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Exam (elaborations)

HESI AND MED SURF EXAM -55 Q&A

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1. The client who experiences angina has been told to follow a low cholesterol diet. Which of the following meals would be best? 2. Hamburger, salad, and milkshake. 3. Baked liver, green beans, and coffee. 4. Spaghetti with tomato sauce, salad, and coffee. 5. Fried chicken, green beans, and skim milk. 2. The nurse should caution the client with diabetes mellitus who is taking a sulfonylurea (GLIPAZIDE, GLYBURIDE) that alcoholic beverages should be avoided while taking these drugs because they can cause which of the following? 1. Hypokalemia. 2. Hyperkalemia. 3. Hypocalcemia. 4. Disulfiram (Antabuse)–like symptoms. 3. Which of the following conditions is the most significant risk factor for the development of type 2 diabetes mellitus? 1. Cigarette smoking. 2. High-cholesterol diet. 3. Obesity. 4. Hypertension. 4. Which of the following indicates a potential complication of diabetes mellitus? 1. Inflamed, painful joints. 2. Blood pressure of 160/100 mm Hg. 3. Stooped appearance. 4. Hemoglobin of 9 g/dL (90 g/L). 5. The nurse is teaching the client about home blood glucose monitoring. Which of the following blood glucose measurements indicates hypoglycemia? 1. 59 mg/dL (3.3 mmol/L). 2. 75 mg/dL (4.2 mmol/L). 3. 108 mg/dL (6 mmol/L). 4. 119 mg/dL (6.6 mmol/L). 6. Assessment of the diabetic client for common complications should include examination of the: 1. Abdomen. 2. Lymph glands. 3. Pharynx. 4. Eyes.- Diabetic retinopathy, cataracts, and glaucoma are common complications. Feet should also be examined at each encounter. 7. The client with type 1 diabetes mellitus is taught to take isophane insulin suspension NPH (Humulin N) at 5 PM each day. The client should be instructed that the greatest risk of hypoglycemia will occur at about what time? 1. 11 AM, shortly before lunch. 2. 1 PM, shortly after lunch. 3. 6 PM, shortly after dinner. 4. 1 AM, while sleeping. – eat a bedtime snack to help prevent hypoglycemia while sleeping. 8. A nurse is teaching a client with type 1 diabetes mellitus who jogs daily about the preferred sites for insulin absorption. What is the most appropriate site for a client who jogs? 1. Arms. 2. Legs.

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Institution
Hesi med surg
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Hesi med surg

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Uploaded on
December 7, 2022
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Written in
2022/2023
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HESI RN MED SURG EXAM 2022
-55 QUESTIONS & ANSWERS

, 1.The client who experiences angina has been told to follow a
low cholesterol diet. Which of the following meals would be
best?
2.Hamburger, salad, and milkshake.
3.Baked liver, green beans, and coffee.
4.Spaghetti with tomato sauce, salad, and coffee.
5.Fried chicken, green beans, and skim milk.

2. The nurse should caution the client with diabetes mellitus who is taking a
sulfonylurea (GLIPAZIDE, GLYBURIDE) that alcoholic beverages should be
avoided while taking these drugs because they can cause which of the following?
1.Hypokalemia.
2.Hyperkalemia.
3.Hypocalcemia.
4.Disulfiram (Antabuse)–like symptoms.

3. Which of the following conditions is the most significant risk
factor for the development of type 2 diabetes mellitus?
1. Cigarette smoking.
2. High-cholesterol diet.
3. Obesity.
4. Hypertension.

4. Which of the following indicates a potential complication of diabetes mellitus?
1.Inflamed, painful joints.
2.Blood pressure of 160/100 mm Hg.
3.Stooped appearance.
4.Hemoglobin of 9 g/dL (90 g/L).

5.The nurse is teaching the client about home blood glucose
monitoring. Which of the following blood glucose measurements
indicates hypoglycemia?
1. 59 mg/dL (3.3 mmol/L).
2. 75 mg/dL (4.2 mmol/L).
3. 108 mg/dL (6 mmol/L).
4. 119 mg/dL (6.6
mmol/L).

6. Assessment of the diabetic client for common complications
should include examination of the:
1.Abdomen.
2.Lymph glands.
3.Pharynx.
4.Eyes.- Diabetic retinopathy, cataracts, and glaucoma are common complications.
Feet should also be examined at each encounter.

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