Nightingale College BSN346 – HESI Case Study: Suicide
& Nursing Care | Practice Questions & Verified Answers
Let's review your results from 1/9/2023 at 5:00 pm MST
Correct Incorrect
Question 1 of 28
As the nurse documents the client's assessment, the nurse is correct to question which
activity of a client with type II diabetes mellitus? (Select all that apply. One, some, or all
options may be correct.)
Select all that apply
Client’s frequency for checking blood glucose.
Too much glucose in the system can cause long-term complications such as heart disease.
Understanding how the client manages his diabetes can provide helpful insight on the treatment plans
and how to prevent further complications.
Quantity of Ensure taken per day.
Reviewing the amount of nutrition shakes the client consumes daily helps the nurse discern if proper
caloric intake is taking place as well as assess the client’s nutritional status.
Reason for lack of appetite.
If a person taking insulin fails to consume adequate carbohydrates, a drop in glucose levels is
possible, causing hypoglycemia (low blood glucose). Symptoms of hypoglycemia include headache,
disorientation, weakness, perspiration, shallow breathing, nervousness, visual disturbances, and
vertigo, and it sometimes leads to unconsciousness.
Christensen, Barbara L.(2010). Foundations of Nursing, 6th Edition. Mosby, page 639.
Amount of water and other fluids taken daily.
Clients with diabetes require more fluid intake to avoid dehydration because high levels of glucose
can lead to dehydration.
, Rebar, C., Ignatavicius, D., Workman, M. L. (2018). Medical-Surgical Nursing: concepts for
nterprofessional collaborative care, (9th ed.) St. Louis, MO, p. 195.
Last blood glucose result obtained by client.
This would be the least concern because the nurse is going to take the client’s blood glucose as part
of the initial assessment.
Question 2 of 28
The client mentions that he feels “blue” lately because his wife died one year ago, and his
children live out of state and seldom visit. The nurse knows that the greatest risk for major
depression includes which event?
Being retired from the military.
Retirement can be a source of depression but is not the greatest risk.
The realization of growing older.
Adapting to old age depends on personality traits and coping strategies and is not considered the
greatest risk for depression.
Ignatavicius, D., Workman, M. L. (2013). Medical-Surgical Nursing: Patient-Centered Collaborative
Care, (7th ed.), Saunders, St. Louis, MO, Elsevier, Inc., p. 15.
Inability to attend church regularly.
Inability to participate in spiritual activities that were once enjoyed can sometimes negatively affect
an elderly person. The client has not mentioned the inability to participate in activities he once
enjoyed.
Becoming widowed within the past year.
The combinations of sadness, loneliness from losing a loved one in widowhood, and hopelessness
leads to social withdrawal. Those feelings place an older adult at greater risk of suffering from major
depression because older adults are reluctant to adapt to changes.
Ignatavicius, D., Workman, M. L. (2013). Medical-Surgical Nursing: Patient-Centered Collaborative
Care, (7th ed.), Saunders, St. Louis, MO, Elsevier, Inc., p. 15.
, Question 3 of 28
The HCP prescribes 1000 mL dextrose 5% with normal saline 0.9% and 20 mEq/L
potassium chloride (KCl) to infuse at 100 mL/hr. The nurse is correct to question which
additive to this infusion prescription?
Normal saline (NS) and Potassium chloride (KCl).
The combination of potassium and calcium in the IV fluids assists to replenish electrolytes in the
body.
Normal saline (NS).
Normal saline is prescribed to replete volume not to treat a glucose.
Dextrose (D5).
Solutions that contain dextrose are not recommended for client with diabetes because they can result
in the rise of insulin, which will cause a decreased level of potassium in the blood. Dextrose may be
prescribed for a client with diabetes to prevent low blood sugar during surgery. As a result of the
many treatment and approaches to diabetes, it is important for the nurse to clarify the drug and
intravenous fluid prescriptions with the HCP.
Potassium chloride (KCl).
There appears to be a link between levels of potassium and glucose.
Question 4 of 28
The HCP prescribes 1000 mL normal saline 0.45% with 20 mEq/L
potassium chloride (KCl) to infuse at 125 mL/hr. The nurse calculates that
it will take how many hours for the infusion to be complete? (Enter
numeric value only. If rounding is required, round to the whole number.)
Total volume infused/mL per hour = infusion time. 1000 mL/125 mL = 8 hours
& Nursing Care | Practice Questions & Verified Answers
Let's review your results from 1/9/2023 at 5:00 pm MST
Correct Incorrect
Question 1 of 28
As the nurse documents the client's assessment, the nurse is correct to question which
activity of a client with type II diabetes mellitus? (Select all that apply. One, some, or all
options may be correct.)
Select all that apply
Client’s frequency for checking blood glucose.
Too much glucose in the system can cause long-term complications such as heart disease.
Understanding how the client manages his diabetes can provide helpful insight on the treatment plans
and how to prevent further complications.
Quantity of Ensure taken per day.
Reviewing the amount of nutrition shakes the client consumes daily helps the nurse discern if proper
caloric intake is taking place as well as assess the client’s nutritional status.
Reason for lack of appetite.
If a person taking insulin fails to consume adequate carbohydrates, a drop in glucose levels is
possible, causing hypoglycemia (low blood glucose). Symptoms of hypoglycemia include headache,
disorientation, weakness, perspiration, shallow breathing, nervousness, visual disturbances, and
vertigo, and it sometimes leads to unconsciousness.
Christensen, Barbara L.(2010). Foundations of Nursing, 6th Edition. Mosby, page 639.
Amount of water and other fluids taken daily.
Clients with diabetes require more fluid intake to avoid dehydration because high levels of glucose
can lead to dehydration.
, Rebar, C., Ignatavicius, D., Workman, M. L. (2018). Medical-Surgical Nursing: concepts for
nterprofessional collaborative care, (9th ed.) St. Louis, MO, p. 195.
Last blood glucose result obtained by client.
This would be the least concern because the nurse is going to take the client’s blood glucose as part
of the initial assessment.
Question 2 of 28
The client mentions that he feels “blue” lately because his wife died one year ago, and his
children live out of state and seldom visit. The nurse knows that the greatest risk for major
depression includes which event?
Being retired from the military.
Retirement can be a source of depression but is not the greatest risk.
The realization of growing older.
Adapting to old age depends on personality traits and coping strategies and is not considered the
greatest risk for depression.
Ignatavicius, D., Workman, M. L. (2013). Medical-Surgical Nursing: Patient-Centered Collaborative
Care, (7th ed.), Saunders, St. Louis, MO, Elsevier, Inc., p. 15.
Inability to attend church regularly.
Inability to participate in spiritual activities that were once enjoyed can sometimes negatively affect
an elderly person. The client has not mentioned the inability to participate in activities he once
enjoyed.
Becoming widowed within the past year.
The combinations of sadness, loneliness from losing a loved one in widowhood, and hopelessness
leads to social withdrawal. Those feelings place an older adult at greater risk of suffering from major
depression because older adults are reluctant to adapt to changes.
Ignatavicius, D., Workman, M. L. (2013). Medical-Surgical Nursing: Patient-Centered Collaborative
Care, (7th ed.), Saunders, St. Louis, MO, Elsevier, Inc., p. 15.
, Question 3 of 28
The HCP prescribes 1000 mL dextrose 5% with normal saline 0.9% and 20 mEq/L
potassium chloride (KCl) to infuse at 100 mL/hr. The nurse is correct to question which
additive to this infusion prescription?
Normal saline (NS) and Potassium chloride (KCl).
The combination of potassium and calcium in the IV fluids assists to replenish electrolytes in the
body.
Normal saline (NS).
Normal saline is prescribed to replete volume not to treat a glucose.
Dextrose (D5).
Solutions that contain dextrose are not recommended for client with diabetes because they can result
in the rise of insulin, which will cause a decreased level of potassium in the blood. Dextrose may be
prescribed for a client with diabetes to prevent low blood sugar during surgery. As a result of the
many treatment and approaches to diabetes, it is important for the nurse to clarify the drug and
intravenous fluid prescriptions with the HCP.
Potassium chloride (KCl).
There appears to be a link between levels of potassium and glucose.
Question 4 of 28
The HCP prescribes 1000 mL normal saline 0.45% with 20 mEq/L
potassium chloride (KCl) to infuse at 125 mL/hr. The nurse calculates that
it will take how many hours for the infusion to be complete? (Enter
numeric value only. If rounding is required, round to the whole number.)
Total volume infused/mL per hour = infusion time. 1000 mL/125 mL = 8 hours
