Alterations Exam 2 practice exam

The client with type 1 diabetes is taught to take isophane insulin suspension NPH at 1700 each day. The client should be instructed the greatest risk of hypoglycemia will occur at about what time? -1800, shortly after dinner -1300, shortly after lunch -0100, while sleeping -1100, shortly before lunch

0100, while sleeping

Diagnosing diabetes can be done by assessing blood glucose levels. Which of the following laboratory values is not indicative of diabetes diagnosis? -HgbA1C 8.1mg/dL -2 hour postprandial blood glucose 150mg/dL -Fasting blood glucose 128mg/dL -2 hour postprandial blood glucose 201mg/dL

2 hour postprandial blood glucose 150mg/dL

When teaching the diabetic client about foot care, the nurse should instruct the client to perform which of the following? -Cut toenails at angles -Use hot water when washing feet -Buy shoes a half size larger -Avoid going barefoot outside

Avoid going barefoot outside

Which of the following food should the nurse teach a client with heart failure to limit when following a 2-g sodium diet? -Beef tenderloin -Whole wheat bread -Bananas -Canned tomato juice

Canned tomato juice

A client diagnosed with hypertension and chronic angina is receiving Metoprolol. The current vital signs are: BP 90/54, apical HR 62. The nurse should perform which action? -Wait 1 hour and recheck vitals -Consult with provider and report vital signs -Inform the charge nurse -Administer the drug because the vital signs are normal

Consult with provider and report vital signs

An adult client with type 1 diabetes is scheduled for cataract surgery in the Same Day Surgery Department. On arrival, the client's fingerstick blood glucose was 210 mg/dL. The nurse should should do what next? -Instruct the client to ambulate -Contact the client's primary provider -Reschedule the surgery to another date

Contact the client's primary provider

A nurse assesses a client who is experiencing diabetic ketoacidosis (DKA). For which manifestation should the nurse monitor the client? -Bradycardia -Dependent pulmonary crackles -Deep and fast respirations -Hypertension

Deep and fast respirations

A client is admitted with left lower leg pain, swelling, and a temperature of 100.4F. The nurse should assess the client further for signs of which of the following? -Deep vein thrombosis in left leg -Intermittent claudication -IV drug abuse -Aortic aneurysm

Deep vein thrombosis in left leg

The nurse admits a patient with heart failure exacerbation to the cardiovascular unit. The patient reports complaints of frequent nausea, dizziness, and visual disturbances for one week. The nurse is concerned that the patient may be experiencing which of the following conditions? -Elevated blood pressure -Allergic reaction -Adverse drug reaction -Digoxin toxicity

Digoxin toxicity

The nurse is assessing the lower extremities of the client with peripheral artery disease. Which is NOT an expected finding of PAD? -Cool extremeties -Shiny skin -Hairy legs -Weak pedal pulses

Hairy legs

An adult client who has type 2 diabetes and requires insulin tells the nurse about feeling weak and shaky before supper. The nurse should perform which intervention? -Have the client drink a glass of milk or orange juice -Tell the client to lie down for 30 minutes -Contact the client's physician to decrease the insulin dose -Administer the next dose of insulin

Have the client drink a glass of milk or orange juice

The nurse is educating a diabetic patient regarding rotating administration sites. Rotating injection sites when administering insulin prevents which of the following complications? -Dawn phenomenon -Insulin lipodystrophy -Allergic reactions -Insulin resistance

Insulin lipodystrophy

A client is brought to the emergency room in an unresponsive state with a diagnosis of hyperglycemic hyperosmolar syndrome (HHS). The client has a patent airway. The nurse would immediately prepare to initiate which of the following physician's orders? -Intravenous infusion of sodium bicarbonate -100 units of Intravenous NPH insulin -Endotracheal intubation -Intravenous infusion of normal saline

Intravenous infusion of normal saline

A nurse is assessing a client who had a femoral-popliteal bypass graft 24 hours ago. The nurse is unable to palpate the dorsalis pedis and posterior tibial pulses that were palpable and strong 2 hours ago. Vital signs are stable with a urine output of 40-60 mL/hr. The pedal pulses are now audible using a Doppler. The nurse should do which of the following first? -Notify the surgeon immediately of the change -Place a warm pack on the lower leg to improve circulation and restore pulse -Increase the IV fluid rate to improve circulation and restore pulse -Reassess pulses in 4 hours with the next set of vital signs

Notify the surgeon immediately of the change

Which goal is a priority for the diabetic client who is taking insulin and who is experiencing nausea and vomiting from a viral illness or influenza? -Managing own health -Obtaining adequate food intake -Increasing activity -Relieving pain

Obtaining adequate food intake

The nurse is educating a client with diabetes about microvascular complications associated with diabetes. The nurse instructs the patient to schedule yearly exams with which of the following specialities? -Hematology -Ophthalmology -Oncology -Cardiology

Ophthalmology

During a home visit, the nurse assesses a client who is taking HCTZ and lisinopril for the treatment of HTN. Which symptom would indicate a need to inform the MD of a need to change medication therapy? -Waking up at night to void -BP 132/80 -Persistent cough -Potassium level of 4.1 mEq/L

Persistent cough

An older adult has chest pain and shortness of breath. The HCP prescribes nitroglycerin tablets. What should the nurse instruct the client to do? -Swallow the tablet with 120ml of water -Place the tablet on top of the tongue, let dissolve for 10 seconds, then swallow -Chew the tablet until it is dissolved -Put the tablet under the tongue until the tablet is absorbed

Put the tablet under the tongue until the tablet is absorbed

A client with a recent diagnosis of DVT has a sudden onset of shortness of breath and chest pain that increases with a deep breath. Which action should the nurse perform first? -Notify the HCP immediately -Call for portable chest x-ray -Raise the HOB and assess oxygen saturation -Administer 2mg of IV morphine sulfate to improve venous return

Raise the HOB and assess oxygen saturation

A client is admitted to the emergency department after reporting acute chest pain radiating down the left arm. The client appears dyspneic and diaphoretic. Which laboratory study would the nurse anticipate? -Magnesium -Troponin T and I -Serum glucose -Hemoglobin

Troponin T and I