NU 404 Exam #3 Questions and Answers| New Update with 100% Correct Answers
A nurse is teaching a client who has diabetes mellitus about the manifestations of
hypoglycemia. Which of the following statements by the client indicates an understanding of
the teaching?
Select one:
a.
"I will feel shaky."
b.
"I will be more thirsty than usual."
c.
"My skin will be warm and moist."
d.
"My appetite will be decreased." a
A nurse is caring for a client who has diabetic ketoacidosis. Which of the following
manifestations should the nurse expect?
Select one:
a.
Malignant hypertension
b.
Acetone odor to breath
c.
Cheyne-Stokes breathing
d.
Blood glucose level below 40 mg/dL b
A nurse in an emergency department is caring for a client who has diabetic ketoacidosis (DKA)
and a blood glucose level of 925 mg/dL. The nurse should anticipate which of the following
prescriptions from the provider?
,Select one:
a.
Oral hypoglycemic medications
b.
0.9% sodium chloride IV bolus
c.
Dextrose 5% in 0.45% sodium chloride
d.
Glucocorticoid medications b
A nurse is caring for an adolescent client who has a long history of diabetes mellitus and is
being admitted to the emergency department confused, flushed, and with an acetone odor on
the breath. Diabetic ketoacidosis is suspected. The nurse should anticipate using which of the
following types of insulin to treat this client?
Select one:
a.
NPH insulin
b.
Insulin glargine
c.
Insulin detemir
d.
Regular insulin d
The patient diagnosed with a small 3 cm AAA. What is the best nonsurgical intervention to
decrease the risk of rupture of an aneurysm and to slow the rate of enlargement?
Select one:
a.
,bedrest until there is shrinkage of the aneurysm
b.
heparin and coumadin therapy to decrease clotting
c.
maintenance of normal blood pressure & avoidance of hypertension
d.
intra-arterial thrombolytic therapy c
A nurse is assessing for paradoxical blood pressure on a client who has constrictive pericarditis.
Which of the following findings should the nurse expect?
Select one:
a.
Drop in systolic BP by 20 mm Hg when changing positions
b.
Decrease in systolic pressure by more than 10 mm Hg during inspiration
c.
Apical pulse rate is different than the radial pulse rate
d.
Increase in heart rate by 20% when moving from sitting to standing b
what are signs of hypoglycemia? select all that apply
a. blurred vision
b.polyuria
c. polydipsia
d. tachycardia
e. moist, clammy skin a,d,e
, what is a prescription for DKA with glucose of 925?
a. glucocorticoid med
b. dextrose 5% in 0.45% sodium chloride
c. oral hypoglycemic medications
d. 0.9% sodium chloride IV bolus d
patient has type 2 diabetes with HHS. What signs should the nurse expect?
a. kussmaul respiration
b. diarrhea and epigastric pain
c. dry mucous membrane
d. ketone breath c
what is the teaching for patients with type 1 DM, to decrease the risk of DKA during periods of
illness?
a. test your blood glucose level every 8 hours
b. check urine for ketones when blood glucose is greater than 240
c. withhold your usual dose of insulin
d. drink 240-360 of calorie free liquids every 8 hours b
healthy patient who has glucose level of 60. what are the counter-regulatory serum hormonal
changes are likely to occur in this patient? (select all that apply)
a. increased epi levels
b. decreased glucocorticoid levels
c. increased insulin levels
d. decreased thyroxine level
e. increase growth hormone a,e
4 clients with renal trauma, which requires immediate treatment
A nurse is teaching a client who has diabetes mellitus about the manifestations of
hypoglycemia. Which of the following statements by the client indicates an understanding of
the teaching?
Select one:
a.
"I will feel shaky."
b.
"I will be more thirsty than usual."
c.
"My skin will be warm and moist."
d.
"My appetite will be decreased." a
A nurse is caring for a client who has diabetic ketoacidosis. Which of the following
manifestations should the nurse expect?
Select one:
a.
Malignant hypertension
b.
Acetone odor to breath
c.
Cheyne-Stokes breathing
d.
Blood glucose level below 40 mg/dL b
A nurse in an emergency department is caring for a client who has diabetic ketoacidosis (DKA)
and a blood glucose level of 925 mg/dL. The nurse should anticipate which of the following
prescriptions from the provider?
,Select one:
a.
Oral hypoglycemic medications
b.
0.9% sodium chloride IV bolus
c.
Dextrose 5% in 0.45% sodium chloride
d.
Glucocorticoid medications b
A nurse is caring for an adolescent client who has a long history of diabetes mellitus and is
being admitted to the emergency department confused, flushed, and with an acetone odor on
the breath. Diabetic ketoacidosis is suspected. The nurse should anticipate using which of the
following types of insulin to treat this client?
Select one:
a.
NPH insulin
b.
Insulin glargine
c.
Insulin detemir
d.
Regular insulin d
The patient diagnosed with a small 3 cm AAA. What is the best nonsurgical intervention to
decrease the risk of rupture of an aneurysm and to slow the rate of enlargement?
Select one:
a.
,bedrest until there is shrinkage of the aneurysm
b.
heparin and coumadin therapy to decrease clotting
c.
maintenance of normal blood pressure & avoidance of hypertension
d.
intra-arterial thrombolytic therapy c
A nurse is assessing for paradoxical blood pressure on a client who has constrictive pericarditis.
Which of the following findings should the nurse expect?
Select one:
a.
Drop in systolic BP by 20 mm Hg when changing positions
b.
Decrease in systolic pressure by more than 10 mm Hg during inspiration
c.
Apical pulse rate is different than the radial pulse rate
d.
Increase in heart rate by 20% when moving from sitting to standing b
what are signs of hypoglycemia? select all that apply
a. blurred vision
b.polyuria
c. polydipsia
d. tachycardia
e. moist, clammy skin a,d,e
, what is a prescription for DKA with glucose of 925?
a. glucocorticoid med
b. dextrose 5% in 0.45% sodium chloride
c. oral hypoglycemic medications
d. 0.9% sodium chloride IV bolus d
patient has type 2 diabetes with HHS. What signs should the nurse expect?
a. kussmaul respiration
b. diarrhea and epigastric pain
c. dry mucous membrane
d. ketone breath c
what is the teaching for patients with type 1 DM, to decrease the risk of DKA during periods of
illness?
a. test your blood glucose level every 8 hours
b. check urine for ketones when blood glucose is greater than 240
c. withhold your usual dose of insulin
d. drink 240-360 of calorie free liquids every 8 hours b
healthy patient who has glucose level of 60. what are the counter-regulatory serum hormonal
changes are likely to occur in this patient? (select all that apply)
a. increased epi levels
b. decreased glucocorticoid levels
c. increased insulin levels
d. decreased thyroxine level
e. increase growth hormone a,e
4 clients with renal trauma, which requires immediate treatment
