NUR 221 Exam 2 Practice Questions and answers

NUR 221 Exam 2 Practice Questions and answers


1. A nurse is caring for a client who is receiving insulin. For which of the following signs
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of hypoglycemic reaction should the nurse observe the client?
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a. fruity breath
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b. flushing of the face
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c. hunger
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d. dry, flaky skin - answer-1. Answer: c
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Hunger, nausea, pale, cool skin, and sweating are signs of a hypoglycemic reaction.
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Fruity breath may accompany ketoacidosis. Flushing of the face may accompany
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hyperglycemia. Dry, flaky skin is unrelated to hypoglycemia.
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2. The nurse is evaluating the client's knowledge of treatment if an insulin reaction
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occurs. Which of the following actions is most appropriate for the client to understand?
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a. notify the doctor
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b. inject a dose of regular insulin
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c. lie down and wait for the reaction to disappear
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d. take an oral form of glucose. - answer-2. Answer: d
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The initial reaction by the client is to take some form of oral glucose in order to raise the
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blood glucose level. Option 1 would delay appropriate self treatment. Option 2 and 3
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would cause further harm to the client.
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3. The nurse is instructing the client about insulin administration. Which of the following
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pieces of client information alerts the nurse that special instruction regarding insulin is
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necessary?
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a. client lives in an apartment with spouse
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b. client wishes to teach spouse how to administer insulin
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c. client jogs 3 to 4 miles every other day
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d. client takes a nap in the afternoon - answer-3. Answer: c
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Jogging increases insulin requirements and absorption can be increased if the drug is
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injected into the thigh. This lifestyle factor of the client requires special instruction.
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4. A client with a history of alcoholism has just been diagnosed with type 2 DM and is
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placed on tolbutamide (Orinase). The nurse explains that which of the following
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reactions may occur if the client drinks alcohol while taking this medication?
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a. decreased diuresis
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