Exhibits

Review History and Physical, and laboratory results. Based on the finding, indicate whether the finding represents a modifiable risk factor, a non modifiable risk factor, or is unrelated to type 2 diabetes mellitus.

Body mass index (BMI) 28 kg/m2

Sister with type 2 diabetes mellitus

Cannabis use

High density lipoprotein 43 mg/dL

Answer and Explanation

The Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"C"},"D":{"answers":"A"}}

Body mass index (BMI) is a measure of body fat based on height and weight., A BMI of 25 to 29.9 is considered overweight. Being overweight is a known modifiable risk factor for type 2 diabetes mellitus. The client can potentially lower his risk of developing diabetes by adopting a healthier lifestyle, which may include diet and exercise to achieve a healthier BMI.

Family history is a known risk factor for type 2 diabetes mellitus. Having a first- degree relative with diabetes increases a person's risk of developing the condition. This risk factor is non-modifiable as one cannot change their genetic makeup or family history.

There is no conclusive evidence that links occasional cannabis use to an increased risk of developing type 2 diabetes mellitus. However, lifestyle choices are generally considered modifiable risk factors. It's important to consider the overall lifestyle and health behaviors of the individual.

HDL cholesterol is often referred to as "good" cholesterol. Higher levels of HDL cholesterol are associated with a lower risk of heart disease, which is a common comorbidity of diabetes.An HDL level lower than the recommended range is a modifiable risk factor as it can often be increased through lifestyle changes such as diet and exercise.

While HDL levels are not a direct risk factor for diabetes, they are related to the overall metabolic health of an individual, which can influence the risk of developing type 2 diabetes.

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Correct Answer is ["A","F"]

Explanation

A. Post-cardiac catheterization patients require careful monitoring of fluid intake to avoid fluid overload, which can stress the heart and lead to complications.
B. Monitoring vital signs every 4 hours is a standard procedure for a patient post-cardiac catheterization to ensure stability.
C. Continuous cardiopulmonary monitoring is also standard post-procedure to promptly detect any arrhythmias or other cardiopulmonary issues.
D. Admission to the pediatric floor for observation is appropriate for monitoring and ensuring the safety of the patient post-procedure.
E. Keeping the patient NPO (nothing by mouth) is standard until they are fully awake and alert post-anesthesia to prevent aspiration.
F. Point of care blood glucose: This order might be questioned as there is no indication from the history or notes that the child has a blood glucose issue. Monitoring blood glucose is not typically a standard post-cardiac catheterization order unless there is a specific concern for blood sugar levels.
G. Checking pedal pulses every 4 hours is important to ensure there is no compromise in circulation, especially after a procedure involving the heart.
H. Checking the dressing frequently is crucial to identify any signs of bleeding or infection early.

Correct Answer is ["2.4"]

Explanation

Convert the client's weight from pounds to kilograms, knowing that 1 kilogram equals 2.2 pounds.

Calculate the total number of units of heparin needed by multiplying the client's weight in kilograms by the prescribed dosage (3 units/kg).

Determine the volume of heparin to administer by dividing the total number of units needed by the concentration of the vial (100 units/mL).

The calculation:

Client's weight in kg: 175 pounds / 2.2 = 79.55 kg (rounded to the nearest tenth)

Total units of heparin needed: 79.55 kg 3 units/kg = 238.65 units

Volume of heparin to administer: 238.65 units / 100 units/mL = 2.39 mL

Therefore, the nurse should administer 2.4 mL of heparin. (rounded to the nearest tenth)

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Exhibits Review History and Physical, and laboratory results. Based on the finding, indicate whether the finding represents a modifiable risk factor, a non modifiable risk factor, or is unrelated to type 2 diabetes mellitus.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Exhibits The nurse reviews the post catheterization orders. Which two orders would the nurse question?

Correct Answer is ["A","F"]

Explanation

The healthcare provider prescribes heparin 3 units/kg IV push for a client who weighs 175 pounds. The vial is labeled, "100 units/mL." How many mL should the nurse administer? (Enter numerical value only. If rounding is required, round to the nearest tenth).

Correct Answer is ["2.4"]

Explanation

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Exhibits

Review History and Physical, and laboratory results. Based on the finding, indicate whether the finding represents a modifiable risk factor, a non modifiable risk factor, or is unrelated to type 2 diabetes mellitus.