Which factor is most importaNnt iRn diIminGishiBng. mCateMrnal, fetal, and neonatal complications in a U S N T O pregnant patient with diabetes?- Skildor

Question 1 of 5

Which factor is most importaNnt iRn diIminGishiBng. mCateMrnal, fetal, and neonatal complications in a U S N T O pregnant patient with diabetes?

A. Evaluation of retinopathy by an ophthalmologist B. The patient�s stable emotional and psychological status C. Degree of glycemic control before and during the pregnancy D. Total protein excretion and creatinine clearance within normal limits

Correct Answer: C

Rationale: The correct answer is C: Degree of glycemic control before and during the pregnancy. Proper glycemic control is crucial in managing complications in a pregnant patient with diabetes. Uncontrolled blood sugar levels can lead to maternal, fetal, and neonatal complications. Monitoring and maintaining stable blood glucose levels before and during pregnancy help reduce the risk of adverse outcomes. A: Evaluation of retinopathy by an ophthalmologist - Although important for overall health, retinopathy does not directly impact maternal, fetal, and neonatal complications in diabetes during pregnancy. B: The patient�s stable emotional and psychological status - While emotional and psychological well-being are important, they do not directly affect complications related to diabetes in pregnancy. D: Total protein excretion and creatinine clearance within normal limits - While these are indicators of kidney function, they are not the most crucial factors in managing complications in a pregnant patient with diabetes.

Question 2 of 5

A patient who is scheduled for an open prostatectomy is concerned about the potential effects of the surgery on his sexual function. What aspect of prostate surgery should inform the nurses response?

A. Erectile dysfunction is common after prostatectomy as a result of hormonal changes. B. All prostatectomies carry a risk of nerve damage and consequent erectile dysfunction. C. Erectile dysfunction after prostatectomy is expected, but normally resolves within several months. D. Modern surgical techniques have eliminated the risk of erectile dysfunction following prostatectomy.

Correct Answer: B

Rationale: Step 1: Prostate surgery can damage nerves responsible for erectile function. Step 2: Nerve damage can lead to erectile dysfunction post-prostatectomy. Step 3: Choice B correctly states that all prostatectomies carry a risk of nerve damage and consequent erectile dysfunction, aligning with the potential impact of surgery on sexual function. Step 4: Other choices lack accuracy: A incorrectly attributes erectile dysfunction solely to hormonal changes, C falsely suggests temporary nature of dysfunction, and D wrongly claims no risk of dysfunction due to modern techniques.

Question 3 of 5

In providing diet education for a patient on a low-fat diet, which information is important for the nurse to share?

A. Polyunsaturated fats should be less than 7% of the total calories. B. Transfat should be less than 7% of the total calories. C. Unsaturated fats are found mostly in animal sources. D. Saturated fats are found mostly in animal sources.

Correct Answer: D

Rationale: The correct answer is D because saturated fats are primarily found in animal sources such as red meat, poultry, and dairy products. It is important to limit the intake of saturated fats on a low-fat diet to reduce the risk of heart disease and other health issues. A: Polyunsaturated fats are actually considered healthy fats and should not be restricted to less than 7% of total calories. B: Transfat is a type of unhealthy fat that should be avoided altogether, not just limited to 7% of total calories. C: Unsaturated fats are actually found mostly in plant-based sources like nuts, seeds, and avocados, not animal sources. In summary, choice D is correct because it provides accurate information about the source of saturated fats in animal products, while the other choices provide incorrect or misleading information about different types of fats.

Question 4 of 5

A nurse is performing an assessment on a patientwho has not had a bowel movement in 3 days. The nurse will expect which other assessment finding?

A. Hypoactive bowel sounds B. Increased fluid intake C. Soft tender abdomen D. Jaundice in sclera

Correct Answer: A

Rationale: The correct answer is A: Hypoactive bowel sounds. When a patient has not had a bowel movement in 3 days, it indicates constipation. Constipation can lead to decreased peristalsis, resulting in hypoactive bowel sounds. Increased fluid intake (B) would be a potential intervention, not an expected assessment finding. A soft tender abdomen (C) may indicate other issues like inflammation or infection, not directly related to constipation. Jaundice in the sclera (D) is indicative of liver dysfunction, not a typical finding associated with constipation.

Question 5 of 5

The nurse is planning the care of a patient who has a diagnosis of atopic dermatitis, which commonly affects both of her hands and forearms. What risk nursing diagnosis should the nurse include in the patients care plan?

A. Risk for Disturbed Body Image Related to Skin Lesions B. Risk for Disuse Syndrome Related to Dermatitis C. Risk for Ineffective Role Performance Related to Dermatitis D. Risk for Self-Care Deficit Related to Skin Lesions

Correct Answer: D

Rationale: The correct answer is D: Risk for Self-Care Deficit Related to Skin Lesions. Patients with atopic dermatitis may experience difficulty performing self-care tasks due to pain, itching, and limitations in hand mobility caused by skin lesions. This diagnosis addresses the potential challenges the patient may face in maintaining personal hygiene and managing their skin condition. Explanation for why other choices are incorrect: A: Risk for Disturbed Body Image Related to Skin Lesions - While atopic dermatitis may impact body image, the priority in this case is the patient's ability to perform self-care. B: Risk for Disuse Syndrome Related to Dermatitis - Disuse syndrome is not typically associated with atopic dermatitis. C: Risk for Ineffective Role Performance Related to Dermatitis - This diagnosis focuses on the patient's ability to fulfill their roles, which may not be directly impacted by atopic dermatitis.

Similar Questions

The nurse is planning the care of a patient who has a diagnosis of atopic dermatitis, which commonly affects both of her hands and forearms. What risk nursing diagnosis should the nurse include in the patients care plan?

A nurse believes that the nurse-patient relationshipis a partnership and that both are equal participants. Which term should the nurse use to describe this belief?

A patient who had premature rupture of the membranes (PROM) earlier in the pregnancy at 28 weeks returns to the labor unit 1 week later complaining that she is now in labor. The labor and birth nurse performs the NfollRowiIng aGssesBsm.eCntsM. The vaginal exam is deferred until the U S N T O physician is in attendance. The patient is placed on electronic fetal monitoring (EFM) and a baseline FHR of 130 bpm is noted. No contraction pattern is observed. The patient is then transferred to the antepartum unit for continued observation. Several hours later, the patient complains that she does not feel the baby move. Examination of the abdomen reveals a fundal height of 34 cm. Muscle tone is no different from earlier in the hospital admission. The patient is placed on the EFM and no fetal heart tones are observed. What does the nurse suspect is occurring?

The nurse is providing preoperative education for a patient diagnosed with endometriosis. A hysterectomy has been scheduled. What education topic should the nurse be sure to include for this patient?

As a staff member in a local hospice, a nurse deals with death and dying on a frequent basis. Where would be the safe venue for the nurse to express her feelings of frustration and grief about a patient who has recently died?

foundations of nursing practice questions

Skildor

ATI RN