NUR 308 MIDTERM EXAM QUESTIONS AND COMPLETE SOLUTIONS
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Course
NUR 308
Institution
NUR 308
AA patient with type 1 diabetes is admitted to the medical unit with an acute exacerbation of chronic obstructive pulmonary disease. The patient is placed on IV piggyback antibiotics, nebulizer treatments with albuterol, and an IV corticosteroid, and is also taking a proton pump inhibitor for gastr...
NUR 308 MIDTERM EXAM QUESTIONS
AND COMPLETE SOLUTIONS
AA patient with type 1 diabetes is admitted to the medical unit with an acute
exacerbation of chronic obstructive pulmonary disease. The patient is placed on IV
piggyback antibiotics, nebulizer treatments with albuterol, and an IV corticosteroid, and
is also taking a proton pump inhibitor for gastroesophageal reflux disease. The patient
takes a dose of glargine insulin every evening. This evening the nurse notes that the
patient's blood glucose level is 9.4 mmol/L. The next morning, the fasting glucose level
is 11.2 mmol/L. What is the most likely cause of the elevated glucose levels?
A. Albuterol
B. Antibiotics
C. Proton pump inhibitor
D. Corticosteroid ✅Correct answer: D
Rationale: Corticosteroids antagonize the hypoglycemic effects of insulin, resulting in
elevated blood glucose levels.
After the 0700-hours report, the day shift nurse notices that a patient has a dose of
insulin due at 0730 hours and goes to the automated dispensing machine to retrieve the
insulin. The nurse sees that the night shift nurse removed the 0730-hours dose of
insulin, but the medication administration record has not been signed by the nurse. The
patient is confused and "thinks" the night nurse administered the insulin. The patient's
blood glucose level is 7.9 mmol/L. What will the day shift nurse do?
A. Give the insulin because it was not signed off.
B. Hold the insulin because the patient thinks it was administered, and it is recorded in
the machine.
C. Ask the charge nurse to call the night nurse at home to clarify whether the insulin
was given.
D. Report this to the nursing supervisor. ✅Correct answer: C
Rationale: Never guess whether a drug was given. Taking the drug out of the machine
does not mean it was given. The nurse should ask the night nurse what was done.
The nurse has just administered the morning dose of a patient's insulin lispro. Just after
the injection, the dietary department calls to inform the patient care unit that breakfast
trays will be 45 minutes late. What will the nurse do next?
A. Inform the patient of the delay.
B. Check the patient's blood glucose levels.
C. Call the dietary department to send a tray immediately.
D. Give the patient food, such as cereal, and skim milk and juice. ✅Correct answer: D
Rationale: Lispro insulin's onset of action is 15 minutes. It is essential that a patient with
diabetes eat a meal after injection. Otherwise, profound hypoglycemia may result.
, The nurse enters the patient's room to complete the discharge process and finds the
patient lying in bed unresponsive and breathing. The patient has a blood glucose
reading of 2.7 mmol/L. What is the most appropriate response by the nurse?
A. Place a packet of table sugar in the patient's mouth.
B. Start cardiopulmonary resuscitation (CPR).
C. Roll the patient onto his or her side, andadminister the ordered glucagon.
D. Have the patient drink orange juice. ✅Correct answer: C
Rationale: Glucagon, a natural hormone secreted by the pancreas, is available as a
subcutaneous injection to be given when a quick response to severe hypoglycemia is
needed. Because glucagon injection may induce vomiting, roll an unconscious patient
onto his or her side before injection. Glucagon is useful in unconscious hypoglycemic
patients without established IV access. The patient is at risk for aspiration, so nothing
should be administered by mouth. CPR is not indicated.
Which statements are true of culture and mental illness? select all that apply
a.
Our culture shapes our attitudes toward mental health and mental illness.
b.
Persons from different cultures may have different symptoms.
c.
Symptoms are consistent between different cultures.
d.
The experience of mental illness is influenced by culture. ✅a.
d.
What is the best definition of colonialism?
a. The rejection of culture as a significant factor in society
b. A hostile attitude toward others simply because they have objectionable
characteristics
c. Domination by a Western culture
d. The institutionalized political domination of one nation over another ✅d.
There are powerful health inequities and deep social injustices produced when the
following three broad areas intersect:
a.
Geography, sexism, ghettoization
b.
Social determinants of health, geography, the 'isms'
c.
Immigrant status, social status, culture
d.
Income, race, age ✅b.
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