N455 Exam 2
A nurse is caring for a client who has a mild traumatic brain injury (TBI). Which of the following manifestations should the nurse immediately report to the provider? A. A change in the Glasgow Coma Scale score from 13 to 11 B. Diplopia C. A drop in heart rate from 76 to 70/min D. Ataxia
A. A change in the Glasgow Coma Scale score from 13 to 11Feedback: In a client who has mild TBI, a decrease of 2 points on the Glasgow Coma Scale indicates a decrease in level of consciousness and that the client is risk of a deteriorating neurologic status. Therefore, this finding is the priority to report to the provider.
An acute care nurse receives shift report for a client who has increased intracranial pressure. The nurse is told that the client demonstrates decorticate posturing. Which of the following findings should the nurse expect to observe when assessing the client? A. Flexion of the arms B. Pronation of the hands C. Dorsiflexion of the legs D. External rotation of the lower extremities
A. Flexion of the armsFeedback: Flexion of the extremities is an indicator of decorticate posturing.
A nurse is caring for a client with type 1 diabetes mellitus who reports feeling shaky and having palpitations. When the nurse finds the client's blood glucose to be 48 mg/dL on the glucometer, he should give the client which of the following? A. Graham crackers B. 1 tsp sugar C. 4 oz diet soda D. 4 oz skim milk
A. Graham crackers
A patient is reported to have a flail chest. You understand this means what regarding the ribs? At least two neighboring ribs have sustained injury One or more ribs have been removed The ribs have been altered in a controlled surgical process The ribs are no longer attached to the intercostal muscles
At least two neighboring ribs have sustained injury
A nurse is assessing a client who has a high-thoracic spinal cord injury. The nurse should identify which of the following findings as a manifestation of autonomic dysreflexia? A. Flushing if the lower extremities B. Hypotension C. Tachycardia D. Report of a headache
D. Report of a headache
A nurse is providing teaching to a patient with Addison's Disease about healthy snack foods. Which of the following food choices by the client indicates an understanding of teaching? Sliced bananas Baked potato Turkey and cheese sandwich Plain yogurt with peaches
Turkey and cheese sandwich
What are some common risks factor for developing a brain tumor? a. Previous head injury b. Type 1 Diabetes Mellitus c. Playing video games for more than 40 hours a week d. Toxoplasmosis
a. Previous head injury
Which client is at greatest risk for the development of a pulmonary embolism? a. A young adult athlete who lifts weights and was diagnosed with a pneumothorax yesterday b. A middle-aged woman who has used oral contraceptives for the past 15 years and who had abdominal surgery yesterday for cancer c. A middle-aged woman who has fragile capillaries and bruises very easily d. An older man who caught his right hand in a piece of machinery and has five broken fingers, with extensive soft tissue damage
b. A middle-aged woman who has used oral contraceptives for the past 15 years and who had abdominal surgery yesterday for cancer
A type of brain injury where the skull is fractured or when it is pierced by a penetrating object is classified as a: a. Focal brain injury b. Open brain injury c. Closed brain injury d. Diffuse brain injury
b. Open brain injury
Which of the following indicates to a nurse a patient may have a brain tumor? a. Left side Neglect b. Sudden personality change c. WBC of 9421 d. FBS above 9000
b. Sudden personality change
A nursing instructor asks a student to describe the pathophysiology that occurs in Cushing's disease. Which statement by the student indicates an accurate understanding of this disorder? "Cushing's disease is characterized by an oversecretion of insulin." "Cushing's disease is characterized by an oversecretion of glucocorticoid hormones." "Cushing's disease is characterized by an undersecretion of corticotropic hormones." "Cushing's disease is characterized by an undersecretion of glucocorticoid hormones."
"Cushing's disease is characterized by an oversecretion of glucocorticoid hormones."
The nurse determines that teaching about management of migraine headaches has been effective when the patient says which of the following? "I can take the (Topamax) as soon as a headache starts." "A glass of wine might help me relax and prevent a headache." "I will lie down someplace dark and quiet when the headaches begin." "I should avoid taking aspirin and sumatriptan (Imitrex) at the same time."
"I will lie down someplace dark and quiet when the headaches begin."
A client is scheduled for a thoracentesis. What statement indicates further education is necessary? "This will be an invasive surgical procedure into my chest." "I will take a deep breath when the large-bore needle is inserted." "I will be leaning over a bedside table for the procedure." "This procedure will require local anesthetic rather than general anesthetic."
"I will take a deep breath when the large-bore needle is inserted."
A nurse is providing discharge teaching to a male client who had DKA. Which of the following statements by the client indicates the need for further teaching? "I will consume 2-3 L of fluid each day to prevent dehydration." "I need to notify my provider if my glucometer shows a blood sugar level 270 mg/dL." "I would monitor my blood glucose once a day when I am ill." "If my blood glucose is low, I would drink apple juice."
"I would monitor my blood glucose once a day when I am ill."
Your postpartum patient is breast-feeding her newborn. Her provider enters the room for an assessment and says her "posterior pituitary must be doing its job." After the provider leaves, your patient asks you what her posterior pituitary has to do with breastfeeding. You respond by saying: "Your doctor must be confused. They're not related at all." "It produces luteinizing hormone, which triggers ovulation. But it is not connected to breastfeeding." "It produces oxytocin, which helps your uterus contract after delivery. It doesn't assist with breastfeeding." "It produces oxytocin, which stimulates the ejection of breast milk."
"It produces oxytocin, which stimulates the ejection of breast milk."
A nurse is caring for a client who is 1 day postoperative following a subtotal thyroidectomy. The client reports a tingling sensation in the hands, the soles of the feet, and around the lips. For which of the following findings should the nurse assess the client? A. Chvostek's sign B. Babinski's sign C. Brudzinski's sign D. Kernig's sign
A. Chvostek's signFeedback: The nurse should suspect that the client has hypocalcemia, a possible complication following subtotal thyroidectomy. Manifestations of hypocalcemia include numbness and tingling in the hands, the soles of the feet, and around the lips, typically appearing between 24 and 48 hr after surgery. To elicit Chvostek's sign, the nurse should tap the client's face at a point just below and in front of the ear. A positive response would be twitching of the ipsilateral (same side only) facial muscles, suggesting neuromuscular excitability due to hypocalcemia
A nurse is caring for a client following surgical treatment for a brain tumor. Which of the following interventions should the nurse take? A. Elevate the head of the bed to 30°. B. Notify the provider for drainage greater than 80 mL/8hr. C. Place the client in a flat, lateral position. D. Provide passive range-of-motion exercises to the neck.
A. Elevate the head of the bed to 30°.Feedback: The client who has surgery to treat a supratentorial brain tumor is at risk for increased intracranial pressure (ICP). Elevation of the head of the bed to 30° assists in promoting venous and CNS fluid drainage from the head to prevent increased ICP.
For TBI patients, when doing your nursing assessment, what is one of the significant changes that would indicate an increase in ICP and would warrant notifying the provider immediately? A. Fixed (nonreactive) and dilated pupils B. Petechiae all over the body C. Capillary refill of less than 3 seconds D. Lower extremity edema
A. Fixed (nonreactive) and dilated pupils
A patient is diagnosed with pheochromocytoma. From your nursing knowledge, you know that the patient will present with hypertension, sweating, and palpitations due to excessive catecholamine production from the? Adrenal Cortex Adrenal Zona Fasciculata Adrenal Medulla Adrenal Glomerulosa
Adrenal Medulla
A patient arrives to the clinic with complaints of excessive thirst and urination. Upon further assessment, you find they are hypotensive with poor skin turgor. You suspect this to be a deficiency in _______, produced by the posterior pituitary. Oxytocin Luteinizing hormone Antidiuretic hormone (Vasopressin) Prolactin
Antidiuretic hormone (Vasopressin)
A client is scheduled for a thoracentesis. What statement indicates further education is necessary? A. "This will be an invasive surgical process into my chest." B. "I will take a deep breath when the large-bore needle is inserted." C. "I will be leaning over a bedside table for the procedure." D. "This procedure will require local anesthetic rather than general anesthetic."
B. "I will take a deep breath when the large-bore needle is inserted."
Increased ICP (increased intracranial pressure) is the leading cause of death from head trauma in patients who reach the hospital. As ICP increases, what happens? A. A decrease in systolic blood pressure. B. A decrease in cerebral perfusion leading to brain tissue ischemia and edema. C. An increase in heart rate (tachycardia). D. Increased cognition.
B. A decrease in cerebral perfusion leading to brain tissue ischemia and edema.
A nurse is caring for a client who has diabetic ketoacidosis. Which of the following manifestations should the nurse expect? A. Malignant hypertension B. Acetone odor to breath C. Cheyne-Stokes breathing D. Blood glucose level below 40 mg/dL
B. Acetone odor to breath
A nurse is caring for a client who develops a pulmonary embolism. Which of the following interventions should the nurse implement first? A. Give morphine IV. B. Administer oxygen therapy. C. Start an IV infusion of lactated Ringer's. D. Initiate cardiac monitoring.
B. Administer oxygen therapy.
A nurse is caring for a client who has quadriplegia from a spinal cord injury and reports having a severe headache. The nurse obtains a blood pressure reading of 210/108 mm Hg and suspects the client is experiencing autonomic dysreflexia. Which of the following actions should the nurse take first? A. Administer a nitrate antihypertensive. B. Assess the client for bladder distention. C. Place the client in a low-Fowler's position. D. Obtain the client's heart rate.
B. Assess the client for bladder distention.Feedback: The client who is experiencing autonomic dysreflexia is at risk for a cerebrovascular accident resulting from severe hypertension. One of the common causes of autonomic dysreflexia is a distended bladder. The nurse should check for and relieve bladder distention;
A nurse is preparing to administer lispro insulin to a client who has type 1 diabetes mellitus. Which of the following actions should the nurse take? A. Assess for hypoglycemia 4 hr after the insulin injection. B. Inject the insulin 15 min before a meal. C. Monitor for polyuria. D. Administer with short-acting insulin.
B. Inject the insulin 15 min before a meal.
A nurse is collecting the medical history from a client who has manifestations of syndrome of inappropriate antidiuretic hormone (SIADH). The nurse should ask the client if he has a history of which of the following conditions that can cause SIADH? A. Osteoarthritis B. Lung cancer C. Liver cirrhosis D. Dyspepsia
B. Lung cancerFeedback: The nurse should ask the client if he has a history of lung cancer because some of the treatment options for small cell lung cancer can cause secretion of antidiuretic hormone. This results in the body retaining water and can cause the syndrome of inappropriate antidiuretic hormone (SIADH).
A nurse is caring for a client who has type 1 diabetes mellitus. The nurse misread the client's morning blood glucose level as 210 mg/dL instead of 120 mg/dL and administered the insulin dose appropriate for a reading over 200 mg/dL before the client's breakfast. Which of the following actions is the nurse's priority? A. Give the client 15 to 20 g of carbohydrate. B. Monitor the client for hypoglycemia. C. Complete an incident report. D. Notify the nurse manager.
B. Monitor the client for hypoglycemia.
A nurse is assessing a client who has a pneumothorax with a chest tube in place. For which of the following findings should the nurse notify the provider? A. Eyelets are not visible B. Movement of the trachea toward the unaffected side C. Crepitus in the area above and surrounding the insertion site D. Bubbling of the water in the water seal chamber with exhalation
B. Movement of the trachea toward the unaffected side
A nurse is caring for a client who has a chest tube in place to a closed chest drainage system. Which of the following findings should indicate to the nurse that the client's lung has re-expanded? A. Oxygen saturation of 95% B. No fluctuations in the water seal chamber C. No reports of pleuritic chest pain D. Occasional bubbling in the water-seal chamber
B. No fluctuations in the water seal chamber
A nurse is caring for a 54 y/o male patient with DKA. His arterial blood gas shows: pH: 7.28, PaCO2: 30, and HCO3: 18. How would the nurse interpret this ABG result? A. Partially compensated respiratory acidosis B. Partially compensated metabolic acidosis C. Uncompensated respiratory acidosis D. Uncompensated metabolic acidosis
B. Partially compensated metabolic acidosis
A nurse is planning care for a client who has quadriplegia. Which of the following actions should the nurse take to prevent a pulmonary embolism (PE)? A. Assess legs for pallor. B. Perform passive range of motion exercises. C. Place pillows under the client's knees when in bed. D. Massage the calves every shift.
B. Perform passive range of motion exercises.
A nurse is caring for a client who is experiencing autonomic dysreflexia d/t a C5 spinal cord injury. After checking the client's vital signs, which of the following actions should the nurse perform next? A. Administer nifedipine B. Place the client in high-Fowler's position C. Check for urinary retention D. Check for fecal impaction
B. Place the client in high-Fowler's position
A nursing is providing dietary teaching for a client who has Cushing's disease. Which of the following recommendations should nurse include in the teaching? A. Limit intake of potassium-rich foods. B. Restrict sodium intake. C. Increase carbohydrate intake. D. Decrease protein intake.
B. Restrict sodium intake.Feedback: The nurse should recommend the client to restrict sodium intake to control fluid volume. This restriction can range from "no-added-salt" to table foods to a restriction of 2 g/day.
A nurse is caring for a client who is 1 day postoperative following a thyroidectomy and reports severe muscle spasms of the lower extremities. Which of the following actions should the nurse take? A. Check the pedal pulses. B. Verify the most recent calcium level. C. Request prescription for a relaxant. D. Administer an oral potassium supplement.
B. Verify the most recent calcium level.Feedback: A client who has had a thyroidectomy is at risk of hypocalcemia due to the possible disruption of the parathyroid gland during surgery. The parathyroid glands are four small glands located inside the thyroid gland that are responsible for calcium regulation. If they are damaged during a thyroidectomy, there is a risk of hypocalcemia. Low calcium levels can be manifested as numbness and tingling of the fingers and around the mouth, muscle spasms (particularly of the hands and feet), and hyperactive reflexes. If a client develops any of these manifestations following a thyroidectomy, the nurse should check the client's latest calcium level. The expected reference range for calcium is 8.5 to 10.5 mg/dL. If the calcium level is low, the provider should be notified, and oral or intravenous calcium replacement should be administered.
A nurse is teaching a female client who has a new prescription for transdermal sumatriptan to treat migraine headaches. Which of the following instructions should the nurse include? A. "Take this medication daily to prevent headaches." B. "Activate the patch 30 minutes after application." C. "Use contraception while taking this medication." D. "You can bathe with the patch in place."
C. "Use contraception while taking this medication."Feedback: Sumatriptan can cause teratogenesis and should not be used during pregnancy.
A nurse is providing teaching about healthy snacks for a client diagnosed with Addison's disease. What snack choice made by the patient demonstrates an understanding of the teaching? A. A banana B. A baked potato C. A turkey and cheese sandwich D. Plain yogurt with peaches
C. A turkey and cheese sandwichFeedback: A turkey and cheese sandwich is high in protein, carbohydrates, and sodium. The client who has Addison's disease requires a diet low in potassium and high in sodium, carbohydrates, and protein. Addison's disease is a hormone deficiency caused by damage to the outer layer of the adrenal gland (adrenal cortex). Addison's disease occurs when the adrenal glands do not produce enough of the hormone cortisol and, in some cases, the hormone aldosterone.
A nurse is assessing a client who has hyperthyroidism. The nurse should expect the client to report which of the following manifestations? A. Sensitivity to cold B. Constipation C. Frequent mood changes D. Weight gain of 4.5 kg (10 lb) in 3 weeks
C. Frequent mood changesFeedback: Hyperthyroidism develops when the thyroid gland produces an excess of the thyroid hormones that regulate the metabolic rate. Clients experience emotional lability that fluctuates between emotional hyperexcitability and irritability. They often cannot sit quietly.
A nurse is caring for a client who has a chest tube connected to a closed drainage system and needs to be transported to the x-ray department. Which of the following actions should the nurse take? A. Clamp the chest tube prior to transferring the client to a wheelchair. B. Disconnect the chest tube from the drainage system during transport. C. Keep the drainage system below the level of the client's chest at all times. D. Empty the collection chamber prior to transport.
C. Keep the drainage system below the level of the client's chest at all times.
A nurse administers desmopressin to a client who has a diagnosis of diabetes insipidus. The nurse recognizes that which the following laboratory findings indicate a therapeutic effect of the medication? A. Serum sodium 146 mEq/L B. Blood glucose 80 mg/dL C. Urine specific gravity 1.015 D. Blood urea nitrogen (BUN) 15 mg/dL
C. Urine specific gravity 1.015Feedback: A therapeutic effect of the medication would be urine specific gravity within the expected reference range, which is 1.010-1.025.
Which set of arterial blood gases will the nurse expect to find in a client who developed a pulmonary embolism 15 minutes ago? A. pH, 7.30; HCO3-, 22 mEq/L; PCO2, 60 mm Hg; PO2, 66 mm Hg B. pH, 7.38; HCO3-, 22 mEq/L; PCO2, 45 mm Hg; PO2, 96 mm Hg C. pH, 7.47; HCO3-, 23 mEq/L; PCO2, 25 mm Hg; PO2, 82 mm Hg D. pH, 7.30; HCO3-, 28 mEq/L; PCO2, 65 mm Hg; PO2, 75 mm Hg
C. pH, 7.47; HCO3-, 23 mEq/L; PCO2, 25 mm Hg; PO2, 82 mm Hg
Which action will the nurse include in the plan of care for a patient who has a cauda equina spinal cord injury? Catheterize the patient every 3 to 4 hours. Assist the patient to ambulate 4 times daily. Administer medications to reduce bladder spasm. Stabilize the neck when repositioning the patient.
Catheterize the patient every 3 to 4 hours.
You are providing care to Mr. Smith who has a chest tube. On assessment of the drainage system, you note continuous bubbling in the water seal chamber and oscillation. Which of the following is the correct nursing intervention for this finding? Continue to monitor the drainage system Check the drainage system for an air leak Reposition the patient because the tubing is kinked Increase the suction to the drainage system
Check the drainage system for an air leak
A nurse is caring for a 7-year-old child who has an upper respiratory infection and type 1 diabetes mellitus. Which of the following statements by the mother indicates a need for further instruction? A. "I will encourage her to drink half a cup of water or sugar-free fluids every 30 minutes." B. "I will report a change in her breathing or any signs of confusion." C. "I will notify the doctor if her temperature is not controlled with acetaminophen." D. "I will continue to check his blood sugar two times every day."
D. "I will continue to check his blood sugar two times every day."
A nurse in an emergency department is caring for a client who has diabetic ketoacidosis (DKA) and a blood glucose level of 925 mg/dL. The nurse should anticipate which of the following prescriptions from the provider? A. Glucocorticoid medications B. Dextrose 5% in 0.45% sodium chloride C. Oral hypoglycemic medications D. 0.9% sodium chloride IV bolus
D. 0.9% sodium chloride IV bolus
Which physiological effect of a pulmonary embolism would initially affect oxygenation? A. A blood clot blocks ventilation; perfusion is unaffected. B. A blood clot blocks ventilation, producing hypoxia despite normal perfusion. C. A blood clot blocks perfusion and ventilation, producing profound hypoxia. D. A blood clot blocks perfusion, producing hypoxia despite normal or supernormal ventilation.
D. A blood clot blocks perfusion, producing hypoxia despite normal or supernormal ventilation.
The nurse is caring for a postoperative client who has a chest tube connected to suction and a water seal drainage system. Which of the following indicates to the nurse that the chest tube is functioning properly? A. Absence of fluid in the drainage tubing B. Continuous bubbling within the water seal chamber C. Equal amounts of fluid drainage in each collection chamber D. Fluctuation of the fluid level within the water seal chamber
D. Fluctuation of the fluid level within the water seal chamber
A nurse is assessing a client who has myxedema. Which of the following findings should the nurse expect? A. Constipation B. Headache C. Bradycardia D. Hypertension
D. Hypertension
A nurse in the ED has assessed a client's airway, breathing, and circulation (ABC) following a head injury from a fall at work. Which of the following actions is the priority for the nurse to perform next? A. Question the client's coworkers about the mechanism of injury B. Check the client's pupils for equality and reaction to light C. Measure the client's alertness using the Glasgow Coma Scale D. Immobilize the client's cervical spine.
D. Immobilize the client's cervical spine.
A nurse is caring for a client who has a traumatic head injury and is exhibiting signs of increasing intracranial pressure. Which of the following medications should the nurse plan to administer? A. Albumin 25% B. Dextran 70 C. Hydroxyethyl glucose D. Mannitol 25%
D. Mannitol 25%
A nurse is planning care for a client who had a traumatic brain injury and is emerging restlessly from a coma. Which of the following interventions should the nurse include in the plan? A. Apply restraints. B. Administer opioids. C. Darken the room. D. Reduce stimuli.
D. Reduce stimuli.
A nurse is caring for an adolescent client who has a long history of diabetes mellitus and is being admitted to the emergency department confused, flushed, and with an acetone odor on the breath. Diabetic ketoacidosis is suspected. The nurse should anticipate using which of the following types of insulin to treat this client? A. NPH insulin B. Insulin glargine C. Insulin detemir D. Regular insulin
D. Regular insulin
A nurse is caring for a client who has a traumatic brain injury. Which of the following findings should the nurse identify as an indication of increased intracranial pressure (ICP)? A. Tachycardia B. Amnesia C. Hypotension D. Restlessness
D. Restlessness
A nurse in a clinic is reviewing the laboratory values of a client who has primary hypothyroidism. The nurse should anticipate an elevation of which of the following laboratory values? A. Serum T3 B. Serum T4 C. Free T4 D. Thyroid stimulating hormone (TSH)
D. Thyroid stimulating hormone (TSH)
A nurse is assessing a client who has diabetes insipidus. Which of the following findings should the nurse expect? A. Bradycardia B. Moist mucous membranes C. Bounding peripheral pulses D. Urine specific gravity 1.002
D. Urine specific gravity 1.002
A nurse is caring for a client who has increased intracranial pressure (ICP) following a closed-head injury. Which of the following actions should the nurse take? A. Instruct the client to cough and deep breathe. B. Place the client in a supine position. C. Place a warming blanket on the client. D. Use log rolling to reposition the client.
D. Use log rolling to reposition the client.
A nurse is developing a plan of care to prevent skin breakdown for a client with a spinal cord injury and paralysis. Which of the following nursing actions are appropriate? A. Massage over erythematous bony prominences. B. Implement turning schedule every 4 hr. C. Keep the client's skin dry with powder. D. Use pillows to keep heels off the bed surface.
D. Use pillows to keep heels off the bed surface.
The condition this patient is experiencing is known as ______: Acromegaly Diabetes insipidus SIADH Water intoxication
Diabetes insipidus
Mr. Smith calls on the call light to tell you something is wrong with his chest tube. When you arrive to the room you note that the drainage system has fallen on its side and is leaking drainage into the floor from a crack in the system. What is PRIORITY? Notify the physician immediately Place the patient in supine position and clamp the tubing Disconnect the tubing from the drainage system and insert the tubing 1 inch into a bottle of sterile water and obtain a new system. Disconnect the drainage system and get a new one
Disconnect the tubing from the drainage system and insert the tubing 1 inch into a bottle of sterile water and obtain a new system.
A nurse is assessing a patient who is diagnosed with diabetic ketoacidosis (DKA). What symptoms would the nurse expect to see on this patient? Select all that apply. Fruity odor breath Weight gain Oliguria Excessive thirst Deep rapid respirations
Fruity odor breath Excessive thirst Deep rapid respirations
What statement is true about pneumothorax and a hemothorax? Pneumothorax is in the lungs while hemothorax is within the pericardium Pneumothorax relates to the accumulation of only blood Hemothorax relates to the accumulation of both blood and gas/air Hemothorax is located within the pleural space
Hemothorax is located within the pleural space
A nurse is caring for a 54 y/o male patient with DKA. His arterial blood gas shows: pH: 7.28, PaCO2: 30, and HCO3: 18. How would the nurse interpret this ABG result? Partially compensated respiratory acidosis Partially compensated metabolic acidosis Uncompensated respiratory acidosis Uncompensated metabolic acidosis
Partially compensated metabolic acidosis
Which of the following risk factors is an indication a patient needs to be screened for diabetes? Patient with a BMI of 24 who is 32 years old. Patient with a BMI of 28 who reports a HgA1C greater than 5.7%. Patient with a BMI of 23 who has a consistent BP of 120/80 Patient with a BMI OF 24 who has no history of vascular disease.
Patient with a BMI of 28 who reports a HgA1C greater than 5.7%.
A nurse is reviewing the laboratory data on a client who has a new prescription for heparin for treatment of a pulmonary embolism. Which of the following data should the nurse report to the provider? A. Hematocrit 45% B. Partial thromboplastin time (PTT) 65 seconds C. Platelets 74,000/mm3 D. White blood cell count 8,000/mm3
Platelets 74,000/mm3
Which of the following statements from a new graduate nurse should allow a charge nurse to intervene when administering Insulin lispro? I should administer insulin before meals to control postprandial rise in glucose. Rapid onset is (30 to 60 min) I should administer insulin in conjunction with intermediate-or long-lasting insulin to provide glycemic control between meals at night.
Rapid onset is (30 to 60 min)
You are a new nurse providing foot care education to Uncle Dennyfigs who is diagnosed with type II diabetes. What is the best advice you can give to manage his foot? Select all that apply Go barefoot to air out open wounds Wear clean cotton or wool absorbent socks/stockings Use hot water bottles or heating pads to warm feet Use warm water and mild soap to wash feat daily Gently pat feet dry then apply lotion in between the toes to make it soft Apply dry dressing to cuts after washing with warm water and mild soap, then drying.
Wear clean cotton or wool absorbent socks/stockings Use warm water and mild soap to wash feat daily Apply dry dressing to cuts after washing with warm water and mild soap, then drying.
A nurse in a provider's office is reviewing laboratory results of a client who is being evaluated for secondary hypothyroidism. Which of the following laboratory findings is expected? a. Elevated T4 b. Decreased T3 c. Elevated thyroid stimulating hormone d. Decreased cholesterol
b. Decreased T3
A nurse is reviewing the manifestations of hyperthyroidism with a client. Which of the following findings should the nurse include? Select all that apply. a. Anorexia b. Heat intolerance c. Constipation d. Palpitations e. Weight loss f. Bradycardia
b. Heat intolerance d. Palpitations e. Weight loss
A nurse is assessing a client who is 12 hr postoperative following a thyroidectomy. Which of the following findings is indicative of thyroid crisis? Select all that apply. a. Bradycardia b. Hypothermia c. Dyspnea d. Abdominal pain e. Mental confusion
c. Dyspnea d. Abdominal pain e. Mental confusion
You have a patient who has had a recent brain tumor removed. One of your orders is to perform a Romberg's test. Which action do you take first? (My trick question) a. Have the client stand erect with their eyes open b. Stroke the lateral aspect of the sole of the foot c. Strike a tuning fork and place it on the mastoid bone d. Introduce yourself
d. Introduce yourself
What is the purpose of chest tubes? a) drain fluid, blood, air from pleural space b) reestablish a negative pressure c) facilitate lung expansion d) restore normal pleural pressure e) all of the above f) none of the above
e) all of the above
