E3 PT3

A participant in a health fair has asked the nurse about the role of drugs in liver disease. What health promotion teaching has the most potential to prevent drug-induced hepatitis?

Adhere to dosing recommendations of OTC analgesics.

A nurse is caring for a client who has esophageal varices and is hypotensive after vomiting 500 mL of blood. Which of the following actions is the nurse's priority?

Increase the client's IV fluid rate.

An agitated, confused client arrives in the emergency department. The client's history includes type 1 diabetes, hypertension, and angina pectoris. Assessment reveals pallor, diaphoresis, headache, and intense hunger. A stat blood glucose sample measures 42 mg/dl, and the client is treated for an acute hypoglycemic reaction. After recovery, the nurse teaches the client to treat hypoglycemia by ingesting:

10 to 15 g of a simple carbohydrate

A nurse is preparing to administer liquid famotidine 20mg PO every 6 hr for a client who has GERD. Available is famotidine 40mg/5ml. How many mL should the nurse administer? (round the answer to the nearest tenth)

2.5mL

A nurse is preparing to instill 840 mL of enteral nutrition via a client's gastrostomy tube over 24 homeroom using an infusion pump. The nurse should set the infusion pump to deliver how many mL/hr?

35 mL/hr

A nurse is assessing a client who is receiving bolus enteral feedings. Which of the following laboratory values indicates the client needs a change in the formula?

BUN 28mg/dL

The nurse is administering total parenteral nutrition (TPN) to a client who underwent surgery for gastric cancer. Which of the nurse's assessments MOST directly addresses a major complication of TPN?

Checking the client's capillary blood glucose levels regularly

A nurse is caring for a client who has liver cirrhosis with ascites, bleeding esophageal varices, and portal hypertension. The nurse recognizes which of the following laboratory findings as indicating the client's gastrointestinal (GI) tract is digesting and absorbing blood?

Elevated blood urea nitrogen (BUN)

The nurse is administering total parenteral nutrition (TPN) to a client who underwent surgery for gastric cancer. What is a major complication of TPN?

Hyperglycemia

A nurse prepares teaching for a client with newly-diagnosed diabetes. Which statements about the role of insulin will the nurse include in the teaching? Select all that apply.

Insulin permits entry of glucose into the cells of the body.I insulin promotes synthesis of proteins in various body tissues. Insulin promotes the storage of fat in adipose tissue.

A hospitalized, insulin-dependent patient with diabetes has been experiencing morning hyperglycemia. The patient will be awakened once or twice during the night to test blood glucose levels. The health care provider suspects that the cause is related to the Somogyi effect. Which of the following indicators support this diagnosis? Select all that apply.

Normal bedtime blood glucose Increase in blood glucose from 3:00 AM until breakfast Decrease in blood sugar to a hypoglycemic level between 2:00 to 3:00 AM

A client with diabetes calls the clinic reporting a "flu bug." What should the nurse tell the client to do? Select all that apply.

Try to eat small amounts of carbs, if possible. "Take your usual dose of insulin."

A nurse is caring for a client who has an NG tube set to lower intermittent suction. The nurse irrigate the NG tube twice with 30 mL of normal saline solution during his shift. At the end of the shift, the NG canister contains 475 mL. What amount of NG drainage should the nurse record?

415

A client is prescribed potassium phosphate (K phos) IV 1 g over 6 hr. The medication is available from the pharmacy as 1g/250 mL D5W. The nurse should set the IV pump to run at how many mL/hr?

42 mL/hr 250/6 = 41.6= 42

A nurse is completing an 8-hr I&O record for a client who consumed 4 oz juice, 6 oz tea, a 100 mL cup full of ice chips, an IV bolus of 150 mL, and 8 oz broth. The nurse should record how many mL of intake on the client's record?

740

A nurse is caring for an older adult client who has type 2 diabetes mellitus. She suspects that the patient is exhibiting symptoms of diabetic ketoacidosis (DKA) instead of hyperglycemic hyperosmolar nonketotic syndrome (HHNS). Which of the following are indicators of a diagnosis of DKA?

Blood glucose level of 280 mg/dLArterial pH of 7 Plasma bicarbonate level of 13 mEq/L

Which is a clinical manifestation of diabetes insipidus?

Excessive thirst

A nurse is caring for a patient with liver failure and is performing an assessment in the knowledge of the patient's increased risk of bleeding. The nurse recognizes that this risk is related to the patient's inability to synthesize prothrombin in the liver. What factor most likely contributes to this loss of function?

Inability of the liver to use vitamin K.

A nurse is caring for a client who has bleeding esophageal varices and is being treated with a Sengstaken-Blakemore tube. Which of the following actions should the nurse perform?

Maintain constant observation while the balloons are inflated.

A nurse is preparing to adminster potassium chloride elixir 40 mEq divided into 2 equal doses every 12 hr. Available is 6.7 mEq/5mL. How many mL should the nurse administer per dose?

15 mL 40/2 = 2020/6.7 = 2.98 = 33 x 5 = 15

What interventions can the nurse encourage the client with diabetes insipidus to do in order to control thirst and compensate for urine loss?

Consume adequate amounts of fluid.

The nurse is caring for a client with diabetes who developed hypoglycemia. What can the nurse administer to the client to raise the blood sugar level?

Glucagon

A client is brought to the emergency department by the paramedics. The client is a type 2 diabetic and is experiencing hyperglycemic hyperosmolar syndrome (HHS). The nurse should identify what components of HHS? Select all that apply.

Glycosuria Dehydration Hypernatremia Hyperglycemia

An older adult client with type 2 diabetes is brought to the emergency department by his daughter. The client is found to have a blood glucose level of 600 mg/dL (33.3 mmol/L). The client's daughter reports that the client recently had a gastrointestinal virus and has been confused for the last 3 hours. The diagnosis of hyperglycemic hyperosmolar syndrome (HHS) is made. What nursing action would be a priority?

Fluid and electrolyte replacement

A nurse is caring for a client who was admitted with bleeding esophageal varices and has an esophagogastric balloon tamponade with a Sengstaken-Blakemore tube to control the bleeding. Which of the following actions should the nurse take?

Provide frequent oral and nares care.