Endocrine Nursing -- Practice Questions and answers verified A+ study guide material fall 2023

Endocrine Nursing -- Practice Questions and answers verified A+ study guide material fall 2023 A client is brought to the ED in an unresponsive state, and a dX of hyperglycemic hyperosmolar nonketotic syndrome is 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) IV infusion of normal saline d) IV infusion of sodium bicarbonate - C An external insulin pump is prescribed for a client with DM and the client asks the nurse about the functioning of the pump. The nurse bases the response on which information about the pump? a) is timed to release programmed doses of short-duration or NPH insulin into the bloodstream at specific intervals b) continuously infuses small amounts of NPH insulin into the bloodstream while regularly monitoring blood glucose levels c) is surgically attached to the pancreas and infuses regular insulin into the pancreas, which in turn releases the insulin into the bloodstream d) gives a small continuous dose of short-duration insulin subQ-- and the client can self-administer a bolus with an additional dose from the pump before each meal - D A client with a diagnosis of DKA is being treated in the ED. Which findings would the nurse expect to note as confirming this diagnosis? SATA: a) increase in pH b) comatose state c) deep, rapid breathing d) decreased urine output e) elevated blood glucose level f) low plasma bicarbonate level - C, E, F The nurse teaches a client with DM about differentiating between hypoglycemia and ketoacidosis. The client demonstrates an understanding of the teaching by stating that a form of glucose should be taken if which symptoms develop? SATA: a) polyuria b) shakiness c) palpitations d) blurred vision e) lightheadedness f) fruity breath odor - B, C, E A client with DM demonstrates acute anxiety when first admitted to the hospital for the treatment of hyperglycemia. What is the MOST APPROPRIATE intervention to decrease the client's anxiety? a) administer a sedative b) convey empathy, trust, and respect toward the client c) ignore the signs and symptoms of anxiety so that they will soon disappear d) make sure that the client knows all the correct medical terms to understand what is happening - B The nurse provides instructions to a client newly dX with type I DM. The nurse recognizes accurate understanding of measures to prevent DKA when the client makes which statement? a) I will stop taking my insulin if I'm too sick to eat b) i will decrease my insulin dose during times of illness c) i will adjust my insulin dose according to the level of glucose in my urine d) i will notify my HCP if my blood glucose level is higher than 250 mg/dL - D A client is admitted to a hospital with a dX of DKA. The initial blood glucose level was 950 mg/dL. A continuous intravenous infusion of short-acting insulin is initiated, along with IV rehydration with normal saline. The serum glucose level is now 240 mg/dL. The nurse would next prepare to administer which item? a) ampule of 50% dextrose b) NPH insulin subcutaneously c) IV fluids containing dextrose d) Phenytoin (Dilantin) for the prevention of seizures - C The nurse is monitoring a client newly dX with DM for signs of complications. Which sign, if exhibited in the client, would indicate hyperglycemia?