Content text RECALLS 5 - NP3 - SC
2 | Page hyperglycemic syndrome is made. Nurse Rosie would immediately prepare to initiate which anticipated doctor's order? A. Endotracheal intubation B. 100 units of NPH insulin C. Intravenous infusion of normal saline D. Intravenous infusion of sodium bicarbonate 12. An external insulin pump is prescribed for a client with diabetes mellitus. When the client asks the nurse about the functioning of the pump, the nurse bases the response on which information about the pump? A. It is timed to release programmed doses of either short-duration or NPH insulin into the bloodstream at specific intervals. B. It continuously infuses small amounts of NPH insulin into the bloodstream while regularly monitoring blood glucose levels. C. It is surgically attached to the pancreas and infuses regular insulin into the pancreas. This releases insulin into the bloodstream. D. It administers a small continuous dose of short- duration insulin subcutaneously. The client can self- administer an additional bolus dose from the pump before each meal. 13. A client with a diagnosis of diabetic ketoacidosis (DKA) is being treated in the emergency department. All findings support this diagnosis, which is not? A. Comatose state B. Deep, rapid breathing C. Increase in pH D. Elevated blood glucose level 14. The nurse teaches a client with diabetes mellitus about differentiating between hypoglycemia and ketoacidosis. The client demonstrates an understanding of the teaching by stating that a form of glucose needs to be taken if which symptoms develop? A. Polyuria, Shakiness, Palpitations B. Polydypsia, Blurred Vision, Light-headedness C. Fruity breath odor, Palpitations, Tremors D. Palpitations, Light-Headedness, Shakiness 15. A client with diabetes mellitus demonstrates acute anxiety when admitted to the hospital for the treatment of hyperglycemia. What is the appropriate intervention to decrease the client’s anxiety? A. Administer a sedative. B. Convey empathy, trust, and respect toward the client. C. Ignore the signs and symptoms of anxiety, anticipating that they will soon disappear. D. Make sure that the client is familiar with the correct medical terms to promote understanding of what is happening. 16. The nurse provides instructions to a client newly diagnosed with type 1 diabetes mellitus about measures to take if feeling sick to prevent diabetic ketoacidosis (DKA). The nurse recognizes an accurate understanding of measures to prevent DKA when the client makes which statement? A. “I will stop taking my insulin if I’m too sick to eat.” B. “I will decrease my insulin dose during times of illness.” C. “I will adjust my insulin dose according to the level of glucose in my urine.” D. “I will notify my doctor if my blood glucose level is higher than 250 mg/dL.” 17. A client is admitted to a hospital with a diagnosis of diabetic ketoacidosis (DKA). The initial blood glucose level is 950 mg/dL. A continuous intravenous (IV) infusion of short- acting insulin is initiated, along with IV rehydration with normal saline. The serum glucose level is now decreased to 240 mg/dL. The nurse would next prepare to administer which medication? A. An ampule of 50% dextrose B. NPH insulin subcutaneously C. IV fluids containing dextrose D. Phenytoin for the prevention of seizures 18. The nurse is monitoring a client diagnosed with diabetes mellitus for signs of complications. Nurse Noy wants to check if the client is compliant with the therapeutic regimen prescribed for her, so he monitored the: A. Fasting Blood Sugar B. Urine Glucose Level C. Rapid Glucose Test D. Glycosylated Hemoglobin 19. The nurse is preparing a plan of care for a client with diabetes mellitus who has hyperglycemia. The nurse places priority on which client problem? A. Lack of knowledge B. Inadequate fluid volume C. Compromised family coping D. Inadequate consumption of nutrients 20. The home health nurse visits a client with a diagnosis of type 1 diabetes mellitus. The client reports a history of vomiting and diarrhea and tells the nurse that no food has been consumed for the last 24 hours. Which additional statement by the client indicates a need for further teaching? A. “I need to stop my insulin.” B. “I need to increase my fluid intake.” C. “I need to monitor my blood glucose every 3 to 4 hours.” D. “I need to call my doctor because of these symptoms.” 21. A client with diabetes mellitus has a glycosylated hemoglobin A1c level of 8%. On the basis of this test result, the nurse plans to teach the client about the need for which measure? A. Avoiding infection B. Taking in adequate fluids C. Preventing and recognizing hypoglycemia D. Preventing and recognizing hyperglycemia RESEARCH SITUATION: Nurse Shane plans to pursue a career in nursing research. She uses her knowledge to organize topics that she had in mind. 22. Nurse Shane wants to explore the topic ¨The Use of Pomodoro Technique in Increasing Exam Scores.¨ What is the independent variable for this research title? A. Pomodoro Technique B. Increasing C. Exam Scores D. Use 23. Since she is aware of the independent variable, she also wants to highlight the dependent variable, which is: A. Pomodoro Technique B. Increasing C. Exam Scores D. Use 24. Nurse Shane also remembered the research that she did during her undergrad. What is the independent variable in her research topic ¨The Effects of Health Vlogs on the Health Awareness of the Community¨ A. Health Vlogs B. Health Awareness C. Effects D. Community 25. Nurse Shane wants to identify the dependent variable for her research topic: ¨The Effects of Health Vlogs on the Health Awareness of the Community.¨ Which is the appropriate answer? A. Health Vlogs B. Health Awareness C. Effects D. Community DIABETES INSIPIDUS SITUATION: Nurse Jeneena is caring for a client with diabetes insipidus. She is very cautious of her actions; thus, she reviewed the case of her client carefully. 26. Nurse Jeneena is assessing her patient with Diabetes Insipidus. Which key assessment finding would the nurse expect? A. Oliguria with high specific gravity B. Polyuria and Polydipsia C. Significant weight gain and edema D. Hyperglycemia 27. What is a priority nursing intervention for a patient experiencing acute symptoms of Diabetes Insipidus?