Nur 3490 Exam 2 - Set 3 Questions With Complete Solutions
3 P's of Diabetes Correct Answers Polyuria - the need to
frequently urinate, particularly at night.
Polydipsia - increased thirst & need for fluids. Polyphagia - an
increased appetite.
A 54-year-old patient admitted with type 2 diabetes, asks the
nurse what "type 2" means. Which of the following is the most
appropriate response by the nurse? Correct Answers "With type
2 diabetes, insulin secretion is decreased and insulin resistance is
increased."
A 6 year-old is admitted with sickle cell crisis. The patient has a
FACE scale rating of 10 and the following vital signs: HR 115,
BP 120/82, RR 18, oxygen saturation 91%, temperature 101.4'F.
Select all the appropriate nursing interventions for this patient at
this time? Correct Answers Administer IV Morphine per MD
order
Administer oxygen per MD order
Start intravenous fluids per MD order
Keep patient on bed rest
Remove restrictive clothing or objects from the patient
A child with hemophilia wishes to participate in sports. Which
sport should the nurse recommend as the most appropriate for
the child? Correct Answers Swimming
A client with diabetes melllitus has a blood glucose of
644mg/dl. The nurse interprets that this client is most at risk of
, developing which type of acid base imbalance? Correct Answers
Metabolic acidosis
- Rationale: DM can lead to metabolic acidosis. When the body
does not have sufficient circulating insulin, the blood glucose
level rises. At the same time, the cells of the body use all
available glucose. The body then breaks down glycogen and fat
for fuel. The by-products of fat metabolism are acidotic and can
lead to the condition known as diabetic ketoacidosis.(DKA)
A diabetic patient has a serum glucose level of 824 mg/dL (45.7
mmol/L) and is unresponsive. Following assessment of the
patient, the nurse suspects diabetic ketoacidosis rather than
hyperosmolar hyperglycemic syndrome based on the finding of
Correct Answers rapid, deep respirations
A nurse is caring for a child with von Willebrand disease. The
nurse is aware that which of the following is a (are) clinical
manifestation(s) of von Willebrand disease? Select all that
apply. Correct Answers 1. Bleeding of the mucous membranes.
2. The child bruises easily.
3. Excessive menstruation.
4. The child has frequent nosebleeds.
A nurse is caring for a client with type 1 diabetes mellitus.
Which client complaint would alert the nurse to the presence of
a possible hypoglycemic reaction ? Correct Answers Tremors
A nurse is caring for a toddler who has acute otitis media.
Which of the following is the priority action for the nurse to
take? Correct Answers D. Administer analgesics.
3 P's of Diabetes Correct Answers Polyuria - the need to
frequently urinate, particularly at night.
Polydipsia - increased thirst & need for fluids. Polyphagia - an
increased appetite.
A 54-year-old patient admitted with type 2 diabetes, asks the
nurse what "type 2" means. Which of the following is the most
appropriate response by the nurse? Correct Answers "With type
2 diabetes, insulin secretion is decreased and insulin resistance is
increased."
A 6 year-old is admitted with sickle cell crisis. The patient has a
FACE scale rating of 10 and the following vital signs: HR 115,
BP 120/82, RR 18, oxygen saturation 91%, temperature 101.4'F.
Select all the appropriate nursing interventions for this patient at
this time? Correct Answers Administer IV Morphine per MD
order
Administer oxygen per MD order
Start intravenous fluids per MD order
Keep patient on bed rest
Remove restrictive clothing or objects from the patient
A child with hemophilia wishes to participate in sports. Which
sport should the nurse recommend as the most appropriate for
the child? Correct Answers Swimming
A client with diabetes melllitus has a blood glucose of
644mg/dl. The nurse interprets that this client is most at risk of
, developing which type of acid base imbalance? Correct Answers
Metabolic acidosis
- Rationale: DM can lead to metabolic acidosis. When the body
does not have sufficient circulating insulin, the blood glucose
level rises. At the same time, the cells of the body use all
available glucose. The body then breaks down glycogen and fat
for fuel. The by-products of fat metabolism are acidotic and can
lead to the condition known as diabetic ketoacidosis.(DKA)
A diabetic patient has a serum glucose level of 824 mg/dL (45.7
mmol/L) and is unresponsive. Following assessment of the
patient, the nurse suspects diabetic ketoacidosis rather than
hyperosmolar hyperglycemic syndrome based on the finding of
Correct Answers rapid, deep respirations
A nurse is caring for a child with von Willebrand disease. The
nurse is aware that which of the following is a (are) clinical
manifestation(s) of von Willebrand disease? Select all that
apply. Correct Answers 1. Bleeding of the mucous membranes.
2. The child bruises easily.
3. Excessive menstruation.
4. The child has frequent nosebleeds.
A nurse is caring for a client with type 1 diabetes mellitus.
Which client complaint would alert the nurse to the presence of
a possible hypoglycemic reaction ? Correct Answers Tremors
A nurse is caring for a toddler who has acute otitis media.
Which of the following is the priority action for the nurse to
take? Correct Answers D. Administer analgesics.
