NURS 219 LESSON 4 PRACTICE QUESTIONS AND CORRECT ANSWERS
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Course
NURS 219
Institution
NURS 219
Which action should the nurse teach a diabetic client who self-injects insulin to prevent local irritation at the injection site? Be sure to aspirate prior to injecting insulin. Allow the insulin to warm to room temperature before injecting it. Massage the site after injecting insulin. Use a 1-inch...
NURS 219 LESSON 4 PRACTICE
QUESTIONS AND CORRECT ANSWERS
Which action should the nurse teach a diabetic client who self-injects insulin to prevent
local irritation at the injection site?
Be sure to aspirate prior to injecting insulin.
Allow the insulin to warm to room temperature before injecting it.
Massage the site after injecting insulin.
Use a 1-inch needle for the injection. ✅Allow the insulin to warm to room temperature
before injecting it.
The nurse should recommend the pen-injector insulin delivery system for the client with
which clinical presentation?
Requirements for intensive therapy with small, frequent insulin doses
Visual impairment affecting the ability to draw up insulin accurately
Confusion and reliance on another person for insulin injections
Frequent episodes of hypoglycemia ✅Requirements for intensive therapy with small,
frequent insulin doses
A diabetic patient has proliferative retinopathy, nephropathy, and peripheral neuropathy.
What should the nurse teach this patient about exercise?
"Swimming or water aerobics 30 minutes each day would be the safest exercise routine
for you."
"One hour of vigorous exercise daily is needed to prevent progression of disease."
"Jogging for 20 minutes 5-7 days a week would most efficiently help you to lose weight."
"Avoid all forms of exercise because of your diabetic complications." ✅"Swimming or
water aerobics 30 minutes each day would be the safest exercise routine for you."
Which priority intervention will the nurse initiate for the patient having Kussmaul's
respirations due to diabetic ketoacidosis?
Administration of oxygen by nasal cannula at 15 L/min
Intravenous infusion of 10% glucose
Implementation of seizure precautions
Administration of intravenous insulin ✅Administration of intravenous insulin
Based on the nurse's assessment of a diabetic patient, which finding indicates the need
for avoidance of exercise at this time?
Blood glucose level of 155 mg/dL
Pulse rate of 66 beats per minute
Ketone bodies in the urine
Weight gain of 1 pound over the previous week's weight ✅Ketone bodies in the urine
, The nurse in the diabetes clinic is caring for a patient diagnosed with decreased renal
function. Which clinical manifestation would the nurse expect?
Sustained increase in blood pressure from 130/82 mm Hg to 150/110 mm Hg
Ketone bodies in the urine
Elevated specific gravity
Glucose in the urine ✅Sustained increase in blood pressure from 130/82 mm Hg to
150/110 mm Hg
When planning care for a diabetic patient with microalbuminuria, which goal to reduce
the progression to renal failure should be included in the plan?
Decrease the total percentage of daily caloric intake.
Decrease the total percentage of calories from carbohydrates.
Decrease the total percentage of calories from fruits.
Decrease the total percentage of calories from proteins. ✅Decrease the total
percentage of calories from proteins.
The nurse should institute which precaution for the hypoglycemic patient receiving
intramuscular glucagon due to an inability to swallow the oral form?
Have a padded tongue blade at the bedside.
Elevate the head of the bed.
Apply pressure and massage the injection site for 5 minutes.
Position the client face down or in a side-lying position. ✅Position the client face down
or in a side-lying position.
A diabetic patient is receiving intravenous insulin. Which laboratory results should the
nurse anticipate as a potential problem?
Serum calcium level of 8 mg/dL
Serum potassium level of 2.5 mmol/L
Serum chloride level of 90 mmol/L
Serum sodium level of 132 mmol/L ✅Serum potassium level of 2.5 mmol/L
Which clinical manifestation indicates to the nurse a patient's hyperosmolar nonketotic
syndrome (HNKS) therapy needs to be adjusted?
The Glasgow Coma Scale is unchanged from 3 hours ago.
Ketone bodies in the urine have been absent for 3 hours.
Blood osmolarity has decreased from 350 to 330 mOsm.
Serum potassium level has increased from 2.8 to 3.2 mEq/L. ✅The Glasgow Coma
Scale is unchanged from 3 hours ago.
Which factors increase the risk for the development of type 2 diabetes mellitus? (Select
all that apply.)
Hypertension
Body mass index greater than 25 kg/m
Delivery of a 4.99-kg baby
Triglyceride levels between 150 and 200 mg/dL
Weight gain of 30 pounds during pregnancy
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