150 test4
Maintaining blood glucose levels between 70 and 140 mg/dl at all times is referred to as euglycemia. True False
True
A mother asks the nurse what would be the first indication that acute glomerulonephritis is improving. The nurse's best response would be which of the following? a.Blood pressure will stabilize. b.Child will have more energy. c.Urine will be free of protein. d.Urine output will increase.
Urine output will increase.
To help the adolescent deal with diabetes, the nurse must consider which characteristic of adolescence? 1. Desire to be unique 2. Preoccupation with the future 3. Need to be perfect and similar to peers. 4. Need to make peers aware of the seriousness of hypoglycemic reaction.
3. Need to be perfect and similar to peers.
A child eats some sugar cubes after experiencing symptoms of hypoglycemia. This rapid-releasing sugar should be followed by: 1. fat. 2. fruit juice. 3. complex carbohydrates and proteins. 4. several glasses of water.
3. complex carbohydrates and proteins.
Which of the following is the primary clinical manifestation of diabetes insipidus? 1. Oliguria 2. Glycosuria 3. Nausea 4. Polyuria
4. Polyuria
The client received 10 units of Humulin R at 7am. At 1030 the unlicensed assistive personnel (UAP) tells the nurse the client has a headache and is really acting "funny". Which intervention should the nurse implement first? a.Instruct the UAP to obtain the blood glucose level. b.Have the client drink 8 ounces of orange juice. c.Go to the client's room and assess the client for hypoglycemia. d.Prepare to administer one ampule 50% dextrose intravenously.
Go to the client's room and assess the client for hypoglycemia.
Which of the following is the most common cause of acute renal failure in children? a.Pyelonephritis b.Tubular destruction c.Urinary tract obstruction d.Severe dehydration
Severe dehydration
A 98-year-old patient with benign prostatic hyperplasia has a markedly distended bladder and is agitated and confused. All the following orders are received from the emergency department health care provider. Which order should the nurse act on first? a.Schedule for IVP. b. Insert 16 French retention catheter. c.Administer lorazepam (Ativan) 0.5 mg. d.Draw blood for blood urea nitrogen (BUN) and creatinine.
b. Insert 16 French retention catheter.
The nurse uses auscultation during assessment of the urinary system to a.determine the position of the kidneys. b.check for ureteral peristalsis. c.assess for bladder distension. d.identify renal artery or aortic bruits.
identify renal artery or aortic bruits.
Which of the following is an objective of care for the child with nephrosis? a.reduce blood pressure. b.Reduce excretion of urinary protein. c.Increase excretion of urinary protein. d.Increase ability of tissues to retain fluid
b. Reduce excretion of urinary protein
a diabetic client taking daily NPH insulin has been started on therapy with dexamethasone. The nuese anticipates that which of the following adjustments in medication dosage will be made? a. decrease of NPH insulin b. increase o f NPH insulin c. lower dose of dexamethasone than usual d. higher dose of dexamethasone than usual
b. increase o f NPH insulin
A client with newly diagnosed type 2 diabetes mellitus asks the nurse what "type 2" means in relation to diabetes. The nurse explains to the client that type 2 diabetes differs from type 1 diabetes primarily in that with type 2 diabetes a. the patient is totally dependent on an outside source of insulin. b. there is decreased insulin secretion and cellular resistance to insulin that is produced. c. the immune system destroys the pancreatic insulin-producing cells. d. the insulin precursor that is secreted by the pancreas is not activated by the liver.
b. there is decreased insulin secretion and cellular resistance to insulin that is produced.
the client with diabetes experiences breakdown of fats for conversion to glucose. The nurse determines that this response is occurring if the client has elevated levels of which of the following substances? a. glucose b.ketones c. glucagon d.lactic dehydrogenase
b.ketones
The nurse is caring for an 8-year-old child with type 1 diabetes. The nurse should teach the child to monitor for which manifestation of hypoglycemia? a. lethary. b. thirst. c. nausea and vomiting. d. shaky feeling and dizziness.
d. shaky feeling and dizziness.
The parents of a child who has just been diagnosed with type 1 diabetes ask about exercise. Which should the nurse explain about exercise in type 1 diabetes? a. Extra snacks are needed before exercise. b. Exercise will increase blood glucose. c. Exercise should be restricted. d. Extra insulin is required during exercise.
a. Extra snacks are needed before exercise.
A client who visits their provider's office for a physical exam reports a new onset of intolerance to cold associated with suspected hypothyroidism. The nurse would continue to assess for a. complaints of weakness and lethargy b. weight loss and tachycardia c. increased heart rate and respiratory rate d. diaphoresis and increased hair growth
a. complaints of weakness and lethargy
Which of the following results would the nurse expect to see if the client has long-term control of their blood glucose levels? a. glycosylated hemoblobin of 6% b.fasting blood glucose of 150mg/dL c. presence of ketones in the urine d. presence of albumin in the urine
a. glycosylated hemoblobin of 6%
The nurse has given medication information to the client who is beginning hormone replacement therapy with levothyroxine. The nurse determines that the client can recognize signs of medication toxicity if the client reports which of the following to the provider? a. heat intolerance b. slow pulse rate c. low body temperature d. drowsiness
a. heat intolerance
The nurse administers 28 units of Humulin N to a client diagnosed with type I diabetes at 1600. Which intervention should the nurse implement? a.Ensure the client eats the bedtime snack. b.Determine how much food the client ate at lunch. c.Perform a glucometer reading at 0700 d.Offer the client protein after administering insulin.
a.Ensure the client eats the bedtime snack.
To prevent the recurrence of renal calculi, the nurse teaches the patient to a.drink 2000 to 3000 ml of fluid a day. b.avoid all sources of dietary calcium. c.use a filter to strain all urine. d.drink diuretic fluids such as coffee.
a.drink 2000 to 3000 ml of fluid a day.
The physician orders digoxin 0.125 mg PO three times per week for an 82-year-old client with heart failure. the nurse should: a. Question the order because older clients frequently require larger doses of the drug due to impaired ablility of the kidneys to concentrate urine. b. Administer the drug as ordered, monitoring the client for manifestations of toxicity. c. Assess the client's urine specific gravity and pH before administering the drug at this dose. d. Use 0.25 mg PO digoxin tablets, cutting the tablet in half to save money for the client.
b. Administer the drug as ordered, monitoring the client for manifestations of toxicity.
When the nurse is planning care for an 82-year-old man, an appropriate intervention based on an understanding of age-related changes of the urinary system is for the nurse to a.limit fluid intake to no more than 1500 ml/day. b.ask the patient to use a urinal so that all urine can be measured. c. leave a light on in the bathroom at night. d.pad the patient's bed to accommodate overflow incontinence.
c. leave a light on in the bathroom at night.
The mother of a child with type 1 diabetes mellitus asks why her child cannot avoid all those "shots" and take pills the same as an uncle does. Which of the following is the nurse's best reply? a."The pills work with an adult pancreas only." b."The drugs affect fat and protein metabolism, not sugar." c."Your child needs insulin replaced, and the oral hypoglycemics only add to an existing supply of insulin." d."Perhaps when your child is older, the pancreas will produce its own insulin, and then your child can take oral hypoglycemics."
c."Your child needs insulin replaced, and the oral hypoglycemics only add to an existing supply of insulin."
Where are Wilms' tumors (nephroblastomas) located? a.Bone b.Brain c.Kidney d.Lymphatic system
c.Kidney
How will the nurse assess the flank area for tenderness? a.Percuss the area between the iliac crest and ribs along the midaxillary line. b.Push gently into the two lowest intercostal spaces. c.Place one hand flat at the costovertebral angle (CVA) and strike it with the other fist. d.Palpate along both sides of the lumbar vertebral column.
c.Place one hand flat at the costovertebral angle (CVA) and strike it with the other fist.