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Test 4 NURS 327 Practice Questions and Answers (100% Pass)

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Test 4 NURS 327 Practice Questions and Answers (100% Pass) A client with status asthmaticus requires endotracheal intubation and mechanical ventilation. Twenty-four hours after intubation, the client is started on the insulin infusion protocol. The nurse must monitor the client's blood glucose ...

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  • August 15, 2024
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  • NURS 327
  • NURS 327
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OliviaWest
©PREP4EXAMS@2024 [REAL-EXAM-DUMPS] Saturday, August 3, 2024 7:34 AM



WEST VIRGINIA UNIVERSIRTY- (WV) : 26506

Test 4 NURS 327 Practice Questions and
Answers (100% Pass)



A client with status asthmaticus requires endotracheal intubation and mechanical

ventilation. Twenty-four hours after intubation, the client is started on the insulin infusion

protocol. The nurse must monitor the client's blood glucose levels hourly and watch for

which early signs and symptoms associated with hypoglycemia?


Sweating, tremors, and tachycardia


Dry skin, bradycardia, and somnolence


Bradycardia, thirst, and anxiety


Polyuria, polydipsia, and polyphagia - ✔️✔️Sweating, tremors, and tachycardia


Explanation:




Sweating, tremors, and tachycardia, thirst, and anxiety are early signs of hypoglycemia.

Dry skin, bradycardia, and somnolence are signs and symptoms associated with




1

,©PREP4EXAMS@2024 [REAL-EXAM-DUMPS] Saturday, August 3, 2024 7:34 AM



WEST VIRGINIA UNIVERSIRTY- (WV) : 26506
hypothyroidism. Polyuria, polydipsia, and polyphagia are signs and symptoms of

diabetes mellitus.


The nurse suspects that a patient with diabetes has developed proliferative retinopathy.

The nurse confirms this by the presence of which of the following diagnostic signs?


Decreased capillary permeability


Microaneurysm formation


Neovascularization into the vitreous humor


The leakage of capillary wall fragments into surrounding areas - ✔️✔️Neovascularization

into the vitreous humor


Explanation:




Proliferative retinopathy, an ocular complication of diabetes, occurs because of the

abnormal growth of new blood vessels on the retina that bleed into the vitreous and

block light. Blood vessels in the vitreous form scar tissue that can pull and detach the

retina. Neovascularization into the vitreous humor is considered a diagnostic sign.


A nurse is assessing a client who is receiving total parenteral nutrition (TPN). Which

finding suggests that the client has developed hyperglycemia?


Cheyne-Stokes respirations




2

,©PREP4EXAMS@2024 [REAL-EXAM-DUMPS] Saturday, August 3, 2024 7:34 AM



WEST VIRGINIA UNIVERSIRTY- (WV) : 26506
Increased urine output


Decreased appetite


Diaphoresis - ✔️✔️Increased urine output


Explanation:




Glucose supplies most of the calories in TPN; if the glucose infusion rate exceeds the

client's rate of glucose metabolism, hyperglycemia arises. When the renal threshold for

glucose reabsorption is exceeded, osmotic diuresis occurs, causing an increased urine

output. A decreased appetite and diaphoresis suggest hypoglycemia, not

hyperglycemia. Cheyne-Stokes respirations are characterized by a period of apnea

lasting 10 to 60 seconds, followed by gradually increasing depth and frequency of

respirations. Cheyne-Stokes respirations typically occur with cerebral depression or

heart failure.


A nurse is preparing a continuous insulin infusion for a child with diabetic ketoacidosis

and a blood glucose level of 800 mg/dl. Which solution is the most appropriate at the

beginning of therapy?


100 units of regular insulin in normal saline solution


100 units of neutral protamine Hagedorn (NPH) insulin in normal saline solution


100 units of regular insulin in dextrose 5% in water



3

, ©PREP4EXAMS@2024 [REAL-EXAM-DUMPS] Saturday, August 3, 2024 7:34 AM



WEST VIRGINIA UNIVERSIRTY- (WV) : 26506
100 units of NPH insulin in dextrose 5% in water - ✔️✔️100 units of regular insulin in

normal saline solution


Explanation:




Continuous insulin infusions use only short-acting regular insulin. Insulin is added to

normal saline solution and administered until the client's blood glucose level falls.

Further along in the therapy, a dextrose solution is administered to prevent

hypoglycemia.


A nurse is educating a client about the benefits of fruit versus fruit juice in the diabetic

diet. The client states, "What difference does it make if you drink the juice or eat the

fruit? It is all the same." What are the best responses by the nurse? Select all that apply.


"Eating the fruit instead of drinking juice decreases the glycemic index by slowing

absorption."


"Eating the fruit is more satisfying than drinking the juice. You will get full faster."


"Eating the fruit will give you more vitamins and minerals than the juice will."


"Eating the fruit will lead to hyperglycemia and the fruit juice will not lead to

hyperglycemia."


"The fruit has less sugar than the juice." - ✔️✔️"Eating the fruit instead of drinking juice

decreases the glycemic index by slowing absorption."



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