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NURS 327 Test 4 Questions & 100% Correct Answers $13.09   Add to cart

Exam (elaborations)

NURS 327 Test 4 Questions & 100% Correct Answers

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  • NURS 327
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  • NURS 327

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 symptom...

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  • September 9, 2024
  • 134
  • 2024/2025
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  • NURS 327
  • NURS 327
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1 | P a g e | © copyright 2024/2025 | Grade A+




NURS 327 Test 4 Questions & 100%
Correct Answers
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 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?




Master01 | September, 2024/2025 | Latest update

, 2 | P a g e | © copyright 2024/2025 | Grade A+


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

Increased urine output

Decreased appetite

Diaphoresis

✓ :~~ Increased urine output

Explanation:




Master01 | September, 2024/2025 | Latest update

, 3 | P a g e | © copyright 2024/2025 | Grade A+




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

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.




Master01 | September, 2024/2025 | Latest update

, 4 | P a g e | © copyright 2024/2025 | Grade A+


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."

"The fruit has less sugar than the juice."

Explanation:




Eating whole fruit instead of drinking juice decreases the glycemic index, because

fiber in the fruit slows absorption. A serving of juice has more sugar than a serving

of fruit. Whether a fruit is more satisfying and has more vitamins and minerals



Master01 | September, 2024/2025 | Latest update

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