Question

13. The nurse should include what information when educating a client prescribed insulin regarding the characteristics of hypoglycemia? Select all that apply. a. the onset of symptoms/signs is sudden b. characterized by feeling slugginess c. affected by increased emotion d. triggered by missing a regular meal e. associated with a lack of insulin 14. The nurse who has admitted a client with diabetic ketoacidosis should look for what assessment findings that are consistent with this diagnosis? (Select all that apply.) a. Blood glucose 191 mg/dL b. Ketones in the urine c. Somnolence d. Flushed, dry skin e. Rectal pressure 15. The emergency room nurse is answering a client's call light. The client requests pain medication for a severe headache. What priority actions will the nurse implement? Select all that apply. a. Obtain a medication order for a headache. b. Obtain a medication order for a severe headache. C. Advise the client to relax until the healthcare provider is available. d. Identify the client with two identifiers. e. Assess the client's pain severity with a pain scale. 16. A client is scheduled to receive a blood transfusion. In addition to taking vital signs and verifying that the unit of blood cells is checked, what other assessments/actions would the nurse be responsible for? Select all that apply. a. Assess the client for chills or low back pain. b. Stop the transfusion for reports of dyspnea or itching- c. Reduce intake of fluids during the transfusion. d. Rapidly transfuse the blood for the first 15 minutes. e. Transfuse the blood over 5 hours. 17. The nurse is caring for a client who entered the hospital with a diagnosis of dehydration. The client's serum potassium is 5.2 mmol/L this morning and the healthcare provider orders the primary 1.V. fluid as D5 1/2 NSS with 20 mEq/KCL (mmol/L). What will the nurse do? Select all that apply. a. Hold the I.V. fluid. b. Hang the I.V. fluid. c. Clarify the order with the healthcare provider. d. Clarify the order with the pharmacy. e. Review the lab results. 18. The dient's blood sugar is 210 mg/dL (11.7 mmol/L) this morning, the nurse verifies a dose of 8 units of regular insulin from the sliding scale. Which sites are acceptable for the nurse to administer the insulin? Select all that apply. a. buttocks b. deltoid

Answer 1

13. A nurse should include below information while educating a client prescribed insulin regarding the characteristic of hypoglycemia (low blood sugar level)

a. The onset of symptoms/signs is sudden (And often required immediate treatment)

b. Characterized by feeling slugginess

d. triggered by missing a regular meal.

Othe options are wrong because it is not affected by increased emotion and it is not due to lack of insulin it is due to an increasing amount of insulin.

14.

The nurse should look into diabetic ketoacidosis

b. Ketones in urine( extra ketones are eliminated by the kidney)

c. Somnolence ( It means lethargy, weakness, and drowsiness. t is most commonly associated with DKA.)

d. Flushed, dry skin ( it is due to excess urination and hypertension in DKA)

15.

The emergency room nurse is answering a client's call light. The client request pain medication for severe headache. The priority action the nurse will implement is

a. Obtain a medication for headache ( To give somewhat relieve)

e. Asses the client pain severity with pain scale (to plan further treatment)

16.

The client is scheduled to receive a blood transfusion. The nurse should

a. Assess the client for chills and low back pain (it is signs of transfusion reaction).

b. Stop transfusion for reports of dyspnoea and itching ( it is also signs of transfusion reaction).

c. Reduce the intake of fluid during the transfusion ( To avoid fluid overload).

17.

The nurse is caring for a client who is admitted for dehydration. His serum potassium is 5.2mmol/L.

The HCP orders I .v flid as D5 1/2 NS with 20meq KCL. The nurse should

a. Hold the I.V fluid ( because the serum potassium label is in the higher range and there is no need to give potassium infusion).

c. Clarify the order with the healthcare provider ( The nurse should inform the potassium label to HCP).

e. Review the lab result.