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 patient with diabetes is learning to mix regular insulin and
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VNPH insulin in the same syringe; the nurse determines that
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Vadditional teaching is needed when the patient does what -
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...ANSWER...withdraws the NPH dose into the syringe first V V V V V V V
the following interventions are planned for a diabetic patient;
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Vwhich intervention can the nurse delegate to unlicensed
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Vassistive personnel - ...ANSWER...check that the bath water is
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Vnot too hotV V
the home care nurse should intervene to correct a patient
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Vwhose insulin administration includes -
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V...ANSWER...mixing an evening dose of regular insulin with V V V V V V V
Vinsulin glargine in one syringe for administration
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when teaching the patient with type 1 diabetes, what should
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the nurse emphasize as the major advantage of using an
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insulin pump - ...ANSWER...tight glycemic control can be
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maintained
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a patient taking insulin has recorded fasting glucose levels
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above 200 mg/dL on awakening for the last five mornings;
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,what should the nurse advise the patient to do first -
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...ANSWER...monitor the glucose level at bedtime, between 2 V V V V V V V
Vand 4am, and on arising
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which class of oral glucose-lowering agents is most
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commonly used for people with type 2 diabetes because it
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reduces hepatic glucose production and enhances tissue
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uptake of glucose - ...ANSWER...biguinide
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the patient with type 2 diabetes is being put on acarbose
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V(precose) and wants to know why she is taking it; what
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Vshould the nurse include in this patient's teaching -
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V...ANSWER...take it with the first bite of each meal; V V V V V V V V
Veffectiveness is measured by 2-hour postprandial glucose; it V V V V V V V
Vdelays glucose absorption from the gastrointestinal tract
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the nurse is assessing a newly admitted diabetic patient;
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Vwhich observation should be addressed as the priority by the
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Vnurse - V
...ANSWER...rapid respirations with deep inspiration V V V V
individualized nutrition therapy for patients using V V V V V
Vconventional, fixed insulin regimens should include teaching V V V V V V
Vthe patient to - ...ANSWER...eat regular meals at regular
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Vtimes
what should the goals of nutrition therapy for the patient
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with type 2 diabetes include - ...ANSWER...normal serum
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glucose and lipid levels
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to prevent hyperglycemia or hypoglycemia related to exercise,
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Vwhat should the nurse teach the patient using glucose-
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Vlowering agents about the best time for exercise -
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,...ANSWER...about 1 hour after eating when blood glucose V V V V V V V
Vlevels are rising V V
the nurse assesses the diabetic patient's technique of self-
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Vmonitoring of blood glucose three months after initial
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Vinstruction; which error in the performance of self-monitoring
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Vof blood glucose noted by the nurse requires intervention -
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...ANSWER...cleaning the puncture site with alcohol before V V V V V V
Vthe puncture
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a nurse working in an outpatient clinic plans a screening
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program for diabetes; what recommendations for screening
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should be included - ...ANSWER...FPG for all individuals at
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age 45 and then every three years
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a patient with diabetes calls the clinic because she is
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Vexperiencing nausea and flu-like symptoms; which advice
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Vform the nurse will be the best for this patient -
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...ANSWER...administer the usual insulin dosage V V V V
the nurse should observe the patient for symptoms of
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Vketoacidosis when - ...ANSWER...glucose levels become so
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Vhigh that osmotic diuresis promotes fluid and electrolyte loss
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what are manifestations of diabetic ketoacidosis (DKA) -
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...ANSWER...thirst; ketonuria; dehydration; metabolic V V V
Vacidosis; kussmaul respirations; sweet, fruity breath odor
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what describes the primary difference in treatment for diabetic
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Vketoacidosis and hyperosmolar hyperglycemic syndrome -
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...ANSWER...hyperosmolar hyperglycemic syndrome V V
Vrequires greater fluid replacement to correct the dehydration
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, the patient with newly diagnosed diabetes is displaying
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Vshakiness, confusion, irritability, and slurred speech; what
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Vshould the nurse suspect is happening -
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...ANSWER...hypoglycemia
the patient with diabetes has a blood glucose level of 248
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Vmg/dL; which manifestations in the patient would the nurse
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Vunderstand as being related to this blood glucose level -
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...ANSWER...headache, abdominal cramps, increase in V V V V
Vurination, weakness and fatigue V V V
a diabetic patient is found unconscious at home and a family
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member calls the clinic; after determining that a glucometer
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is not available, what should the nurse advise the family
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member to do - ...ANSWER...administer glucagon 1 mg
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intramuscularly or subcutaneously
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the patient with diabetes is brought to the emergency
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Vdepartment by his family members, who say that he is not
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Vacting like himself and he is more tired than usual; what
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Vwould be the order of the nursing actions for this patient -
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...ANSWER...ensure patent airway; check blood glucose; V V V V V
Vestablish IV access; administer 0.9% NaCl solution at 1L/hr;
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Vbegin continuous regular insulin drip; establish time of las
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Vfood and medication(s)
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two days following a self-managed hypoglycemic episode at
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Vhome, the patient tells the nurse that his blood glucose levels
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Vsince the episode have been between 80 and 90 mg/dL;
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Vwhich is the best response by the nurse - ...ANSWER..."that
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Vis a good range for your glucose levels"
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