Nursing Care Case Study Exam #3 with
complete Guide
When evaluating Bart's body mass index (BMI), what hypothesis can be made?
1. He is underweight.
2. He is within a normal weight.
3. He is overweight.
4. He is obese - ANS 4. He is obese
2. Which risk factor(s) does Bart have that contribute(s) to the diagnosis of
pre-diabetes? Select all that apply.
1. Hypertension.
2. Stress.
3. BMI.
4. Family history.
5. Current medications. - ANS 3. BMI.
4. Family history.
3. Which lab report confirms Bart's diagnosis of pre-diabetes?
1. Hemoglobin A1C of 6.5%.
2. Fasting glucose of 145 mg/dL.
3. Amylase level of 92 U/L.
4. A 1-hour glucose tolerance test of 256 mg/dL. - ANS 1. Hemoglobin A1C of 6.5%.
4. Jennifer, the diabetic nurse educator, meets with Bart for the first visit. What
question(s) should she ask? Select all that apply.
1. "How do you feel about this new diagnosis?"
2. "Can someone check your blood glucose for you?"
3. "What do you eat in a typical day?"
4. "How do you feel about taking medication?"
5. "Do you perform any daily exercise?" - ANS 1. "How do you feel about this new
diagnosis?"
3. "What do you eat in a typical day?"
5. "Do you perform any daily exercise?"
, 5. NurseThink® Prioritization Power! Evaluate the information within the diabetes
education note and pick the Top 3 Priority teaching concerns - ANS 1. Needs to
lower carbs less than 200 g a day
2. Regular exercise plan
3. Encourage weight loss
During the visit, Bart says to Jennifer, "I'm not sure why this is so important, medications
can correct the problem, so why does it matter what I eat?" How should the nurse
respond? - ANS Medications cannot always control glucose levels without a change
in diet and activity.
7. Bart says to Jennifer "the health care provider said that I have metabolic syndrome.
Can you tell me what that is?" How should Jennifer respond?
1. "It is a condition that impairs your ability to maintain a normal metabolic rate; causing
added weight around the belly."
2. "It is a syndrome that occurs with pre-diabetes and cannot be avoided."
3. "It is another name for pre-diabetes, and you shouldn't be concerned."
4. "It is several conditions including hypertension and diabetes that place you at a
higher risk for heart disease." - ANS 4. "It is several conditions including
hypertension and diabetes that place you at a higher risk for heart disease."
8. Jennifer evaluates that Bart has several teaching needs and will need to return for
additional visits to reinforce understanding. How should Jennifer prioritize these
pre-diabetic teaching points?
Accurate use of the blood glucose monitor. -
Difference between Types I and II diabetes. -
Daily logs for glucose readings. -
Limiting daily carbohydrates to 200 g/day. -
Importance of monitoring kidney function. -
Taking medication as prescribed. -
Insulin injection site rotation.
Daily foot inspection and care.
Importance of annual eye exams. -
Walking 30 minutes each day. - Sick day rules. - - ANS Accurate use of the blood
glucose monitor. - Priority
Difference between Types I and II diabetes. - Not a priority
Daily logs for glucose readings. - Priority
complete Guide
When evaluating Bart's body mass index (BMI), what hypothesis can be made?
1. He is underweight.
2. He is within a normal weight.
3. He is overweight.
4. He is obese - ANS 4. He is obese
2. Which risk factor(s) does Bart have that contribute(s) to the diagnosis of
pre-diabetes? Select all that apply.
1. Hypertension.
2. Stress.
3. BMI.
4. Family history.
5. Current medications. - ANS 3. BMI.
4. Family history.
3. Which lab report confirms Bart's diagnosis of pre-diabetes?
1. Hemoglobin A1C of 6.5%.
2. Fasting glucose of 145 mg/dL.
3. Amylase level of 92 U/L.
4. A 1-hour glucose tolerance test of 256 mg/dL. - ANS 1. Hemoglobin A1C of 6.5%.
4. Jennifer, the diabetic nurse educator, meets with Bart for the first visit. What
question(s) should she ask? Select all that apply.
1. "How do you feel about this new diagnosis?"
2. "Can someone check your blood glucose for you?"
3. "What do you eat in a typical day?"
4. "How do you feel about taking medication?"
5. "Do you perform any daily exercise?" - ANS 1. "How do you feel about this new
diagnosis?"
3. "What do you eat in a typical day?"
5. "Do you perform any daily exercise?"
, 5. NurseThink® Prioritization Power! Evaluate the information within the diabetes
education note and pick the Top 3 Priority teaching concerns - ANS 1. Needs to
lower carbs less than 200 g a day
2. Regular exercise plan
3. Encourage weight loss
During the visit, Bart says to Jennifer, "I'm not sure why this is so important, medications
can correct the problem, so why does it matter what I eat?" How should the nurse
respond? - ANS Medications cannot always control glucose levels without a change
in diet and activity.
7. Bart says to Jennifer "the health care provider said that I have metabolic syndrome.
Can you tell me what that is?" How should Jennifer respond?
1. "It is a condition that impairs your ability to maintain a normal metabolic rate; causing
added weight around the belly."
2. "It is a syndrome that occurs with pre-diabetes and cannot be avoided."
3. "It is another name for pre-diabetes, and you shouldn't be concerned."
4. "It is several conditions including hypertension and diabetes that place you at a
higher risk for heart disease." - ANS 4. "It is several conditions including
hypertension and diabetes that place you at a higher risk for heart disease."
8. Jennifer evaluates that Bart has several teaching needs and will need to return for
additional visits to reinforce understanding. How should Jennifer prioritize these
pre-diabetic teaching points?
Accurate use of the blood glucose monitor. -
Difference between Types I and II diabetes. -
Daily logs for glucose readings. -
Limiting daily carbohydrates to 200 g/day. -
Importance of monitoring kidney function. -
Taking medication as prescribed. -
Insulin injection site rotation.
Daily foot inspection and care.
Importance of annual eye exams. -
Walking 30 minutes each day. - Sick day rules. - - ANS Accurate use of the blood
glucose monitor. - Priority
Difference between Types I and II diabetes. - Not a priority
Daily logs for glucose readings. - Priority
