Nur 235 Exam 3 Study Set with Questions and Correct Answers
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Course
NUR 235
Institution
NUR 235
client with DKA is being treated in the ED. What would the nurse suspect? 1. Comatose state 2. Decreased Urine Output 3. Increased respirations and an increase in pH. 4. Elevated blood glucose level and low plasma bicarbonate level. 4. Elevated blood glucose level and low plasma bicarbonate level.
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Nur 235 Exam 3 Study Set with
Questions and Correct Answers
A client with DKA is being treated in the ED. What would the nurse suspect?
1. Comatose state
2. Decreased Urine Output
3. Increased respirations and an increase in pH.
4. Elevated blood glucose level and low plasma bicarbonate level. ✅4. Elevated blood
glucose level and low plasma bicarbonate level.
"A diabetic patient has a serum glucose level of 824 mg/dL (45.7 mmol/L) and is
unresponsive. Following assessment of the patient, the nurse suspects diabetic
ketoacidosis rather than hyperosmolar hyperglycemic syndrome based on the finding
of"
a. polyuria
b. severe dehydration
c. rapid, deep respirations
d. decreased serum potassium" ✅c. rapid, deep respirations
A patient is admitted with diabetes mellitus, has a glucose level of 380 mg/dl, and a
moderate level of ketones in the urine. As the nurse assesses for signs of ketoacidosis,
which of the following respiratory patterns would the nurse expect to find?"
A-Central apnea
B-Hypoventilation
C-Kussmaul respirations
D- Cheyne-Stokes respirations" ✅C-Kussmaul respirations
"A patient with type 1 diabetes has received diet instruction as part of the treatment
plan. The nurse determines a need for additional instruction when the patient says,"
a. ""I may have an occasional alcoholic drink if I include it in my meal plan."
"b. ""I will need a bedtime snack because I take an evening dose of NPH insulin.""
c. ""I will eat meals as scheduled, even if I am not hungry, to prevent hypoglycemia.""
d. ""I may eat whatever I want, as long as I use enough insulin to cover the calories.
✅"D. ""I may eat whatever I want, as long as I use enough insulin to cover the
calories.""
"An 18-year-old female client, 5'4'' tall, weighing 113 kg, comes to the clinic for a non-
healing wound on her lower leg, which she has had for two weeks. Which disease
process should the nurse suspect the client is developing?
A. Type 1 diabetes
B. Type 2 diabetes
C. Gestational diabetes
D. Acanthosis nigricans" ✅B. Type 2 diabetes
, Risk factors for type 2 diabetes include all of the following except:
"a. Advanced age
b. Obesity
c. Smoking
d. Physical inactivity" ✅Smoking
The nurse is educating a pregnant client who has gestational diabetes. Which of the
following statements should the nurse make to the client? Select all that apply. "
a. Cakes, candies, cookies, and regular soft drinks should be avoided. b. Gestational
diabetes increases the risk that the mother will develop diabetes later in life.
c. Gestational diabetes usually resolves after the baby is born.
d. Insulin injections may be necessary.
e. The baby will likely be born with diabetes
f. The mother should strive to gain no more weight during the pregnancy. ✅A, B, C, D
"The nurse is working with an overweight client who has a high-stress job and smokes.
This client has just received a diagnosis of Type II Diabetes and has just been started
on an oral hypoglycemic agent. Which of the following goals for the client which if met,
would be most likely to lead to an improvement in insulin efficiency to the point the client
would no longer require oral hypoglycemic agents?"
a. Comply with medication regimen 100% for 6 months
b. Quit the use of any tobacco products by the end of three months
c. Lose a pound a week until weight is in normal range for height and exercise 30
minutes daily
d. Practice relaxation techniques for at least five minutes five times a day for at least
five months" ✅c. Lose a pound a week until weight is in normal range for height and
exercise 30 minutes daily
"The risk factors for type 1 diabetes include all of the following except:"
a. Diet
b. Genetic
c. Autoimmune
d. Environmental" ✅a. Diet
"What will the nurse teach the client with diabetes regarding exercise in his or her
treatment program?
1. During exercise the body will use carbohydrates for energy production, which in turn
will decrease the need for insulin.
2. With an increase in activity, the body will use more carbohydrates; therefore more
insulin will be required.
3. The increase in activity results in an increase in the use of insulin; therefore the client
should decrease his or her carbohydrate intake. 4. Exercise will improve pancreatic
circulation and stimulate the islets of Langerhans to increase the production of intrinsic
insulin. ✅1. During exercise the body will use carbohydrates for energy production,
which in turn will decrease the need for insulin.
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