AGRADESTUVIA
A nurse is caring for a client who has blood glucose of 52 mg/dL. The client is
lethargic but arousable.
Which of the following actions should the nurse perform first?
A. Recheck blood glucose in 15 min.
B. Provide a carbohydrate and protein food.
C. Provide 4 oz grape juice.
D. Report findings to the provider
C. Provide 4 oz grape juice.
A nurse is preparing to administer a morning dose of aspart insulin (NovoLog) to
a client who has
type 1 diabetes mellitus. Which of the following is an appropriate action by the
nurse?
A. Check the client's blood glucose immediately after breakfast.
B. Administer the insulin when breakfast arrives.
C. Hold breakfast for 1 hr after insulin administration.
D. Clarify the prescription because insulin should not be administered at this time
B. Administer the insulin when breakfast arrives.
A nurse is preparing to administer the morning doses of glargine (Lantus) insulin
and regular (Humulin R)
insulin to a client who has a blood glucose of 278 mg/dL. Which of the following
is an appropriate
nursing action?
A. Draw up the regular insulin and then the glargine insulin in the same syringe.
B. Draw up the glargine insulin then the regular insulin in the same syringe.
C. Draw up and administer regular and glargine insulin in separate syringes.
D. Administer the regular insulin, wait 1 hr, and then administer the glargine
insulin.
C. Draw up and administer regular and glargine insulin in separate syringes.
A nurse is presenting information to a group of clients about nutrition habits that
prevent type 2 diabetes
,AGRADESTUVIA
mellitus. Which of the following should the nurse include in the information?
(Select all that apply.)
A. Eat less meat and processed foods.
B. Decrease intake of saturated fats.
C. Increase daily fiber intake.
D. Limit saturated fat intake to 15% of daily caloric intake.
E. Include omega-3 fatty acids in the diet.
A. Eat less meat and processed foods.
B. Decrease intake of saturated fats.
C. Increase daily fiber intake.
E. Include omega-3 fatty acids in the diet.
A nurse is teaching foot care to a client who has diabetes mellitus. Which of the
following information
should the nurse include in the teaching? (Select all that apply.)
A. Remove calluses using over-the-counter remedies.
B. Apply lotion between toes.
C. Perform nail care after bathing.
D. Trim toenails straight across.
E. Wear closed-toe shoes.
C. Perform nail care after bathing.
D. Trim toenails straight across.
E. Wear closed-toe shoes.
A nurse is screening a client for hypertension. Which of the following actions by
the client increase his
risk for hypertension? (Select all that apply.)
A. Drinking 8 oz of nonfat milk daily
B. Eating popcorn at the movie theater
C. Walking 1 mile daily at 12 min/mile pace
D. Consuming 36oz of beer daily
E. Getting a massage once a week
B. Eating popcorn at the movie theater
D. Consuming 36oz of beer daily
A nurse is caring for a client who is admitted to the emergency department with a
blood pressure of
266/147 mm Hg. The client reports a headache and states that she is seeing
double. The client states that
she ran out of her diltiazem (Cardizem) 3 days ago, and she has not been able to
purchase more. Which of
the following nursing interventions should the nurse expect to perform first?
,AGRADESTUVIA
A. Administer acetaminophen for headache.
B. Provide teaching in regard to the importance of not abruptly stopping an
antihypertensive.
C. Obtain IV access and prepare to administer an IV antihypertensive.
D. Call social services for a referral for financial assistance in obtaining
prescribed medication
C. Obtain IV access and prepare to administer an IV antihypertensive.
A nurse is providing discharge teaching for a client who has a prescription for
furosemide (Lasix) 40 mg
PO daily. What time of day should the nurse encourage the client to take this
medication?
A. Morning
B. Immediately after lunch
C. Immediately before dinner
D. Bedtime
A. Morning
A nurse is caring for a client who has a new diagnosis of hypertension and a new
prescription for
spironolactone (Aldactone) 25 mg/day. Which of the following statements by the
client indicates a need
for further teaching?
A. "I should eat a lot of fruits and vegetables, especially bananas and potatoes."
B. "I will report any changes in heart rate or rhythm."
C. "I should use a salt substitute that is low in potassium."
D. "I will continue to take this medication even if I am feeling better."
A. "I should eat a lot of fruits and vegetables, especially bananas and potatoes."
A nurse in an urgent care clinic is obtaining a history from a client who has type 2
diabetes mellitus
and a recent diagnosis of hypertension. This is the second time in two weeks that
the client experienced
hypoglycemia. Which of the following data should the nurse report to the
provider?
A. Takes psyllium hydrophilic muccilloid (Metamucil) daily
B. Drinks skim milk daily
C. Takes metoprolol (Lopressor) daily
D. Drinks grapefruit juice daily
C. Takes metoprolol (Lopressor) daily
A nurse is presenting information to clients at a health fair on measures to reduce
the risk of
amputation. Which of the follow information should the nurse provide? (Select all
, AGRADESTUVIA
that apply.)
A. Encourage clients who smoke to consider smoking cessation programs.
B. Encourage clients who have diabetes mellitus to maintain blood glucose within
the
reference range.
C. Instruct clients to unplug electrical equipment when performing repairs.
D. Encourage clients who have vascular disease to maintain good foot care.
E. Advise clients to wait 2 hr after taking pain medication before driving.
A. Encourage clients who smoke to consider smoking cessation programs.
B. Encourage clients who have diabetes mellitus to maintain blood glucose within the
reference range.
C. Instruct clients to unplug electrical equipment when performing repairs.
D. Encourage clients who have vascular disease to maintain good foot care.
A nurse is assessing an older adult client who has arteriosclerosis and is
scheduled for a possible right lower extremity amputation. Which of the following
are expected findings in the affected extremity?
(Select all that apply.)
A. Skin cool to touch from mid-calf to the toes
B. Lower leg appears dusky when client is sitting
C. Palpable pounding pedal pulse
D. Lack of hair on lower leg
E. Blackened areas on several toes
A. Skin cool to touch from mid-calf to the toes
B. Lower leg appears dusky when client is sitting
D. Lack of hair on lower leg
E. Blackened areas on several toes
A nurse is caring for a client following a below-the-elbow amputation. Which of
the following are
appropriate actions by the nurse? (Select all that apply.)
A. Encourage dependent positioning of the residual limb.
B. Inspect for presence and amount of drainage.
C. Implement shrinkage intervention of the residual limb.
D. Wrap the residual limb in a circular manner using gauze.
E. Assess for feelings of body image changes.
A. Encourage dependent positioning of the residual limb.
B. Inspect for presence and amount of drainage.
C. Implement shrinkage intervention of the residual limb.
E. Assess for feelings of body image changes.
A nurse is caring for a client who has blood glucose of 52 mg/dL. The client is
lethargic but arousable.
Which of the following actions should the nurse perform first?
A. Recheck blood glucose in 15 min.
B. Provide a carbohydrate and protein food.
C. Provide 4 oz grape juice.
D. Report findings to the provider
C. Provide 4 oz grape juice.
A nurse is preparing to administer a morning dose of aspart insulin (NovoLog) to
a client who has
type 1 diabetes mellitus. Which of the following is an appropriate action by the
nurse?
A. Check the client's blood glucose immediately after breakfast.
B. Administer the insulin when breakfast arrives.
C. Hold breakfast for 1 hr after insulin administration.
D. Clarify the prescription because insulin should not be administered at this time
B. Administer the insulin when breakfast arrives.
A nurse is preparing to administer the morning doses of glargine (Lantus) insulin
and regular (Humulin R)
insulin to a client who has a blood glucose of 278 mg/dL. Which of the following
is an appropriate
nursing action?
A. Draw up the regular insulin and then the glargine insulin in the same syringe.
B. Draw up the glargine insulin then the regular insulin in the same syringe.
C. Draw up and administer regular and glargine insulin in separate syringes.
D. Administer the regular insulin, wait 1 hr, and then administer the glargine
insulin.
C. Draw up and administer regular and glargine insulin in separate syringes.
A nurse is presenting information to a group of clients about nutrition habits that
prevent type 2 diabetes
,AGRADESTUVIA
mellitus. Which of the following should the nurse include in the information?
(Select all that apply.)
A. Eat less meat and processed foods.
B. Decrease intake of saturated fats.
C. Increase daily fiber intake.
D. Limit saturated fat intake to 15% of daily caloric intake.
E. Include omega-3 fatty acids in the diet.
A. Eat less meat and processed foods.
B. Decrease intake of saturated fats.
C. Increase daily fiber intake.
E. Include omega-3 fatty acids in the diet.
A nurse is teaching foot care to a client who has diabetes mellitus. Which of the
following information
should the nurse include in the teaching? (Select all that apply.)
A. Remove calluses using over-the-counter remedies.
B. Apply lotion between toes.
C. Perform nail care after bathing.
D. Trim toenails straight across.
E. Wear closed-toe shoes.
C. Perform nail care after bathing.
D. Trim toenails straight across.
E. Wear closed-toe shoes.
A nurse is screening a client for hypertension. Which of the following actions by
the client increase his
risk for hypertension? (Select all that apply.)
A. Drinking 8 oz of nonfat milk daily
B. Eating popcorn at the movie theater
C. Walking 1 mile daily at 12 min/mile pace
D. Consuming 36oz of beer daily
E. Getting a massage once a week
B. Eating popcorn at the movie theater
D. Consuming 36oz of beer daily
A nurse is caring for a client who is admitted to the emergency department with a
blood pressure of
266/147 mm Hg. The client reports a headache and states that she is seeing
double. The client states that
she ran out of her diltiazem (Cardizem) 3 days ago, and she has not been able to
purchase more. Which of
the following nursing interventions should the nurse expect to perform first?
,AGRADESTUVIA
A. Administer acetaminophen for headache.
B. Provide teaching in regard to the importance of not abruptly stopping an
antihypertensive.
C. Obtain IV access and prepare to administer an IV antihypertensive.
D. Call social services for a referral for financial assistance in obtaining
prescribed medication
C. Obtain IV access and prepare to administer an IV antihypertensive.
A nurse is providing discharge teaching for a client who has a prescription for
furosemide (Lasix) 40 mg
PO daily. What time of day should the nurse encourage the client to take this
medication?
A. Morning
B. Immediately after lunch
C. Immediately before dinner
D. Bedtime
A. Morning
A nurse is caring for a client who has a new diagnosis of hypertension and a new
prescription for
spironolactone (Aldactone) 25 mg/day. Which of the following statements by the
client indicates a need
for further teaching?
A. "I should eat a lot of fruits and vegetables, especially bananas and potatoes."
B. "I will report any changes in heart rate or rhythm."
C. "I should use a salt substitute that is low in potassium."
D. "I will continue to take this medication even if I am feeling better."
A. "I should eat a lot of fruits and vegetables, especially bananas and potatoes."
A nurse in an urgent care clinic is obtaining a history from a client who has type 2
diabetes mellitus
and a recent diagnosis of hypertension. This is the second time in two weeks that
the client experienced
hypoglycemia. Which of the following data should the nurse report to the
provider?
A. Takes psyllium hydrophilic muccilloid (Metamucil) daily
B. Drinks skim milk daily
C. Takes metoprolol (Lopressor) daily
D. Drinks grapefruit juice daily
C. Takes metoprolol (Lopressor) daily
A nurse is presenting information to clients at a health fair on measures to reduce
the risk of
amputation. Which of the follow information should the nurse provide? (Select all
, AGRADESTUVIA
that apply.)
A. Encourage clients who smoke to consider smoking cessation programs.
B. Encourage clients who have diabetes mellitus to maintain blood glucose within
the
reference range.
C. Instruct clients to unplug electrical equipment when performing repairs.
D. Encourage clients who have vascular disease to maintain good foot care.
E. Advise clients to wait 2 hr after taking pain medication before driving.
A. Encourage clients who smoke to consider smoking cessation programs.
B. Encourage clients who have diabetes mellitus to maintain blood glucose within the
reference range.
C. Instruct clients to unplug electrical equipment when performing repairs.
D. Encourage clients who have vascular disease to maintain good foot care.
A nurse is assessing an older adult client who has arteriosclerosis and is
scheduled for a possible right lower extremity amputation. Which of the following
are expected findings in the affected extremity?
(Select all that apply.)
A. Skin cool to touch from mid-calf to the toes
B. Lower leg appears dusky when client is sitting
C. Palpable pounding pedal pulse
D. Lack of hair on lower leg
E. Blackened areas on several toes
A. Skin cool to touch from mid-calf to the toes
B. Lower leg appears dusky when client is sitting
D. Lack of hair on lower leg
E. Blackened areas on several toes
A nurse is caring for a client following a below-the-elbow amputation. Which of
the following are
appropriate actions by the nurse? (Select all that apply.)
A. Encourage dependent positioning of the residual limb.
B. Inspect for presence and amount of drainage.
C. Implement shrinkage intervention of the residual limb.
D. Wrap the residual limb in a circular manner using gauze.
E. Assess for feelings of body image changes.
A. Encourage dependent positioning of the residual limb.
B. Inspect for presence and amount of drainage.
C. Implement shrinkage intervention of the residual limb.
E. Assess for feelings of body image changes.
