NURS 340 EXAM 1 NEWEST 2024 /NURS 340
HEALTH ASSESSMENT EXAM 1 AND STUDY
GUIDE NEWEST 2024 ACTUAL EXAM 200
QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+
A client with diabetes is learning to mix regular insulin and
NPH insulin in the same syringe; the RN determines that
additional teaching is needed when the client does what -
...ANS... withdraws the NPH dose into the syringe first
The following interventions are planned for a diabetic client;
which intervention can the RN delegate to unlicensed assistive
personnel - ...ANS... check that the bath water is not too hot
The home care RN should intervene to correct a client whose
insulin administration includes - ...ANS... mixing an evening
dose of regular insulin with insulin glargine in one syringe for
administration
When teaching the client with type 1 diabetes, what should
the RN emphasize as the major advantage of using an insulin
pump - ...ANS... tight glycemic control can be maintained
A client taking insulin has recorded fasting glucose levels
above 200 mg/dL on awakening for the last five mornings;
,What should the RN advise the client to do first -
...ANS... monitor the glucose level at bedtime, between 2 and
4am, and on arising
Which class of oral glucose-lowering agents is most
commonly used for people with type 2 diabetes because it
reduces hepatic glucose production and enhances tissue
uptake of glucose - ...ANS... biguanide
The client with type 2 diabetes is being put on acarbose
(precose) and wants to know why she is taking it; what should
the RN include in this client's teaching - ...ANS... take it with
the first bite of each meal; effectiveness is measured by 2-hour
postprandial glucose; it delays glucose absorption from the
gastrointestinal tract
The RN is assessing a newly admitted diabetic client; which
observation should be addressed as the priority by the RN -
...ANS... rapid respirations with deep inspiration
Individualized nutrition therapy for clients using
conventional, fixed insulin regimens should include teaching
the client to - ...ANS... eat regular meals at regular times
What should the goals of nutrition therapy for the client with
type 2 diabetes include - ...ANS... normal serum glucose and
lipid levels
To prevent hyperglycemia or hypoglycemia related to
exercise, what should the RN teach the client using glucose-
lowering agents about the best time for exercise -
,...ANS... about 1 hour after eating when blood glucose levels
are rising
The RN assesses the diabetic client's technique of self-
monitoring of blood glucose three months after initial
instruction; which error in the performance of self-monitoring
of blood glucose noted by the RN requires intervention -
...ANS... cleaning the puncture site with alcohol before the
puncture
A RN working in an outpatient clinic plans a screening
program for diabetes; what recommendations for screening
should be included - ...ANS... FPG for all individuals at age 45
and then every three years
A client with diabetes calls the clinic because she is
experiencing nausea and flu-like symptoms; which advice
form the RN will be the best for this client -
...ANS... administer the usual insulin dosage
The RN should observe the client for symptoms of
ketoacidosis when - ...ANS... glucose levels become so high
that osmotic diuresis promotes fluid and electrolyte loss
What are manifestations of diabetic ketoacidosis (DKA) -
...ANS... thirst; ketonuria; dehydration; metabolic acidosis;
kussmaul respirations; sweet, fruity breath odor
What describes the primary difference in treatment for diabetic
ketoacidosis and hyperosmolar hyperglycemic syndrome -
...ANS... hyperosmolar hyperglycemic syndrome requires
greater fluid replacement to correct the dehydration
, The client with newly diagnosed diabetes is displaying
shakiness, confusion, irritability, and slurred speech; what
should the RN suspect is happening -
...ANS...hypoglycemia
The client with diabetes has a blood glucose level of 248
mg/dL; which manifestations in the client would the RN
understand as being related to this blood glucose level -
...ANS...headache, abdominal cramps, increase in urination,
weakness and fatigue
A diabetic client is found unconscious at home and a family
member calls the clinic; after determining that a glucometer is
not available, what should the RN advise the family member
to do - ...ANS...administer glucagon 1 mg intramuscularly or
subcutaneously
The client with diabetes is brought to the emergency
department by his family members, who say that he is not
acting like himself and he is more tired than usual; what
would be the order of the nursing actions for this client -
...ANS...ensure patent airway; check blood glucose; establish
IV access; administer 0.9% NaCl solution at 1L/hr; begin
continuous regular insulin drip; establish time of las food and
medication(s)
Two days following a self-managed hypoglycemic episode at
home, the client tells the RN that his blood glucose levels
since the episode have been between 80 and 90 mg/dL; which
is the best response by the RN - ...ANS..."that is a good range
for your glucose levels"
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