NURS 340 EXAM 1 NEWEST 2024 /NURS 340
HEALTH ASSESSMENT EXAM 1 AND STUDY
GUIDE NEWEST 2024 ACTUAL EXAM 200
QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+
a patient with diabetes is learning to mix regular insulin and
NPH insulin in the same syringe; the nurse determines that
additional teaching is needed when the patient does what -
...ANSWER...withdraws the NPH dose into the syringe first
the following interventions are planned for a diabetic patient;
which intervention can the nurse delegate to unlicensed
assistive personnel - ...ANSWER...check that the bath water is
not too hot
the home care nurse should intervene to correct a patient
whose insulin administration includes - ...ANSWER...mixing
an evening dose of regular insulin with insulin glargine in one
syringe for administration
when teaching the patient with type 1 diabetes, what should
the nurse emphasize as the major advantage of using an
insulin pump - ...ANSWER...tight glycemic control can be
maintained
a patient taking insulin has recorded fasting glucose levels
above 200 mg/dL on awakening for the last five mornings;
,what should the nurse advise the patient to do first -
...ANSWER...monitor the glucose level at bedtime, between 2
and 4am, and on arising
which class of oral glucose-lowering agents is most
commonly used for people with type 2 diabetes because it
reduces hepatic glucose production and enhances tissue
uptake of glucose - ...ANSWER...biguinide
the patient with type 2 diabetes is being put on acarbose
(precose) and wants to know why she is taking it; what should
the nurse include in this patient's teaching - ...ANSWER...take
it with the first bite of each meal; effectiveness is measured by
2-hour postprandial glucose; it delays glucose absorption from
the gastrointestinal tract
the nurse is assessing a newly admitted diabetic patient; which
observation should be addressed as the priority by the nurse -
...ANSWER...rapid respirations with deep inspiration
individualized nutrition therapy for patients using
conventional, fixed insulin regimens should include teaching
the patient to - ...ANSWER...eat regular meals at regular
times
what should the goals of nutrition therapy for the patient with
type 2 diabetes include - ...ANSWER...normal serum glucose
and lipid levels
to prevent hyperglycemia or hypoglycemia related to exercise,
what should the nurse teach the patient using glucose-
lowering agents about the best time for exercise -
,...ANSWER...about 1 hour after eating when blood glucose
levels are rising
the nurse assesses the diabetic patient's technique of self-
monitoring of blood glucose three months after initial
instruction; which error in the performance of self-monitoring
of blood glucose noted by the nurse requires intervention -
...ANSWER...cleaning the puncture site with alcohol before
the puncture
a nurse working in an outpatient clinic plans a screening
program for diabetes; what recommendations for screening
should be included - ...ANSWER...FPG for all individuals at
age 45 and then every three years
a patient with diabetes calls the clinic because she is
experiencing nausea and flu-like symptoms; which advice
form the nurse will be the best for this patient -
...ANSWER...administer the usual insulin dosage
the nurse should observe the patient for symptoms of
ketoacidosis when - ...ANSWER...glucose levels become so
high that osmotic diuresis promotes fluid and electrolyte loss
what are manifestations of diabetic ketoacidosis (DKA) -
...ANSWER...thirst; ketonuria; dehydration; metabolic
acidosis; kussmaul respirations; sweet, fruity breath odor
what describes the primary difference in treatment for diabetic
ketoacidosis and hyperosmolar hyperglycemic syndrome -
...ANSWER...hyperosmolar hyperglycemic syndrome
requires greater fluid replacement to correct the dehydration
, the patient with newly diagnosed diabetes is displaying
shakiness, confusion, irritability, and slurred speech; what
should the nurse suspect is happening -
...ANSWER...hypoglycemia
the patient with diabetes has a blood glucose level of 248
mg/dL; which manifestations in the patient would the nurse
understand as being related to this blood glucose level -
...ANSWER...headache, abdominal cramps, increase in
urination, weakness and fatigue
a diabetic patient is found unconscious at home and a family
member calls the clinic; after determining that a glucometer is
not available, what should the nurse advise the family member
to do - ...ANSWER...administer glucagon 1 mg
intramuscularly or subcutaneously
the patient with diabetes is brought to the emergency
department by his family members, who say that he is not
acting like himself and he is more tired than usual; what
would be the order of the nursing actions for this patient -
...ANSWER...ensure patent airway; check blood glucose;
establish IV access; administer 0.9% NaCl solution at 1L/hr;
begin continuous regular insulin drip; establish time of las
food and medication(s)
two days following a self-managed hypoglycemic episode at
home, the patient tells the nurse that his blood glucose levels
since the episode have been between 80 and 90 mg/dL; which
is the best response by the nurse - ...ANSWER..."that is a
good range for your glucose levels"
HEALTH ASSESSMENT EXAM 1 AND STUDY
GUIDE NEWEST 2024 ACTUAL EXAM 200
QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+
a patient with diabetes is learning to mix regular insulin and
NPH insulin in the same syringe; the nurse determines that
additional teaching is needed when the patient does what -
...ANSWER...withdraws the NPH dose into the syringe first
the following interventions are planned for a diabetic patient;
which intervention can the nurse delegate to unlicensed
assistive personnel - ...ANSWER...check that the bath water is
not too hot
the home care nurse should intervene to correct a patient
whose insulin administration includes - ...ANSWER...mixing
an evening dose of regular insulin with insulin glargine in one
syringe for administration
when teaching the patient with type 1 diabetes, what should
the nurse emphasize as the major advantage of using an
insulin pump - ...ANSWER...tight glycemic control can be
maintained
a patient taking insulin has recorded fasting glucose levels
above 200 mg/dL on awakening for the last five mornings;
,what should the nurse advise the patient to do first -
...ANSWER...monitor the glucose level at bedtime, between 2
and 4am, and on arising
which class of oral glucose-lowering agents is most
commonly used for people with type 2 diabetes because it
reduces hepatic glucose production and enhances tissue
uptake of glucose - ...ANSWER...biguinide
the patient with type 2 diabetes is being put on acarbose
(precose) and wants to know why she is taking it; what should
the nurse include in this patient's teaching - ...ANSWER...take
it with the first bite of each meal; effectiveness is measured by
2-hour postprandial glucose; it delays glucose absorption from
the gastrointestinal tract
the nurse is assessing a newly admitted diabetic patient; which
observation should be addressed as the priority by the nurse -
...ANSWER...rapid respirations with deep inspiration
individualized nutrition therapy for patients using
conventional, fixed insulin regimens should include teaching
the patient to - ...ANSWER...eat regular meals at regular
times
what should the goals of nutrition therapy for the patient with
type 2 diabetes include - ...ANSWER...normal serum glucose
and lipid levels
to prevent hyperglycemia or hypoglycemia related to exercise,
what should the nurse teach the patient using glucose-
lowering agents about the best time for exercise -
,...ANSWER...about 1 hour after eating when blood glucose
levels are rising
the nurse assesses the diabetic patient's technique of self-
monitoring of blood glucose three months after initial
instruction; which error in the performance of self-monitoring
of blood glucose noted by the nurse requires intervention -
...ANSWER...cleaning the puncture site with alcohol before
the puncture
a nurse working in an outpatient clinic plans a screening
program for diabetes; what recommendations for screening
should be included - ...ANSWER...FPG for all individuals at
age 45 and then every three years
a patient with diabetes calls the clinic because she is
experiencing nausea and flu-like symptoms; which advice
form the nurse will be the best for this patient -
...ANSWER...administer the usual insulin dosage
the nurse should observe the patient for symptoms of
ketoacidosis when - ...ANSWER...glucose levels become so
high that osmotic diuresis promotes fluid and electrolyte loss
what are manifestations of diabetic ketoacidosis (DKA) -
...ANSWER...thirst; ketonuria; dehydration; metabolic
acidosis; kussmaul respirations; sweet, fruity breath odor
what describes the primary difference in treatment for diabetic
ketoacidosis and hyperosmolar hyperglycemic syndrome -
...ANSWER...hyperosmolar hyperglycemic syndrome
requires greater fluid replacement to correct the dehydration
, the patient with newly diagnosed diabetes is displaying
shakiness, confusion, irritability, and slurred speech; what
should the nurse suspect is happening -
...ANSWER...hypoglycemia
the patient with diabetes has a blood glucose level of 248
mg/dL; which manifestations in the patient would the nurse
understand as being related to this blood glucose level -
...ANSWER...headache, abdominal cramps, increase in
urination, weakness and fatigue
a diabetic patient is found unconscious at home and a family
member calls the clinic; after determining that a glucometer is
not available, what should the nurse advise the family member
to do - ...ANSWER...administer glucagon 1 mg
intramuscularly or subcutaneously
the patient with diabetes is brought to the emergency
department by his family members, who say that he is not
acting like himself and he is more tired than usual; what
would be the order of the nursing actions for this patient -
...ANSWER...ensure patent airway; check blood glucose;
establish IV access; administer 0.9% NaCl solution at 1L/hr;
begin continuous regular insulin drip; establish time of las
food and medication(s)
two days following a self-managed hypoglycemic episode at
home, the patient tells the nurse that his blood glucose levels
since the episode have been between 80 and 90 mg/dL; which
is the best response by the nurse - ...ANSWER..."that is a
good range for your glucose levels"
