PN2 Exam 3 Part 2

The provider ordered saline with 20 mEq of KCL to infuse at 50 mL/hr. A 250 mL bag was hung at 1100. What time does the nurse anticipate needing to hang the second bag of IV fluids? (Record answer in military time - 1600 The laboratory values of a client who has diabetes mellitus include a fasting blood glucose level of 85 mg/dL and hemoglobin A1C of 8.1%. What is the nurse's interpretations of these findings? - a. The client's glucose control for the past 24 hours has been good, but the overall control is poor. A client is experiencing a transfusion reaction. The nurse realizes that a transfusion reaction is which type of hypersensitive reaction? - C. Type 2 The nurse is caring for a client who is administering insulin for diabetes mellitus for the first time. The nurse is instructing the client on mixing Humulin N insulin and Humulin R insulin in one syringe. Arrange the instruction in the correct order. 1. withdraw the Humulin R. 2. wipe with alcohol and inject air (equal to units ordered) into the Humulin N insulin 3. wipe with alcohol and inject air (equal to units ordered) into the Humulin R insulin 4. gently roll both insulin between your hands 5. double-check the total number of units in the syringe 6. Withdraw Humulin N insulin - A. 4,3,2,1,6,5 The laboratory values of a client who has diabetes mellitus include a fasting blood glucose level of 85 mg/dL and hemoglobin A1C of 6.8%. What are the nurse's interpretations of these findings? - The values indicate that the client has managed his or her disease well Your patient's blood glucose level is 215 mg/dL. The patient is about to eat lunch. Per sliding scale, you administer 4 units of Insulin Lispro (Humalog) subcutaneously at 1130. As the nurse, you know the patient is most at risk for hypoglycemia at what time? - b. 1230 A client is experiencing an episode of acute angle glaucoma. The nurse is anticipating to give which of the following medications? - Acetazolamide A labyrinthectomy can be performed to treat Meniere's syndrome. The nurse knows this procedure will result in which of the following? - Permanent irreversible deafness on affected side What is the best way for a client with macular degeneration to see a television screen? - On either side of the client A client diagnosed with diabetes mellitus 2 becomes diaphoretic and irritable during exercise. Which of the following should the client be instructed to do when this occurs? - Ingest 15-20g of simple carbohydrate The nurse is planning to assess a client diagnosed with conductive hearing loss when performing the weber test. The nurse should expect which of the following findings? - The sound is heard louder in the affected ear. An elderly client being treated for diabetes mellitus 2 begins experiencing lethargy weakness and polyuria while recovering from cataract surgery. The nurse suspects that the client is developing Hyperglycemic Hyperosmolar Nonketotic Syndrome when which of the following is assessed? (Select all that apply.) - a. Blood glucose level of 650 b. No ketones on the urine d. Serum osmolarity of 540 . The nurse is assessing a 22-year-old patient experiencing an onset of type I diabetes mellitus symptoms. which of the following question is most appropriate for the nurse to ask? - c. Have you lost weight A nurse is providing instruction to a client with diabetes to prevent blood borne infections. The nurse includes which statement in the teaching about selfmonitoring of blood glucose levels? - d. Do not share your equipment A client with diabetes mellitus has a HgbA1c level of 9. By this test result, the plans to teach the client about the need for which measure - Preventing and recognizing hyperglycemia The nurse correlates which assessment finding in the client with diabetes mellitus with decreasing renal function? - d. Ketone bodies in urine during acidosis A nurse has administered ceftriaxone IV to a client with Nucleoside Diphosphate Kinase A (NKDA). The client soon states I can't catch my breath and I feel shaky. What is the first action by the nurse? - b. Administer Benadryl