Question

The nurse plans post-operative education for a client scheduled for cataract surgery. What post-operative instruction(s) should the nurse include in the teaching? Select all that apply.

Answer 1

Correct Answers:

Try to avoid coughing and blowing the nose post-operatively.
Antibiotic and steroid eye drops will be continued at home.
Sunglasses should be worn for several weeks after surgery.

Rationale :

👁️Cataract surgery teaching includes preventing increased intraocular pressure by avoiding actions like coughing and blowing the nose.

💧Antibiotic and steroid eye drops are continued to reduce infection risk and control post-operative inflammation.

🕶️Wearing sunglasses helps protect the healing eye from bright light and irritation during recovery.

🚫Expectations about best vision must be realistic because full visual improvement may take time as healing progresses.

📌Core Message

Post-cataract care emphasizes preventing increased intraocular pressure, continuing prescribed eye drops, and protecting the healing eye with sunglasses.

Answer 2

Correct Answers:

"Insulin pens that are unopened can be stored at room temperature for 4 weeks."

Rationale :

🧊Unopened insulin pens should be stored under proper refrigeration to preserve potency and ensure safe glycemic control.

🌡️Stating that unopened pens can be stored at room temperature for weeks reflects incorrect storage guidelines and risks reduced medication effectiveness.

💉Correct handling of prefilled syringes and protection from heat support stable insulin action and safe dose reliability.

☀️Avoiding prolonged sun exposure protects insulin integrity and prevents degradation of the medication.

📌Core Message

Safe insulin storage requires protecting potency by following correct temperature guidelines, especially for unopened products.

Answer 3

Correct Answers:

Fall precautions
1000 mL daily fluid restriction
Seizure precautions
Daily weights

Rationale :

🧠Severe hyponatremia with low serum osmolality and concentrated urine supports SIADH, creating high risk for neurologic complications.

🚨Seizure precautions and fall precautions are essential because worsening cerebral edema can cause confusion, instability, and sudden seizures.

🚱A fluid restriction prescription supports treatment of water retention and helps correct dilutional hyponatremia in SIADH.

⚖️Daily weights provide the most consistent measure of changing fluid balance and guide evaluation of treatment response.

📌Core Message

In SIADH, providers commonly prescribe fluid restriction, daily weights, and safety measures like seizure and fall precautions to prevent neurologic complications.

Answer 4

Correct Answers:

"SMBG will be monitored at least four times each day since I take insulin."
"SMBG will show how my blood glucose levels fluctuate throughout the day."
"SMBG will help me validate signs and symptoms of hyperglycemia and hypoglycemia."
"SMBG will assist in maintaining and achieving glycemic goals."

Rationale :

🩸Frequent SMBG is appropriate with insulin therapy, supporting safer dosing and improved glycemic control throughout the day.

📉SMBG trends show daily glucose fluctuations, helping identify patterns related to meals, activity, and medication timing.

⚠️SMBG helps validate symptoms of hypoglycemia and hyperglycemia, improving early recognition of complications.

🎯Using SMBG data supports achieving individualized glycemic goals and reduces long-term microvascular risk.

📌Core Message

Effective SMBG education highlights frequent monitoring, recognizing patterns, confirming symptoms, and supporting glycemic goals for safer diabetes self-management.

Answer 5

Correct Answers:

"I drink about 6 liters of water per day."

Rationale :

💧Drinking very large amounts of water suggests polydipsia, which is a classic manifestation of type 1 diabetes.

🧪Hyperglycemia causes osmotic diuresis, leading to dehydration and increased thirst drive.

⚡Type 1 diabetes often includes polyuria and weight loss, which commonly accompany excessive fluid intake.

✅This statement best aligns with the hallmark hyperglycemia symptoms rather than isolated appetite changes or urine odor.

📌Core Message

A key sign of type 1 diabetes is polydipsia caused by hyperglycemia leading to osmotic diuresis.

Answer 6

Correct Answers:

Urine specific gravity 1.032

Rationale :

🧪In SIADH, excess ADH causes water retention and produces concentrated urine, increasing urine specific gravity.

📉Serum osmolality is expected to be low in SIADH, making a high serum osmolality inconsistent with the disorder.

🩸Hematocrit is typically decreased or normal due to hemodilution, not markedly elevated like severe hemoconcentration.

🧂Serum sodium is usually low in SIADH, so hypernatremia is not an expected lab pattern.

📌Core Message

SIADH causes water retention with low serum osmolality and concentrated urine, resulting in elevated urine specific gravity.

Answer 7

Correct Answers:

Long-acting insulin twice daily and rapid-acting insulin with meals

Rationale :

💉A basal-bolus regimen using long-acting insulin plus rapid-acting insulin with meals most closely mimics physiologic insulin secretion.

📈Meal-time rapid-acting insulin targets postprandial glucose spikes, improving overall glycemic variability control.

🕒Long-acting basal insulin maintains stable background glucose control between meals and overnight.

✅This approach supports tighter HbA1c improvement compared with fixed mixed regimens that reduce flexibility in carbohydrate matching.

📌Core Message

Optimal type 1 diabetes control is achieved with basal-bolus insulin that combines steady basal coverage with precise meal-time dosing.

Answer 8

Correct Answers:

Muscle wasting

Rationale :

💪Cushing syndrome causes protein breakdown leading to proximal muscle wasting and weakness.

📈Excess cortisol increases catabolism, reducing muscle mass and impairing tissue repair.

🧴Cushing syndrome typically causes thin skin and easy bruising rather than thickened skin.

🍬Cortisol promotes hyperglycemia, making hypoglycemia inconsistent with typical endocrine effects.

📌Core Message

Cushing syndrome is consistent with muscle wasting due to cortisol-driven protein catabolism and impaired tissue integrity.

Answer 9

Correct Answers:

Increased creatinine
Increased phosphorus

Rationale :

🧪Creatinine rises in ESRD because impaired renal clearance reduces waste excretion.

🧂Phosphorus increases due to decreased renal phosphate elimination, contributing to mineral imbalance.

📉Glomerular filtration rate is expected to be decreased in ESRD, not increased, reflecting severe renal dysfunction.

🦴Calcium is often decreased because high phosphate lowers calcium and reduced vitamin D activation worsens hypocalcemia.

📌Core Message

In ESRD, reduced filtration leads to increased creatinine and increased phosphorus, driving dangerous metabolic imbalances.

Answer 10

Correct Answers:

Protect the airway with aspiration precautions.

Rationale :

💁‍♂️In myxedema coma, decreased consciousness and slowed reflexes increase aspiration risk, making airway protection the top priority.

⚠️Severe hypothyroidism causes hypoventilation and CO₂ retention, so maintaining a patent airway supports vital oxygenation.

🧠Aspiration precautions prevent respiratory failure from compromised swallowing and reduced protective gag reflex.

✅Turning schedules and warming measures are supportive, but they follow stabilization of airway and critical respiratory function.

📌Core Message

Myxedema coma care prioritizes airway protection because impaired ventilation and high aspiration risk threaten immediate survival.

1 :
The nurse plans post-operative education for a client scheduled for cataract surgery. What post-operative instruction(s) should the nurse include in the teaching? Select all that apply.

2 :
The nurse provides education about insulin storage to a client newly diagnosed with type 1 diabetes. What client statement indicates a need for additional education?

3 :
A nurse is caring for a client.

Answer Options

4 :
A nurse is providing discharge education to a client newly diagnosed with type 1 diabetes about self-monitoring of blood glucose (SMBG). What client statement(s) indicate an understanding of the education? Select all that apply.

5 :
A nurse is assessing a client for type 1 diabetes. Which statement by the client is consistent with this diagnosis?

6 :
A nurse is caring for a client diagnosed with syndrome of inappropriate antidiuretic hormone (SIADH). What laboratory finding should the nurse anticipate?

7 :
A nurse is caring for a client with type 1 diabetes. Which regimen will achieve the best blood glucose control for this client?

8 :
What finding should the nurse identify as consistent with Cushing syndrome?

9 :
A nurse is caring for a client with end-stage renal disease (ESRD). What laboratory finding(s) should the nurse anticipate? Select all that apply.

10 :
A nurse is caring for a client in a myxedema coma. Which action should the nurse prioritize?

1 : The nurse plans post-operative education for a client scheduled for cataract surgery. What post-operative instruction(s) should the nurse include in the teaching? Select all that apply.

2 : The nurse provides education about insulin storage to a client newly diagnosed with type 1 diabetes. What client statement indicates a need for additional education?

3 : A nurse is caring for a client.

Answer Options

4 : A nurse is providing discharge education to a client newly diagnosed with type 1 diabetes about self-monitoring of blood glucose (SMBG). What client statement(s) indicate an understanding of the education? Select all that apply.

5 : A nurse is assessing a client for type 1 diabetes. Which statement by the client is consistent with this diagnosis?

6 : A nurse is caring for a client diagnosed with syndrome of inappropriate antidiuretic hormone (SIADH). What laboratory finding should the nurse anticipate?

7 : A nurse is caring for a client with type 1 diabetes. Which regimen will achieve the best blood glucose control for this client?

8 : What finding should the nurse identify as consistent with Cushing syndrome?

9 : A nurse is caring for a client with end-stage renal disease (ESRD). What laboratory finding(s) should the nurse anticipate? Select all that apply.

10 : A nurse is caring for a client in a myxedema coma. Which action should the nurse prioritize?

1 :
The nurse plans post-operative education for a client scheduled for cataract surgery. What post-operative instruction(s) should the nurse include in the teaching? Select all that apply.

2 :
The nurse provides education about insulin storage to a client newly diagnosed with type 1 diabetes. What client statement indicates a need for additional education?

3 :
A nurse is caring for a client.

4 :
A nurse is providing discharge education to a client newly diagnosed with type 1 diabetes about self-monitoring of blood glucose (SMBG). What client statement(s) indicate an understanding of the education? Select all that apply.

5 :
A nurse is assessing a client for type 1 diabetes. Which statement by the client is consistent with this diagnosis?

6 :
A nurse is caring for a client diagnosed with syndrome of inappropriate antidiuretic hormone (SIADH). What laboratory finding should the nurse anticipate?

7 :
A nurse is caring for a client with type 1 diabetes. Which regimen will achieve the best blood glucose control for this client?

8 :
What finding should the nurse identify as consistent with Cushing syndrome?

9 :
A nurse is caring for a client with end-stage renal disease (ESRD). What laboratory finding(s) should the nurse anticipate? Select all that apply.

10 :
A nurse is caring for a client in a myxedema coma. Which action should the nurse prioritize?