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A client is brought to the c. Intravenous infusion of normal saline
emergency department in
an unresponsive state, and The primary goal of treatment of hyperosmolar
a diagnosis of hyperglycemic syndrome is to rehydrate the client to
hyperosmolar restore fluid volume and to correct electrolyte
hyperglycemic syndrome is deficiency.
made. The nurse would
immediately prepare to
initiate which anticipated
health care provider's
prescription?
a. Endotracheal intubation
b. 100 units of NPH insulin
c. Intravenous infusion of
normal saline
d. Intravenous infusion of
sodium bicarbonate
,An external insulin pump is d. It administers a small continuously dose of regular
prescribed for a client with insulin subcutaneously. The client can self-administer a
diabetes mellitus and the bolus with an additional dose form the pump before
client asks the nurse about each meal
the functioning of the
pump, the nurse bases the An insulin pump administers a small continuous dose of
response on the short-duration (rapid or short-acting) insulin
information that the pump? subcutaneously throughout the day and night. The client
can self administer an additional bolus dose from the
a. It is timed to release pump before each meal as needed.
programmed doses of
either short-duration or
NPH insulin into the
bloodstream at specific
intervals
b. It continuously infuses
small amounts of NPH
insulin into the bloodstream
while regularly monitoring
blood glucose levels
c. It is surgically attached to
the pancreas and infuses
regular insulin into the
pancreas. This releases the
insulin into the bloodstream
d. It administers a small
continuously dose of
regular insulin
subcutaneously. The client
can self-administer a bolus
with an additional dose
form the pump before each
meal
, A client with a diagnosis of b. Comatose state
diabetic ketoacidosis (DKA) c. Deep, rapid breathing
is being treated in the e. Elevated blood glucose level
emergency department.
Which findings support this Kussmaul's respirations, the deep rapid breathing
diagnosis? (Select all that associated with DKA, is a compensatory mechanism by
apply) the body. The body attempts to correct the acidotic
state by blowing off CO2. In the absence of insulin, the
a. Increase in pH client will experience severe hyperglycemia. If
b. Comatose state untreated the client will become comatose due to
c. Deep, rapid breathing severe dehydration, acidosis, and electrolyte imbalance.
d. Decreased urine output
e. Elevated blood glucose
level
The nurse teaches a client b. Shakiness
with diabetes mellitus c. Palpitations
about differentiating e. Lightheadedness
between hypoglycemia
and ketoacidosis. The client Shakiness, palpitations, and lightheadedness are signs
demonstrates an and symptoms of hypoglycemia and would indicate the
understanding of teaching need for food or glucose.
by stating that a form of
glucose should be taken, if
which symptoms develop?
(Select all that apply)
a. Polyuria
b. Shakiness
c. Palpitations
d. Blurred vision
e. Lightheadedness
f. Fruity breath odor