Evolve HESI EXAM A+ GRADE ASSURED COMPLETE SOLUTIONS AND VERIFIED ANSWERS

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Exam Solution vc




Hesi Case Study on Evolve for Medical Surgical Diabetes
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2026 A+ GRADE ASSURED COMPLETE SOLUTIONS AND vc vc vc vc vc vc vc




VERIFIED ANSWERS (E6F27) vc vc




QUESTION 1 vc




A college student comes to the student health center with a 4-day history of flu-
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like symptoms. The client reports feeling increasing fatigue, thirst, and nausea over the l
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ast 24 hours. Further assessment and lab work indicate that the client is experiencing di
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abetic ketoacidosis (DKA). The client is transferred to an acute care facility for treatment
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.
ANSWER

the case study
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QUESTION 2 vc




To achieve the goal of restoring the client's fluid volume, the nurse would expect to impl
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ement which intervention? vc vc




ANSWER

Maintain an infusion of normal saline solution. Rationale: The treatment of hyperglycemia includes fluid
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replacement to correct dehydration caused by the increased concentration of glucose in the blood. Isoto
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nic fluids, such as normal saline, are used initially to treat the dehydration.
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QUESTION 3 vc




To restore the client's blood glucose to a normal level, what should the nurse prepare to
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administer?
ANSWER

An IV infusion containing regular insulin. Continuous IV infusions containing regular insulin are used to
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reduce the client's blood glucose level. The client's IV solution will be changed to one that contains gluc
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ose when her blood glucose level reaches 250 mg/dl.
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, QUESTION 4 vc




In addition to monitoring the client's blood glucose level, what additional lab values sho
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uld the nurse monitor carefully? (Select all that apply. One, some, or all options may be c
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orrect.)
ANSWER

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Hemoglobin. Rationale: Though blood glucose and potassium are the most critical lab values to assess,
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hemoglobin levels may be altered related to the state of hydration and should be monitored. -
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Calcium. Rationale: Calcium levels should also be monitored for clients that have DKA. -
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Potassium Rationale: Treatment with an IV insulin infusion will cause the potassium to return to the cel
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ls and may result in hypokalemia. Lara should be closely monitored for symptoms of hypokalemia. Supp
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lemental potassium may be added to the IV infusion to prevent or correct this. -
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Blood Urea Nitrogen (BUN). Rationale: Dehydration that occurs with DKA can lead to an increased BUN
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and should be monitored for signs of renal insufficiency.
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QUESTION 5 vc




The client tells the nurse that they know that diabetes is a chronic condition and realizes
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that they probably had it for a while. The client asks why didn't they experience any sy
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mptoms before now. How should the nurse respond? vc vc vc vc vc vc vc




ANSWER

The symptoms have an abrupt onset that is often brought on by a viral illness, like the flu. Rationale: Sin
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ce Type 1 diabetes seems to involve an interaction of genetic predisposition with an environmental trig
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ger, the onset of symptoms is often abrupt, following an illness such as the flu.
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QUESTION 6 vc




The client states that they wish they hadn't gotten the flu so that the diabetes wouldn't h
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ave been discovered, and they could keep having a normal life. What is the best initial re
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sponse by the nurse? vc vc vc




ANSWER

It must be quite a shock to learn that you have diabetes. Rationale: This statement acknowledges the cli
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ent's feelings, and is open-ended, allowing the client to continue to verbalize their feelings if they wish.
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QUESTION 7 vc




The client starts to cry and says that the nurse has no idea how awful this is and asks to
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be left alone. What is the best response by the nurse?
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ANSWER