Nursing Test QUIZ

The client is having signs/symptoms of hypoglycemia; therefore, the nurse should provide the client with a simple carbohydrate. A serum glucose level requires a venipuncture, and then the laboratory must perform the test, which will take too long. The nurse can check the last insulin administration and assess vital signs after treating the client. 12. The client diagnosed with an acute exacerbation of regional enteritis (Crohn disease) (1 point) is prescribed total parenteral nutrition (TPN). Which intervention should the nurse implement? ◯ Insert an 18-gauge needle in the client’s forearm ◯ Monitor the client’s urine for ketones Check the TPN bag with the prescription. ◯ Encourage the client to eat a low-residue diet. Explanation: The TPN bag should be checked to make sure the prescribed nutrients are included. The TPN must be administered via a central line, and glucometer checks are necessary because of the high glucose level of the TPN. The client on TPN is nothing by mouth (NPO). 13. Which data would the nurse expect to assess in a client diagnosed with neurogenic (1 point) shock? ◯ The client has cool, clammy skin. The client’s apical pulse is 56 ◯ The client has bilateral wheezing. ◯ The client urine will be diluted Explanation: The client diagnosed with neurogenic shock will have bradycardia, instead of the tachycardia seen in other forms of shock. The client’s skin will be dry and warm, rather than the cool moist skin seen in hypovolemic shock. Wheezing would be associated with anaphylactic shock, and the client would not have dilute urine 14. Vital statics include the following except