ATI LPN
Lewis's Medical Surgical Nursing in Canada, 5th Edition
Chapter 8 Questions
Question 1 of 5
The nurse is caring for a hospitalized patient with diabetes who states to the nurse, 'I don't understand why I can keep my blood sugar under control at home with diet alone, but when I get sick, my blood sugar goes up.' Which response by the nurse is appropriate?
Correct Answer: B
Rationale: The release of cortisol, epinephrine, and norepinephrine increases blood glucose levels. The increase in blood sugar is not coincidental. The kidneys do not control blood glucose. A diabetic patient who is hospitalized will be on an appropriate diet to help control blood glucose.
Question 2 of 5
The nurse is teaching a hospitalized patient to use imagery as a relaxation technique. Which statement by the nurse is appropriate?
Correct Answer: B
Rationale: When using imagery for relaxation, the patient should visualize a comfortable and peaceful place. The goal is to offer a relaxing retreat from the actual patient environment. Imagery may be used to target a disease or pathology, but this type of imagery will not lead to relaxation.
Question 3 of 5
A young adult arrives in the emergency department (ED) with multiple abrasions after a motor vehicle accident and has an initial blood pressure (BP) of 180/98. Which of the following interventions should the nurse implement?
Correct Answer: C
Rationale: Because hypertension is expected when a patient has experienced an acute stressor, the nurse should plan to check the BP in a timely manner, which will provide a more accurate idea of the patient's usual blood pressure. Hypertension that occurs in response to acute stress does not increase risk for health problems such as stroke, indicate a need for hospitalization, or indicate a need for IV antihypertensive medications.
Question 4 of 5
The nurse is preparing a health-promotion session on meditation for older persons at a community centre. Which of the following points should the nurse include in the session?
Correct Answer: C
Rationale: Guidelines for basic mediation include continuing it for 10-20 minutes, although even 5 minutes can be helpful. Patients won't bring earphones as the guideline is to find a quiet place with no distractions. The breathing pattern is to breathe slowly and consistently, relaxation breathing, not to speed up the rate. Meditation guidelines suggest that this be done once or twice a day.
Question 5 of 5
A hospitalized patient whose wife describes him as usually well organized and calm is receiving diabetic teaching after being newly diagnosed with diabetes. He states, 'I'm feeling distracted because I'm just getting used to my new diagnosis'. Which action should the nurse take?
Correct Answer: D
Rationale: Since behavioural responses to stress include temporary changes such as irritability, changes in memory, and poor concentration, patient teaching will need to be repeated. Psychiatric referral or home caregiver referral will not be needed for these expected short-term cognitive changes. Sedation will decrease the patient's ability to learn the necessary information for self-management.