A. Riskforinfection
B. Excessivefluidvolume
C. Urinaryretention
D.Hypothermia
• Acarbose(Precose),analpha-
glucosidaseinhibitor,isprescribedforafemaleclientwithtype 2 diabetes
mellitus. During discharge planning, nurse Pauleen would be aware of
theclient’sneedfor additionalteachingwhentheclientstates:
A. “IfIhavehypoglycemia,Ishouldeatsomesugar,notdextrose.”
B. “Thedrugmakesmypancreasreleasemoreinsulin.”
C. “IshouldnevertakeinsulinwhileI’mtakingthisdrug.”
D.“It’sbestifItakethedrugwiththefirstbiteofameal.”
atranssphenoidalhypophysectomy. The evening before the surgery, Nurse
Jacob
reviewspreoperativeandpostoperativeinstructionsgiventotheclientearlier.Whic
hpostoperativeinstructionshouldthe nurseemphasize?
A. “Youmustlieflatfor24hoursaftersurgery.”
B. “Youmustavoidcoughing,sneezing,andblowingyournose.”
C. “Youmustrestrictyourfluidintake.”
D.“Youmustreportringinginyourearsimmediately.”
• Dr. Kennedy prescribes glipizide (Glucotrol), an oral antidiabetic agent, for a
male
clientwithtype2diabetesmellituswhohasbeenhavingtroublecontrollingtheblood
glucoselevelthroughdietandexercise.Whichmedicationinstructionshouldthenurs
eprovide?
A. “Besuretotakeglipizide30minutesbeforemeals.”
B. “Glipizidemaycausealowserumsodiumlevel,somakesureyouhaveyoursodi
umlevelcheckedmonthly.”
C. “Youwon’tneedtocheckyourbloodglucoselevelafteryoustarttakingglipizide.”
D.“Takeglipizideafteramealtopreventheartburn.”
• For a diabetic male client with a foot ulcer, the physician orders bed rest,
a wet-to-
drydressingchangeeveryshift,andbloodglucosemonitoringbeforemealsandbe
dtime.Whyarewet-to-drydressings used for thisclient?
A. Theycontainexudatesandprovideamoistwoundenvironment.
B. Theyprotectthewoundfrommechanicaltraumaandpromote
healing.C.Theydebridethewoundandpromotehealingbysecon
daryintention.
D.Theypreventtheentranceofmicroorganismsandminimizewounddiscomfort.
• Wheninstructingthefemaleclientdiagnosedwithhyperparathyroidismaboutdi
et,NurseGina shouldstressthe importanceofwhichofthefollowing?
A. Restrictingfluids
B. Restricting
sodiumC.Forcingf
luids
D.Restrictingpotassium
• Amaleclientwithtype1diabetesmellitushasahighlyelevatedglycosylatedhemo
globin(Hb) test result. In discussing the result with the client, nurse Sharmaine
would be mostaccurateinstating:
A. “Thetestneedstoberepeatedfollowinga12-hourfast.”
B. “Itlookslikeyouaren’tfollowingtheprescribeddiabeti
cdiet.”C.“Ittellsusaboutyoursugarcontrolforthelast3m
onths.”
• Followingaunilateraladrenalectomy,NurseBettywouldassessforhyperkalemi
ashownbywhichofthefollowing?
A. Muscleweakness
B. Tremors
C. Diaphoresis
D.Constipation
C. Theprehistoricstage:Elevatedurinebilirubinlevels
D.Thepostictericstage:Jaundiceanddarkurineoccurs
• Whichnursingdiagnosisisthemostcommonlyusedamongpatientswhoareaf
fectedwithfibromyalgia?
A. Decreasedself-careintheactivitiesofdailylivingrelatedtofatigue
B. Impairedmentalfunctioningrelatedtoelectrolyteimbalances
C. Increasedvigilancesecondarytoelectrolyteimbalances
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