NR 603 WEEK 2 PARTS ONE TWO CASE
STUDY DISCUSSIONS FINAL PAPER 2026
QUESTIONS SOLUTIONS GRADED A+
◉ To achieve the goal of restoring the client's fluid volume, the nurse
would expect to implement which intervention?
A. Insert a saline lock for PRN diuretic administration.
B. Administer an albumin/furosemide continuous infusion.
C. Maintain an infusion of normal saline solution.
D. Obtain a type and crossmatch for 2 units of packed RBCs. Answer:
C. Maintain an infusion of normal saline solution.
Rationale: The treatment of hyperglycemia includes fluid
replacement to correct dehydration caused by the increased
concentration of glucose in the blood. Isotonic fluids, such as normal
saline, are used initially to treat the dehydration.
◉ To restore the client's blood glucose to a normal level, what
should the nurse prepare to administer?
A. An IV infusion containing regular insulin.
B. Humulin-N insulin SC before meals.
C. 50% dextrose IV push.
,D. Glucagon subcutaneously PRN per sliding scale. Answer: A. An IV
infusion containing regular insulin.
Rationale: Continuous IV infusions containing regular insulin are
used to reduce the client's blood glucose level. The client's IV
solution will be changed to one that contains glucose when her
blood glucose level reaches 250 mg/dl.
◉ In addition to monitoring the client's blood glucose level, what
additional lab values should the nurse monitor carefully? (Select all
that apply. One, some, or all options may be correct.)
A. Uric acid.
B. Hemoglobin.
C. Calcium.
D. Potassium.
E. Blood Urea Nitrogen (BUN). Answer: B, C, D, E.
Rationale: Though blood glucose and potassium are the most critical
lab values to assess, hemoglobin levels may be altered related to the
state of hydration and should be monitored. Treatment with an IV
insulin infusion will cause the potassium to return to the cells and
may result in hypokalemia. Lara should be closely monitored for
symptoms of hypokalemia. Supplemental potassium may be added
to the IV infusion to prevent or correct this. Dehydration that occurs
, with DKA can lead to an increased BUN and should be monitored for
signs of renal insufficiency.
◉ Ethical-Legal Issues: Client Information
The client's blood glucose level stabilizes, and they begin taking oral
fluids. IV solutions are switched to dextrose 5% in sodium chloride
0.45% at a keep-open rate, and the insulin infusion is
discontinued.While hospitalized, family members and many of the
client's college friends call the nursing unit to check on the client's
condition.
The nurse's decision about what to tell these callers should be based
on what primary consideration?
A. The instructions of the nursing unit supervisor.
B. The nature of the caller's relationship to the client.
C. The seriousness of the client's condition at the time of the call.
D. The client's right to privacy regarding her health information.
Answer: D. The client's right to privacy regarding her health
information.
Rationale: The Health Information Privacy Protection Act (HIPAA)
stipulates that a client has the right to privacy regarding health
information and must give permission for the release of that
information.
STUDY DISCUSSIONS FINAL PAPER 2026
QUESTIONS SOLUTIONS GRADED A+
◉ To achieve the goal of restoring the client's fluid volume, the nurse
would expect to implement which intervention?
A. Insert a saline lock for PRN diuretic administration.
B. Administer an albumin/furosemide continuous infusion.
C. Maintain an infusion of normal saline solution.
D. Obtain a type and crossmatch for 2 units of packed RBCs. Answer:
C. Maintain an infusion of normal saline solution.
Rationale: The treatment of hyperglycemia includes fluid
replacement to correct dehydration caused by the increased
concentration of glucose in the blood. Isotonic fluids, such as normal
saline, are used initially to treat the dehydration.
◉ To restore the client's blood glucose to a normal level, what
should the nurse prepare to administer?
A. An IV infusion containing regular insulin.
B. Humulin-N insulin SC before meals.
C. 50% dextrose IV push.
,D. Glucagon subcutaneously PRN per sliding scale. Answer: A. An IV
infusion containing regular insulin.
Rationale: Continuous IV infusions containing regular insulin are
used to reduce the client's blood glucose level. The client's IV
solution will be changed to one that contains glucose when her
blood glucose level reaches 250 mg/dl.
◉ In addition to monitoring the client's blood glucose level, what
additional lab values should the nurse monitor carefully? (Select all
that apply. One, some, or all options may be correct.)
A. Uric acid.
B. Hemoglobin.
C. Calcium.
D. Potassium.
E. Blood Urea Nitrogen (BUN). Answer: B, C, D, E.
Rationale: Though blood glucose and potassium are the most critical
lab values to assess, hemoglobin levels may be altered related to the
state of hydration and should be monitored. Treatment with an IV
insulin infusion will cause the potassium to return to the cells and
may result in hypokalemia. Lara should be closely monitored for
symptoms of hypokalemia. Supplemental potassium may be added
to the IV infusion to prevent or correct this. Dehydration that occurs
, with DKA can lead to an increased BUN and should be monitored for
signs of renal insufficiency.
◉ Ethical-Legal Issues: Client Information
The client's blood glucose level stabilizes, and they begin taking oral
fluids. IV solutions are switched to dextrose 5% in sodium chloride
0.45% at a keep-open rate, and the insulin infusion is
discontinued.While hospitalized, family members and many of the
client's college friends call the nursing unit to check on the client's
condition.
The nurse's decision about what to tell these callers should be based
on what primary consideration?
A. The instructions of the nursing unit supervisor.
B. The nature of the caller's relationship to the client.
C. The seriousness of the client's condition at the time of the call.
D. The client's right to privacy regarding her health information.
Answer: D. The client's right to privacy regarding her health
information.
Rationale: The Health Information Privacy Protection Act (HIPAA)
stipulates that a client has the right to privacy regarding health
information and must give permission for the release of that
information.
