Age-Related Risks Hesi Case Study #11
1. With the understanding that Mr. Rogers' eating habits lack consistency, which physiological facts
about the client's nutrition are most concerning to the nurse?: The nonhealing ulcer on the client's
right heel could lead to amputation.
The development of hypoglycemia could be life-threatening. Dehydration
exacerbated by lack of nutrition.
Lack of appetite and not wanting to eat alone could lead to malnutrition.
2. Which information about the client is of most concern to the nurse?: Reports a new onset of
blurry vision.
3. Which other symptoms should the nurse expect to find in a client with a diagnosis of diabetic
retinopathy?: Reports of floaters.
Loss of vision.
Difficulty with color perception.
4. The nurse understands that which information is correct regarding the prescribed insulin?:
Glargine (Lantus) does not have a peak interval.
5. What conditions, other than hyperglycemia, might Mr. Rogers have?: Osmot- ic diuresis.
Glycosuria.
Ketonuria.
6. 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.
7. (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
8. Which (possible EKG) pattern should the nurse report immediately to the HCP?: ST depression
and "U" waves
(Indicates hypokalemia)
9. Which lab value needs to be reported immediately?: Arterial ph 7.05
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1. With the understanding that Mr. Rogers' eating habits lack consistency, which physiological facts
about the client's nutrition are most concerning to the nurse?: The nonhealing ulcer on the client's
right heel could lead to amputation.
The development of hypoglycemia could be life-threatening. Dehydration
exacerbated by lack of nutrition.
Lack of appetite and not wanting to eat alone could lead to malnutrition.
2. Which information about the client is of most concern to the nurse?: Reports a new onset of
blurry vision.
3. Which other symptoms should the nurse expect to find in a client with a diagnosis of diabetic
retinopathy?: Reports of floaters.
Loss of vision.
Difficulty with color perception.
4. The nurse understands that which information is correct regarding the prescribed insulin?:
Glargine (Lantus) does not have a peak interval.
5. What conditions, other than hyperglycemia, might Mr. Rogers have?: Osmot- ic diuresis.
Glycosuria.
Ketonuria.
6. 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.
7. (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
8. Which (possible EKG) pattern should the nurse report immediately to the HCP?: ST depression
and "U" waves
(Indicates hypokalemia)
9. Which lab value needs to be reported immediately?: Arterial ph 7.05
1/
3
