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NSG 4100 Exam 2 Questions With Complete Solutions

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  • Course
  • NSG 4100
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  • NSG 4100

NSG 4100 Exam 2 Questions With Complete Solutions

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  • November 14, 2024
  • 16
  • 2024/2025
  • Exam (elaborations)
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  • NSG 4100
  • NSG 4100
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NSG 4100 Exam 2 Questions With Complete Solutions

19 y/o woman was admitted to ICU following high-velocity
MVA in which she sustained a severe closed head injury. Nurse
noticed she has been producing a large amount of urine for the
past 3 hrs and is becoming tachycardia and hypotensive. The
nurse knows that this client needs to be closely monitored for
developing which condition?
a. Cushing syndrome, which is treated w/ intermittent doses of
corticoids
b. DI, which is treated w/ antidiuretic hormone (Vasopressin)
c. SIADH, which is create w/ ADH
d. DM, which is treated w/ basal analog insulin Correct Answer
B

A diabetic educator is discussing sick day rules with a newly
diagnosed type 1 diabetic. The educator is aware that the pt will
require further teaching when the pt states what?
a. I will not take my insulin on the days when I am sick, but I
will certainly check my BG every 2 hours
b. if I cannot eat a meal, I will eat a soft food such as soup,
gelatin, or pudding six to eight times a day
c. I will call the dr if I am not able to keep liquids in my body
due to vomiting or diarrhea
d. I will call the dr if my BG is over 300 mg/dL or if I have
ketones in my urine Correct Answer A

A medical nurse is aware of the need to screen specific pt's for
their risk of hyperglycemic hyperosmolar syndrome (HHS). In
what pt population does hyperosmolar nonketotic syndrome
most often occur?

,a. pt's who are obese and who have no known hx of diabetes
b. pt's w/ type 1 diabetes and poor dietary control
c. adolescents with type 2 diabetes and sporadic use of
antihyperglycemics
d. middle-aged or older people with either type 2 diabetes or no
known hx of diabetes Correct Answer D

A nurse caring for a pt with diabetes insipidus (DI) is reviewing
lab results. What is an expected urinalysis finding?
a. glucose in urine
b. albumin in urine
c. highly dilute urine
d. leukocytes in urine Correct Answer C

A nurse is assessing a pt who has diabetes for the presence of
peripheral neuropathy. The nurse should question the pt about
what sign or symptom that would suggest the possible
development of peripheral neuropathy?
a. persistently cold feet
b. pain that does not respond to analgesia
c. acute pain, unrelieved by rest
d. the presence of a tingling sensation Correct Answer D

A pt has been admitted to the CCU w/ a diagnosis of thyroid
storm. What interventions should the nurse include in this pt's
immediate care? Select all that apply:
a. administering diuretics to prevent fluid overload
b. administering beta blockers to reduce HR
c. administering insulin to reduce BG levels
d. applying interventions to reduce temperature
e. administering corticosteroids Correct Answer B, D

, A pt has been admitted to the post-surgical unit following a
thyroidectomy. To promote comfort and safety, how should the
nurse best position the pt?
a. side-lying (lateral) with one pillow under the head
b. head of the bed elevated 30 degrees and no pillows placed
under the head
c. semi-fowlers with the head supported on two pillows
d. supine, with a small roll supporting the neck Correct Answer
C

A pt has been assessed for aldosteronism and has recently begun
tx. What are priority areas for assessment that the nurse should
frequently address? Select all that apply:
a. pupillary response
b. creatinine and BUN levels
c. potassium level
d. peripheral pulses
e. BP Correct Answer C, E

A pt has retuned to the floor after having a thyroidectomy for
thyroid cancer. The Nurs knows that sometimes during thyroid
surgery, the parathyroid glands an be injured or removed. What
lab finding may be an early indication of parathyroid gland
injury or removal?
a. hyponatremia
b. hypophosphatemia
c. hypocalcemia
d. hypokalemia Correct Answer C

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