Tiêu đề 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?

4 | Page C. Res Ipsa Loquitor D. False Imprisonment 48. A patient suffers a burn injury during surgery, and the cause is unclear, but such an injury would not ordinarily occur without negligence. The legal doctrine that might allow the patient to sue without proving specific negligent acts is: A. Respondeat Superior B. Force Majure C. Res Ipsa Loquitor D. False Imprisonment 49. A newly graduated nurse, acting under the direct supervision of a preceptor, makes a medication error that harms a patient. If the patient sues, which legal doctrine would most likely apply? A. Respondeat Superior B. Force Majure C. Res Ipsa Loquitor D. False Imprisonment 50. A nurse stops at the scene of a car accident and provides emergency first aid to an injured person before paramedics arrive. The nurse is protected from liability under which legal doctrine, assuming they acted within their scope of practice and without gross negligence? A. Good Samaritan Law B. Force Majure C. Gawad Parangal Award D. Res Ipsa Loquitor TOPIC: RENAL FABS - ACUTE RENAL FAILURE (MEDSURG)   Situation - Nurse Kaeya is caring for a client diagnosed with Acute Renal Failure (ARF)   51. Which laboratory values are most significant for diagnosing ARF? A. BUN and Creatinine B. WBC and Hemoglobin C. Potassium and sodium D. Bilirubin and ammonia 52. Upon checking the patient's history, the nurse knows that this condition predisposes the client to developing prerenal failure:  A. Diabetes Mellitus B. Hypotension C. Aminoglycosides. D. Benign Prostatic Hypertrophy 53. The client has a serum potassium level of 6.8 mEq/L. Which collaborative treatment should the nurse anticipate for the client?  A. Administer a phosphate binder B. Type and crossmatch for whole blood C. Assess the client for leg cramps D. Prepare the client for dialysis 54. The client is advised to be admitted to the intensive care department and will be placed on a therapeutic diet. Which is most appropriate for the client?  A. A high potassium and low-calcium diet B. A low-fat and low cholesterol diet C. A high-carbohydrate and restricted-protein diet D. A regular with six small feedings a day 55. The client diagnosed with ARF is placed on bedrest. The client asks the nurse, “Why do I have to stay in bed? I don't feel bad.” Which scientific rationale supports the nurse's response?  A. Bedrest helps increase the blood return to the renal circulation. B. Bedrest reduces the metabolic rate during the acute stage. C. Bedrest decreases the workload of the left side of the heart. D. Bedrest aids in reduction of peripheral and sacral edema. TOPIC: HEMATOLOGICAL DISORDERS - HEMOPHILIA A  & IDIOPATHIC THROMBOCYTOPENIC PURPURA (MEDSURG)   Situation - Hematological disorders include a broad range of blood dyscrasias, which may be hereditary or have an unknown etiology; some may be fatal, and some clients may live a normal life.The nurse must know the signs/symptoms of these disorders, what is expected with the disorder, and when immediate intervention is necessary. 56. The unlicensed assistive personnel (UAP) asks Nurse Klee, “How does someone get hemophilia A?” Which statement would be Nurse Klee's best response?  A. It is an inherited X-linked recessive disorder. B. There is a deficiency of the clotting factor VIII. C. The person is born with hemophilia A. D. The mother carries the gene and gives it to the son. 57. Which sign/symptom should Nurse Klee expect to assess in the client diagnosed with hemophilia A?  A. Epistaxis. B. Petechiae. C. Subcutaneous emphysema. D. Intermittent claudication. 58. The client with hemophilia A is experiencing hemarthrosis. Which intervention should the nurse recommend to the client?  A. Alternate aspirin and acetaminophen to help with the pain. B. Apply cold packs for 24 to 48 hours to the affected area. C. Perform active range-of-motion exercise on the extremity. D. Put the affected extremity in the dependent position. 59. Which sign would the nurse expect to assess in the client diagnosed with idiopathic thrombocytopenic purpura (ITP) A. Petechiae on the anterior chest, arms, and neck. B. Capillary refill of less than three (3) seconds. C. An enlarged spleen. D. Pulse oximeter reading of 95%. 60. The next day, Nurse Klee is assigned to Ward C. Which client should Nurse Klee assess first?  A. The client whose partial thromboplastin time (PTT) is 38 seconds. B. The client whose hemoglobin is 14 g/dL and hematocrit is 45%. C. The client whose platelet count is 75,000 per cubic millimeter of blood. D. The client whose red blood cell count is 4.8 × 106/mm3. TOPIC: NEUROLOGICAL DISORDERS - MENINGITIS (MEDSURG)   Situation: Ponpon Alarcon, a 24-year-old male, presents to the emergency department with a 12-hour history of high fever (39.6°C), severe headache, photophobia, nausea, and neck stiffness. His roommate reports that Ponpon became progressively more confused and lethargic and had a seizure before arrival. Appropriate diagnostic procedures will be implemented to rule-out Meningitis.     61. Nurse Athena, who will be the primary nurse of Patient Ponpon, is assessing the client to support his initial diagnosis of meningitis. Which clinical manifestations would support his diagnosis?  A. Positive Babinski’s sign and peripheral paresthesia B. Negative Chvostek’s sign and facial tingling. C. Positive Kernig’s sign and nuchal rigidity. D. Negative Trousseau’s sign and nystagmus 62. The nurse is preparing a client for a lumbar puncture.Which interventions should the nurse not implement?  A. Have the client empty the bladder prior to the procedure B. Place the client in a side-lying position with the back arched. C. Instruct the client to breathe rapidly and deeply during the procedure D. Explain to the client what to expect during the procedure. 63. Which statement best describes the scientific rationale for alternating a nonnarcotic antipyretic and a nonsteroidal anti- inflammatory drug (NSAID) every two (2) hours to patient Ponpon?