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Exam (elaborations)

Age-Related Risks HESI Case Study Questions & Correct Answers/ Graded A+

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With the understanding that Mr. Rogers' eating habits lack consistency, which physiological facts about the client's nutrition are most concerning to the nurse? : A. The development of hypoglycemia could be life-threatening. B. The stage II non-healing ulcer on the client's right heel could require amputation. C. Lack of appetite and not wanting to eat alone could lead to malnutrition. E. Dehydration exacerbated by lack of nutrition. Which information about the client is of most concern to the nurse? : Reports a new onset of blurry vision. Which other symptoms should the nurse expect to find in a client with a diagnosis of diabetic retinopathy? : B. Loss of vision. C. Difficulty with color perception. D. Reports of floaters. The nurse understands that which information is correct regarding the prescribed insulin? 2 : Glargine (Lantus) does not have a peak interval. What conditions, other than hyperglycemia, might Mr. Rogers have? : A. Osmotic diuresis. B. Glycosuria. C. Ketonuria. In addition to the insulin, which of the following immediate measures would be indicated in the treatment of Mr. Rogers? : A. Potassium supplements. C. Sodium bicarb. E. 0.9% normal saline. (With the following information,) the nurse sets the insulin drip to deliver how many mL/hr? - Mr. Rogers weighs 226 lbs (102.7 kg) - His blood glucose is 312 mg/dL - Insulin drip is pre-mixed 100 units per 100 mL NS - Insulin infusion protocol (for CBG 300-329) = 4 : 4 3 Which (possible EKG) pattern should the nurse report immediately to the HCP? : ST depression and "U" waves (Indicates hypokalemia) Which lab value needs to be reported immediately? : Arterial pH 7.05 The nurse understands that which symptoms are associated with diabetic peripheral neuropathy? : B. Reduced ability to feel pain or temperature in the extremities. D. Problems with erectile dysfunction. E. Extreme sensitivity to touch.

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