10 Questions | By Santepro | Last updated: Mar 22, 2022 | Total Attempts: 2042
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1.
Dr. Kennedy prescribes glipizide (Glucotrol). an oral antidiabetic agent. for a male client with type 2 diabetes mellitus who has been having trouble controlling the blood glucose level through diet and exercise. Which medication instruction should the nurse provide?
A.
“Be sure to take glipizide 30 minutes before meals.”
B.
“Glipizide may cause a low serum sodium level. so make sure you have your sodium level checked monthly.”
C.
“You won’t need to check your blood glucose level after you start taking glipizide.”
D.
“Take glipizide after a meal to prevent heartburn.”
2.
For a diabetic male client with a foot ulcer. the physician orders bed rest. a wet-to-dry dressing change every shift. and blood glucose monitoring before meals and bedtime. Why are wet-to-dry dressings used for this client?
A.
They contain exudate and provide a moist wound environment.
B.
They protect the wound from mechanical trauma and promote healing.
C.
They debride the wound and promote healing by secondary intention.
D.
They prevent the entrance of microorganisms and minimize wound discomfort.
3.
When instructing the female client diagnosed with hyperparathyroidism about diet. nurse Gina should stress the importance of which of the following?
A.
Restricting fluids
B.
Restricting sodium
C.
Forcing fluids
D.
Restricting potassium
4.
Which nursing diagnosis takes highest priority for a female client with hyperthyroidism?
A.
Risk for imbalanced nutrition: More than body requirements related to thyroid hormone excess
-
B.
Risk for impaired skin integrity related to edema. skin fragility. and poor wound healing
C.
Body image disturbance related to weight gain and edema
D.
Imbalanced nutrition: Less than body requirements related to thyroid hormone excess
5.
A male client with a tentative diagnosis of hyperosmolar hyperglycemic nonketotic syndrome (HHNS) has a history of type 2 diabetes that is being controlled with an oral diabetic agent. tolazamide (Tolinase). Which of the following is the most important laboratory test for confirming this disorder?
A.
Serum potassium level
B.
Serum sodium level
C.
Arterial blood gas (ABG) values
D.
Serum osmolarity
6.
A male client has just been diagnosed with type 1 diabetes mellitus. When teaching the client and family how diet and exercise affect insulin requirements. Nurse Joy should include which guideline?
A.
“You’ll need more insulin when you exercise or increase your food intake.”
B.
“You’ll need less insulin when you exercise or reduce your food intake.”
C.
“You’ll need less insulin when you increase your food intake.”
D.
“You’ll need more insulin when you exercise or decrease your food intake.”
7.
Nurse Noemi administers glucagon to her diabetic client. then monitors the client for adverse drug reactions and interactions. Which type of drug interacts adversely with glucagon?
A.
Oral anticoagulants
B.
Anabolic steroids
C.
Beta-adrenergic blockers
D.
Thiazide diuretics
8.
Which instruction about insulin administration should nurse Kate give to a client?
A.
“Always follow the same order when drawing the different insulins into the syringe.”
B.
“Shake the vials before withdrawing the insulin.”
C.
“Store unopened vials of insulin in the freezer at temperatures well below freezing.”
D.
“Discard the intermediate-acting insulin if it appears cloudy.”
9.
Nurse Perry is caring for a female client with type 1 diabetes mellitus who exhibits confusion. light-headedness. and aberrant behavior. The client is still conscious. The nurse should first administer:
A.
I.M. or subcutaneous glucagon.
B.
I.V. bolus of dextrose 50%.
C.
15 to 20 g of a fast-acting carbohydrate such as orange juice.
D.
10 U of fast-acting insulin.
10.
For the first 72 hours after thyroidectomy surgery. nurse Jamie would assess the female client for Chvostek’s sign and Trousseau’s sign because they indicate which of the following?
A.
Hypocalcemia
B.
Hypercalcemia
C.
Hypokalemia
D.
Hyperkalemia
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