marlisa has been diagnosed with diabetes mellitus type 1 she asks nurse errol what this means what is the best response by the nurse select one that d

HESI LPN

HESI Leadership and Management Quizlet

1. Marlisa has been diagnosed with diabetes mellitus type 1. She asks Nurse Errol what this means. What is the best response by the nurse? Select the one that does not apply.

A. Your beta cells should be able to secrete insulin, but cannot.
B. The endocrine function of your pancreas is to secrete insulin.
C. Without insulin, you will develop ketoacidosis (DKA).
D. The exocrine function of your pancreas is to secrete Estrogen.

Correct answer: D

Rationale: Type 1 diabetes is characterized by the inability of the beta cells in the pancreas to secrete insulin. Choice A is correct because it highlights the role of beta cells. Choice B is accurate as the endocrine function of the pancreas includes insulin secretion. Choice C is true as without insulin, ketoacidosis can develop. Choice D is incorrect as the exocrine function of the pancreas involves secreting digestive enzymes, not estrogen.

2. What is idiopathic thrombocytopenia purpura?

A. Highly similar to disseminated intravascular coagulation (DIC).
B. Caused by the overproduction of platelets.
C. A bleeding disorder that is characterized by too few platelets.
D. Treated with immune system-boosting medications.

Correct answer: C

Rationale: Idiopathic thrombocytopenic purpura is a bleeding disorder characterized by a low number of platelets in the blood. This condition is not highly similar to disseminated intravascular coagulation (DIC), which involves abnormal clotting throughout the body (coagulation), leading to depletion of platelets. Choice B is incorrect because idiopathic thrombocytopenic purpura is actually characterized by a decrease in platelet count, not an overproduction. While immune system-boosting medications may be used in some cases, the primary treatment for idiopathic thrombocytopenic purpura focuses on increasing platelet counts or managing symptoms.

3. Select a myth or falsehood relating to pain, pain management, and addiction.

A. Addiction can be accurately predicted.
B. Withdrawal, drug tolerance, and physical dependence do not indicate addiction.
C. Pain medications should be avoided in patients with a substance abuse history.
D. Addiction is signaled by deception and stockpiling by the client.

Correct answer: A

Rationale: The correct answer is A because addiction cannot be accurately predicted. Choices B and C are incorrect. Withdrawal, drug tolerance, and physical dependence are not definitive signs of addiction, and pain medications can be used with patients who have a substance abuse history under careful monitoring. Choice D is incorrect because addiction is not solely signaled by deception and stockpiling; it is a complex condition with various behavioral, physical, and psychological aspects.

4. Which individual is most at risk for Osgood-Schlatter disease?

A. An elderly female who is hospitalized with a hip fracture and on bed rest
B. A middle-aged male patient who has been exposed to asbestos in the shipping industry
C. An adolescent who is physically active and the captain of their soccer team
D. An infant of low birth weight and a gestational age of 28 weeks

Correct answer: C

Rationale: Osgood-Schlatter disease is a condition that commonly affects adolescents who are physically active, especially during growth spurts. It is caused by overuse of the knee, leading to inflammation of the patellar ligament at the tibial tuberosity. The repetitive stress on the growth plate during activities like running and jumping can trigger this condition. Therefore, an adolescent who is physically active and the captain of their soccer team is most at risk for Osgood-Schlatter disease. Choices A, B, and D are not at high risk for this condition as it is primarily seen in active adolescents.

5. Select the tactile sensation that is accurately paired with its description or procedure for testing.

A. Fine motor coordination: The use of the fingers
B. Stereognosis: Equal hearing in both ears
C. Two-point discrimination: The nurse gently pricks the patient's skin
D. Gross motor function: The use of the lower limbs

Correct answer: C

Rationale: The correct answer is C: Two-point discrimination: The nurse gently pricks the patient's skin. Two-point discrimination assesses the ability to discern two points touched simultaneously on the skin. Fine motor coordination (Choice A) refers to the precise movements of small muscles, not related to tactile sensation. Stereognosis (Choice B) is the ability to recognize objects by touch, not equal hearing in both ears. Gross motor function (Choice D) involves the coordination of large muscle groups, not specifically related to tactile sensation testing.