Lab adaptive quiz

Client newly diagnosed with type two diabetes is receiving Glyburide and ask the nurse how this drug works which response by the nurse is appropriate A- it stimulates the pancreas to produce insulin B- it accelerates the livers release of stored glycogen C- it increases glucose transport across the cell membrane D- it decreases blood glucose in the absence of pancreatic

A

The nurse is caring for a client who is experiencing an under production of T4 which condition is associated with under production of Thyroxine A myxedema B acromegaly C Graves' disease D Cushing disease

A

A nurse concludes that a client has hypo glycemic reaction to insulin which finding support disclosure and select all that apply A- irritability B- glycosuria C-dry hot skin D- heart palpitations E- fruity odor of breath

A d

The nurse is formulating a teaching plan for a client recently diagnosed with type two diabetes which intervention with the nurse conclude to decrease the risk complications select all that apply A examining the feet daily B wearing well fitting shoes C performing regular exercise D powdering the feet after showering E visiting the health care provider weekly F testing bath water with the toes before bathing

ABC

The nurse is caring for a client after thyroidectomy the client would be monitored for which sign of thyroid storm select all that apply A increased heart rate B increased temp C decreased respiration D increased pulse deficit E decreased blood pressure

Ab

The nurse assessing a client with hyperthyroidism which clinical finding is consistent with this diagnosis select all apply A emotional lability B dyspnea on exertion C abdominal distension D decreased bowel sounds E hyperactive deep tendon reflexes

Ab e

Which clinical finding with the nurse expect when assessing a client with hypothyroidism select all apply A diarrhea B listlessness C weight loss D bradycardia E decreased appetite

Ac

And adolescents diagnosed with type one diabetes and there's plans to teach the adolescent that dietary control and exercise can help regulate this disorder which information would also be include in the teaching plan select all that apply A insulin therapy B prophylactic antibiotic C blood glucose monitoring D oral hypoglycemic agents E adherence to the treatment regimen

Ace

A client newly diagnosed with type one diabetes receives teaching about insulin the client states I hate shots why can I take the insulin in pill form which response by a nurse is appropriate A you're a diabetic condition is too serious for oral insulin B- insulin is poorly absorbed and is action is erratic when taken by mouth C-insulin by mouth causes a high incidence Allergic and adverse reaction's D- once your diabetes is controlled your healthcare provider must consider oral insulin

B

A client reports feeling nervous irritable and extremely tired the client says to the nurse although I eat a lot of food I frequent bouts of diarrhea and losing weight the nurse observes a fine hand tremor and exaggerated reaction to the external stimuli and a YI expression which laboratory test may be described to determine to cause of signs of symptoms a- PTT&PT B- T3 and T4 and TSH C- The DRL and CBC D- ACTH & ADH & CRF

B

A client with hyperthyroidism as a nurse about the test that will be prescribed her which diagnostic test with the nurse include in the response A t4 and X-ray films B tsh and t3 C thyroglobulin level and PO2 D protein bound iodine and sequential multichannel autoanalyzer

B

A client with type one diabetes complain of hunger thirst tiredness frequent urination based on these findings which action with the nurse take A notify the health care provider immediately about the client symptoms B- determine the clients blood glucose level C administering the clients prescribed insulin D- give the client a peanut butter and graham cracker snack

B

PTU as prescribed for a client diagnosed with hypothyroidism the client as a nurse why do I have to take this medication if I'm going to get radiation therapy which explanation with the nurse provide A- it bones previously form thyroid hormones B- it decreases production of thyroid hormones C- vascularity of thyroid gland is decreased D- the need for thyroid iodine supplement is reduced

B

The child with type one diabetes receiving 15 units of r insulin and 20 units of n insulin at 7 AM each day at which time with the nurse anticipate a have a gimmick reaction from n to occur A b4 noon B afternoon C 30mins D bedtime

B

Which rational explains the purpose of providing a balanced evening snack for a client who is receiving insulin A- it will encourage the client to stay on the diet B- it will counteract late insulin activity C adds calories to promote weight gain D- it will prevent nausea caused by the medication

B

Which statement by a client with diabetes would indicate the nurse understanding about the treatment of hypoglycemia A- if I become hypoglycemic I will consume fruit juice in a lollipop B-if I become hypoglycemic I will consume sugar in a slice of bread C-if I become hypo glycemic I will consume chocolate candy in a banana D-fight become hypoglycemic I'll consume peanut butter crackers and a glass of milk

B

A client newly diagnosed with type one diabetes is taught to exercise on a regular basis which rational forms the basis of this teaching A exercise decreases insulin sensitivity B exercise stimulant glucagon production C exercise improves cellular uptake of glucose D exercise reduces metabolic requirements for glucose

C

A client who is taking oral hypoglycemic daily for type two diabetes developed the flu and is concerned about the need for special care which advice with the nurse give to the client A- skip the oral hypoglycemic pill drink plenty of fluids and rest B- void food drink clear liquids take the daily medication and stay in bed C-take the oral medication drink fluids monitor capillary glucose levels D- Delay taking the medication until tolerating food and call the office the next day

C

A client with type two diabetes is omitted for elective surgery that healthcare provider for sky guys regular insulin even the oral anti-FedEx were adequate before the clients hospitalization which rationale does a nurse conclude as a reason that regular insulin was prescribed A the client will need higher serum glucose level while on bed rest B- the possibility of acidosis is greater when a client is oral hypoglycemics C- the dosage can be adjusted to changing needs during recovery from surgery D- the stress of surgery may precipitate uncontrollable periods of hypoglycemia

C

A nine-year-old child with type one diabetes has a history of your Actiq blood glucose reading during a visit to the clinic the child is seen sneaking food and trying to talk to the mother into providing sweets the child complains of feeling hypoglycemic which is priority in nursing action A drawing blood for ph B giving cup of orange juice C obtaining blood glucose level D asking when the child last had something to eat

C

A nurse is caring for a client with under active thyroid gland which response with the nurse expect exhibit as a result of decreased T3 and T4 select that all apply A irritability B tachycardia C weight gain D cold intolerance E profuse diaphoresis

Cd

A client is diagnosed as having type two diabetes which teaching goal is priority for the client A reforming foot care daily B administering insulin as prescribed C testing urine for both sugar and acetone D identify pending hypoglycemia or hyperglycemia

D

A nurse is reviewing the laboratory report of a 13 year old child with type 1 diabetes which test is considered accurate in the evaluation of the effectiveness of diet and insulin therapy over time? A- blood pH B- serum protein level C serum glucose level D- glycosylated hemoglobin

D

The nurse is administering a tube of glucose gel to a client who is hypoglycemic which lech us responsible for the resulting reversal of hypoglycemia A- it liberated glucose from hepatic stores of glycogen B insulin action is blocked as it competes for tissue sites C- glycogen is supplied to the brain as well as other vital organs D it provides a glucose substitute for rapid replacement of deficit

D

Which action may cause lipohypertrophy The client who is receiving insulin injections A- injecting insulin subcutaneously B- storing insulin in the refrigerator C- using buffered regular insulin injections D- administering insulin into the same site each time

D