NUR 155 Final Review questions and answers

A nurse is evaluating a patients understanding of proper treatment of hypoglycemia. Which of the following measures indicates effective teaching? Select all that apply. A. "I will drink 120 mL of orange juice" B. "I could eat 2 soft boiled eggs with 2 saltine crackers" C. "I will take a 4 mg Glucose tablet" D. "I will drink a regular 150 mL of Coca Cola" E. "I should keep Lifesavers or other hard candies with me at all times" A. I will drink 120 mL of orange juice D. I will drink a regular 150 mL of Coca Cola When considering patient teaching about glargine insulin (Lantus), the nurse should include which of the following information? A. Glargine peaks in 4-6 hours to control glucose levels in between meals B. This insulin is designed to provide a basal rate of insulin for 24 hours C. Glargine will treat acute spikes in your glucose levels D. Glargine may be given IV in an emergent situation to lower blood sugar rapidly B. This insulin is designed to provide a basal rate of insulin for 24 hours A nurse at the clinic speaks to a diabetic patient on the phone who reports symptoms of nausea and vomiting. What priority instruction should the nurse tell this patient? A. "You should continue with your normal diet" B. "Try to eat or drink small amounts of carbohydrates every 1-2 hours if possible to keep your BGL in the target range" C. "Make sure you check your blood sugar levels AC and HS during this time of day" D. "Let your digestive system rest and only consume sips of water for the next eight hours" B. "Try to eat or drink small amounts of carbohydrates every 1-2 hours if possible to keep your BGL in the target range" The goal of insulin therapy is to regulate insulin and blood sugar as would the normal pancreas. This goal is best achieved by: A. Giving regular insulin whenever BGL is above 200 B. Using a combination of Aspart or Lispro insulin with Glargine insulin C. Administering NPH insulin twice daily D. Using a sliding scalee to manage basal and bolus dosing B. Using a combination of Aspart or Lispro insulin with Glargine insulin One day after cataract surgery, the client is having discomfort from bright light. The nurse would advise the client to: A. Dim lights in the house and stay inside for 1 week B. Attach sun shields to existing eyeglasses when in direct sunlight C. Use sunglasses that wrap around the side of the face when in bright light D. Patch the affected eye when in bright light C. Use sunglasses that wrap around the side of the face when in bright light A client has been diagnosed with an acute episode of angle-closure glaucoma. The nurse plans the clients nursing care with the understanding that acute angle-closure glaucoma: A. Frequently resolves without treatment B. Is typically treated with sustained bed rest C. Is a medical emergency that can rapidly lead to blindness D. Is the most commonly treated with steroid therapy C. Is a medical emergency that can rapidly lead to blindness A client has vertigo. Which goal would be most appropriate to prevent injury related to altered immobility and gait disturbances? Select all that apply. A. The client assume a safe position when dizzy B. The client experiences no falls C. The client performs vestibular/balance exercises D. The client demonstrates family involvement E. The client keep the head still when dizzy A. The client assume a safe position when dizzy B. The client experiences no falls C. The client performs vestibular/balance exercises E. The client keep the head still when dizzy When receiving a patients lab work, the nurse notes the following values. Which value would require immediate action by the nurse? A. Magnesium 1.2 mEq/L B. Calcium 8.5 mg/dL C. Phosphorous 2.6 mg/dL D. Chloride 98 mEq/L A. Magnesium 1.2 mEq/L Which of the following dietary choices would best indicate that a patient understands the lifestyle management of hypertension? A. Fried fish, coleslaw and baked potato with butter and sour cream B. Broiled shrimp, Caesar salad and garlic roasted potatoes C. Grilled sirloin steak, garden salad and garlic cheese bread D. Chicken Alfredo, green beans and apple pie B. Broiled shrimp, Caesar salad and garlic roasted potatoes The home health nurse is visiting a patient diagnosed with peripheral arterial disease. Upon entering the patients home, the nurse finds the patient sitting upright in a chair (picture). What action is best for the nurse at this time? A. Assess the vital signs and begin assessment B. Assist the patient to elevate her legs C. Ask the patient is she is experiencing pain D. Emphasize the patient should be on bedrest A. Assess the vital signs and begin assessment As the nurse is ambulating a patient diagnosed with vascular insufficiency, the patient complains of pain in the lower extremities. The nurse would document this finding as: A. Deep vein thrombosis B. Vasculitis obliterans C. Intermittent claudication D. Varicosities C. Intermittent claudication A patina tis diagnosed with an iron-deficiency anemia and has a hemoglobin of 9.0 mg/dL. Which of the following foods would be most appropriate for this patient to consume? Select all that apply. A. Roast beef B. Liver with onions C. 1/2 cup vanilla ice cream D. Kale A. Roast beef B. Liver with onions D. Kale A nurse is providing education about hypertension to a community group. One client reports that his doctor has diagnosed him with hypertension, but he feels he is just fine. He asks, "What would happen if I did not treat my hypertension?" Which of the following are possible consequences of untreated hypertension? Select all that apply. A. Myocardial infarction B. Stroke C. Tension pneumothorax D. Pancreatitis E. Coronary artery disease A. Myocardial infarction B. Stroke E. Coronary artery disease Your patient is admitted with peritonitis secondary to peritoneal dialysis. What order from the physical would you question? A. Place patient on a clear liquid diet B. Insert NG tube per MD order C. Administer IV antibiotics D. Administer IV fluids A. Place patient on a clear liquid diet Which statement from the client shows understanding of their diagnosis of ulcerative colitis? A. "Ulcerative colitis can be scattered throughout the GI tract in patches with some areas appearing healthy while others are diseased" B. "Ulcerative colitis usually occurs in the small intestine" C. "Strictures are a common complication with ulcerative colitis" D. "I may see blood in my stool" D. "I may see blood in my stool" The nurse is educating a postoperative client about prevention of DVT. Which of the following statements made by the client indicates that teaching was effective? A. "I will begin ambulating on post-operative day two" B. "I will maintain bedrest" C. "I will perform leg exercises every half hour while I am awake" D. "I will wear my SCD's at least once a day" C. "I will perform leg exercises every half hour while I am awake" Mrs. Adams asks if there are things that she can do to help Mr. Adams once he is discharged. The nurse teaches her that to support Mr. Adams nutrition, while also promoting respiratory function, she should offer him which of the following foods? Select all that apply. A. Chocolate pudding B. A sirloin steak C. A fresh, whole apple D. Mashed potatoes and gravy E. Corn on the cob F. Ice cream A. Chocolate pudding D. Mashed potatoes and gravy F. Ice cream