NURS 498 (EXAM 2) Questions With Complete Solutions

The nurse is caring for a client with type 2 diabetes who has sensory neuropathy of the feet and legs and peripheral arterial disease. Which of the following information will the nurse include in client teaching? A) Set heating pads on a low temperature B) Soak the feet in warm water for an hour every day C)Chose flat soled leather shoes D) Buy callus remover for corns or calluses correct answer: C The nurse is caring for a client who had radical neck surgery and develops hypoparathyroidism. Which of the following information should the nurse include in the teaching plan? A) Take calcium supplementation to normalize serum calcium levels B) Include whole grains in the diet to prevent constipation C) Use of bisphosphonates to reduce bone demineralization D) Ensure a high fluid intake to decrease risk for nephrolithiasis correct answer: A The nurse obtains the following information about a client before administration of metformin. Which of the following findings indicate a need to contact the health care provider before giving the metformin? A) The client is scheduled for a chest x-ray in the next hour B) The client's blood urea nitrogen (BUN) level is 21.4 mmol/L C) The client has gained 1 kg since yesterday. D) The client's blood glucose level is 9.2 mmol/L. correct answer: B Which of the following laboratory values, noted by the nurse when reviewing the chart of a hospitalized client with diabetes, indicates the need for rapid assessment of the client? A) Hb A1Cof 6.9% B) Hb A1C of 5.8% C) Noon blood glucose of 2.9 mmol/L D) Fasting blood glucose of 7.2 mmol/L correct answer: C Which of the following information should the nurse include when teaching a client who has type 2 diabetes about glyburide? A) Glyburide should be taken even if the morning blood glucose level is low. B) Glyburide decreases glucagon secretion from the pancreas. C) Glyburide stimulates insulin production and release from the pancreas. D) Glyburide should not be used for 48 hours after receiving IV contrast media. correct answer: C A client with systemic lupus erythematosus has a prescription for 2 weeks of high-dose prednisone therapy. When teaching the client about the prednisone, which of the following information is most important for the nurse to include? A) Weigh yourself daily to monitor for weight gain caused by water or increased fat B) Call the doctor if you experience any mood alterations with