2
PNH301 final Exam pt.2 with verified detailed answers || || || || || || ||
1. The MD ORDERS 2 IV's. the first IV is infusing normal saline, due to Demetria's
|| || || || || || || || || || || || || || || ||
dehydration. A second IV is 5% dexterous & 45% normal saline solution with insulin added.
|| || || || || || || || || || || || || || ||
You review the order and know that the only insulin preparation that can be given IV is:
|| || || || || || || || || || || || || || || ||
a. Humulin N
|| ||
b. Humulin R
|| ||
c. Ultralente
||
d. Humulin 30/70
|| ||
b. Humulin R
|| ||
The nurse understands that a diagnosis of diabetes means Mrs. James has increased risk of:
|| || || || || || || || || || || || || ||
a. Deep vein thrombosis (DVT)
|| || || ||
b. Pancreatic cancer
|| ||
c. Myocardial insufficiency disease
|| || ||
d. Peripheral vascular disease
|| || ||
d. PVD
||
When teaching Mrs. James about taking an oral antihyperglycemic, the nurse
|| || || || || || || || || ||
determines that additional teaching about the medication is needed when she gives the
|| || || || || || || || || || || || ||
following response: ||
a) "If I overeat at a meal, I should not take an extra dose of my medication.
|| || || || || || || || || || || || || || || ||
b) "If I become ill or stressed, I may have to take insulin to control my blood
|| || || || || || || || || || || || || || || ||
sugar.
,2
c) "Since I can take oral drugs rather than insulin, my diabetes is not serious
|| || || || || || || || || || || || || ||
and won't cause many complications.
|| || || ||
d) "I should check with my doctor before taking any other medications
|| || || || || || || || || || ||
because there are many that will affect glucose levels."
|| || || || || || || ||
C.
Mr. Demetria has received diet instruction as part of his treatment plan. The nurse
|| || || || || || || || || || || || || ||
determines a need for additional teaching when he makes which of the following || || || || || || || || || || || || ||
comments?
a) "I may have an occasional alcoholic drink if I include it in my meal plan
|| || || || || || || || || || || || || || ||
b) "I will need a bedtime snack because I take an evening dose of NPH
|| || || || || || || || || || || || || ||
insulin"
c) "I may eat whatever I want as long as I cover the calories with sufficient
|| || || || || || || || || || || || || || ||
insulin"
d) "I need to eat meals as scheduled, even if I am not hungry, to prevent
|| || || || || || || || || || || || || || ||
hypoglycemia
C.
Demetria asks why more than one injection of insulin is required each day,
|| || || || || || || || || || || ||
what is the nurse's best response?
|| || || || ||
a. "You need to start with multiple injections until you become more pro
|| || || || || || || || || || || ||
at self-injection"
||
b. "A single dose of insulin each day would not match your changing
|| || || || || || || || || || || ||
sugar levels and your food intake pattern closely enough"
|| || || || || || || ||
,2
c. "A regimen of a single dose of insulin injected each day would require that you eat no
|| || || || || || || || || || || || || || || || || ||
more than one meal each day" || || || || ||
d. "A single dose of insulin would be too large to be absorbed predictably, so you would be
|| || || || || || || || || || || || || || || || || ||
in danger of unexpected insulin shock"
|| || || || ||
b.
The nurse is assessing a patient with new onset of type 1 diabetes. Which question should
|| || || || || || || || || || || || || || || ||
the nurse ask to determine if the patient has experienced any of the symptoms of type 1
|| || || || || || || || || || || || || || || || ||
diabetes?
a. Have you lost any weight lately?
|| || || || || ||
b. Do you crave fluids containing sugar?
|| || || || || ||
C. How long have you felt anorexic?
|| || || || || ||
d. Is your urine dark in colour?
|| || || || || ||
a.
The nurse is teaching a patient with diabetes mellitus about differentiating between
|| || || || || || || || || || || ||
hypoglycemia and ketoacidosis. The patient demonstrates an understanding of the teaching || || || || || || || || || || ||
by stating that he should take some glucose by mouth when the following symptom
|| || || || || || || || || || || || || ||
develops.
a. Polyuria
||
b. Dry mouth
|| ||
c. Fruity breath odour
|| || ||
d. Shakiness
||
d.
, 2
The patient arrives to the emergency department with decreased Level of consciousness,
|| || || || || || || || || || || ||
shortness of breath and pallor. He is diagnosed with Diabetic Ketoacidosis. What is the
|| || || || || || || || || || || || || ||
priority physician order? || ||
a. IV insertion and IV normal saline bolus
|| || || || || || ||
b. Continuous Sp02 monitor
|| || ||
c. Dietician to see
|| || ||
d. urine culture
|| ||
a.
The nurse is monitoring a patient who has been newly diagnosed with diabetes mellitus
|| || || || || || || || || || || || || ||
type 1 for signs of complications. Which statement made by the patient would indicate
|| || || || || || || || || || || || || ||
hyperglycemia and the need to contact a health care provider? || || || || || || || || ||
a. "I am urinating a lot"
|| || || || ||
b. "My pulse is really slow"
|| || || || ||
C."I am sweating for no reason"
|| || || || ||
d. "My blood pressure is really high"
|| || || || || ||
a.
remember 3 Ps! || ||
polyuria, polydipsia, polyphagia || ||
Mrs. Jones, a 70-year-old with type 2 diabetes mellitus has a morning blood sugar reading of
|| || || || || || || || || || || || || || ||
4.7mmol/L before breakfast. The nurse's best action is to:
|| || || || || || || || ||
a. Quickly give Mrs. Jones some sweetened orange juice
|| || || || || || || ||
b. Call the physician to get Mrs. Jones an increased insulin order
|| || || || || || || || || || ||
C. Document the findings in Mrs. Jones' chart as per policy
|| || || || || || || || || ||
PNH301 final Exam pt.2 with verified detailed answers || || || || || || ||
1. The MD ORDERS 2 IV's. the first IV is infusing normal saline, due to Demetria's
|| || || || || || || || || || || || || || || ||
dehydration. A second IV is 5% dexterous & 45% normal saline solution with insulin added.
|| || || || || || || || || || || || || || ||
You review the order and know that the only insulin preparation that can be given IV is:
|| || || || || || || || || || || || || || || ||
a. Humulin N
|| ||
b. Humulin R
|| ||
c. Ultralente
||
d. Humulin 30/70
|| ||
b. Humulin R
|| ||
The nurse understands that a diagnosis of diabetes means Mrs. James has increased risk of:
|| || || || || || || || || || || || || ||
a. Deep vein thrombosis (DVT)
|| || || ||
b. Pancreatic cancer
|| ||
c. Myocardial insufficiency disease
|| || ||
d. Peripheral vascular disease
|| || ||
d. PVD
||
When teaching Mrs. James about taking an oral antihyperglycemic, the nurse
|| || || || || || || || || ||
determines that additional teaching about the medication is needed when she gives the
|| || || || || || || || || || || || ||
following response: ||
a) "If I overeat at a meal, I should not take an extra dose of my medication.
|| || || || || || || || || || || || || || || ||
b) "If I become ill or stressed, I may have to take insulin to control my blood
|| || || || || || || || || || || || || || || ||
sugar.
,2
c) "Since I can take oral drugs rather than insulin, my diabetes is not serious
|| || || || || || || || || || || || || ||
and won't cause many complications.
|| || || ||
d) "I should check with my doctor before taking any other medications
|| || || || || || || || || || ||
because there are many that will affect glucose levels."
|| || || || || || || ||
C.
Mr. Demetria has received diet instruction as part of his treatment plan. The nurse
|| || || || || || || || || || || || || ||
determines a need for additional teaching when he makes which of the following || || || || || || || || || || || || ||
comments?
a) "I may have an occasional alcoholic drink if I include it in my meal plan
|| || || || || || || || || || || || || || ||
b) "I will need a bedtime snack because I take an evening dose of NPH
|| || || || || || || || || || || || || ||
insulin"
c) "I may eat whatever I want as long as I cover the calories with sufficient
|| || || || || || || || || || || || || || ||
insulin"
d) "I need to eat meals as scheduled, even if I am not hungry, to prevent
|| || || || || || || || || || || || || || ||
hypoglycemia
C.
Demetria asks why more than one injection of insulin is required each day,
|| || || || || || || || || || || ||
what is the nurse's best response?
|| || || || ||
a. "You need to start with multiple injections until you become more pro
|| || || || || || || || || || || ||
at self-injection"
||
b. "A single dose of insulin each day would not match your changing
|| || || || || || || || || || || ||
sugar levels and your food intake pattern closely enough"
|| || || || || || || ||
,2
c. "A regimen of a single dose of insulin injected each day would require that you eat no
|| || || || || || || || || || || || || || || || || ||
more than one meal each day" || || || || ||
d. "A single dose of insulin would be too large to be absorbed predictably, so you would be
|| || || || || || || || || || || || || || || || || ||
in danger of unexpected insulin shock"
|| || || || ||
b.
The nurse is assessing a patient with new onset of type 1 diabetes. Which question should
|| || || || || || || || || || || || || || || ||
the nurse ask to determine if the patient has experienced any of the symptoms of type 1
|| || || || || || || || || || || || || || || || ||
diabetes?
a. Have you lost any weight lately?
|| || || || || ||
b. Do you crave fluids containing sugar?
|| || || || || ||
C. How long have you felt anorexic?
|| || || || || ||
d. Is your urine dark in colour?
|| || || || || ||
a.
The nurse is teaching a patient with diabetes mellitus about differentiating between
|| || || || || || || || || || || ||
hypoglycemia and ketoacidosis. The patient demonstrates an understanding of the teaching || || || || || || || || || || ||
by stating that he should take some glucose by mouth when the following symptom
|| || || || || || || || || || || || || ||
develops.
a. Polyuria
||
b. Dry mouth
|| ||
c. Fruity breath odour
|| || ||
d. Shakiness
||
d.
, 2
The patient arrives to the emergency department with decreased Level of consciousness,
|| || || || || || || || || || || ||
shortness of breath and pallor. He is diagnosed with Diabetic Ketoacidosis. What is the
|| || || || || || || || || || || || || ||
priority physician order? || ||
a. IV insertion and IV normal saline bolus
|| || || || || || ||
b. Continuous Sp02 monitor
|| || ||
c. Dietician to see
|| || ||
d. urine culture
|| ||
a.
The nurse is monitoring a patient who has been newly diagnosed with diabetes mellitus
|| || || || || || || || || || || || || ||
type 1 for signs of complications. Which statement made by the patient would indicate
|| || || || || || || || || || || || || ||
hyperglycemia and the need to contact a health care provider? || || || || || || || || ||
a. "I am urinating a lot"
|| || || || ||
b. "My pulse is really slow"
|| || || || ||
C."I am sweating for no reason"
|| || || || ||
d. "My blood pressure is really high"
|| || || || || ||
a.
remember 3 Ps! || ||
polyuria, polydipsia, polyphagia || ||
Mrs. Jones, a 70-year-old with type 2 diabetes mellitus has a morning blood sugar reading of
|| || || || || || || || || || || || || || ||
4.7mmol/L before breakfast. The nurse's best action is to:
|| || || || || || || || ||
a. Quickly give Mrs. Jones some sweetened orange juice
|| || || || || || || ||
b. Call the physician to get Mrs. Jones an increased insulin order
|| || || || || || || || || || ||
C. Document the findings in Mrs. Jones' chart as per policy
|| || || || || || || || || ||
