of bed and eating, which indicates they are relatively mobile and maintaining normal respiratory function. Rhinoplasty, a surgical procedure on the nose, generally does not impair lung function or significantly increase the risk of pneumonia. Being active and upright further reduces the risk of HAP.
D. This patient is actively ambulating, which is highly beneficial for lung function and overall recovery. Walking and moving around helps to prevent respiratory complications, including pneumonia, by promoting lung expansion and circulation.

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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

A newly diagnosed patient asks the nurse to explain asthma. Which of the following explanations by the nurse is correct?

Correct Answer is A

Explanation

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

Correct Answer is C

Explanation

A nurse is preparing to administer liquid famotidine 20 mg PO every 6 hr for GERD. Available is famotidine 40 mg/5 mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

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?

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

The nurse is assisting with nutrition teaching for a patient who voices concern over adjusting to a diabetic diet. Which response by the nurse about medical nutrition therapy is correct?

A nurse is collecting data from a client who is having an acute asthma exacerbation. When auscultating the client's chest, the nurse should expect to hear which of the following sounds?

A patient is admitted to a respiratory unit with a diagnosis of bacterial pneumonia. Findings include a fever and a weak, congested-sounding cough with moist crackles throughout the lung fields. How should the nurse prioritize care?

The nurse is teaching a patient recently diagnosed with type 1 diabetes mellitus (DM) about the disease. What information should the nurse include?