WEEK 5 QUIZ Flashcards
(10 cards)
Early this morning, a female client had a subtotal thyroidectomy. During evening rounds, Nurse Tina assesses the client, who now has nausea, a temperature of 40.5° C, tachycardia, and extreme restlessness. What is the most likely cause of these signs?
a. Diabetic ketoacidosis
b. Hypothyroidism
c. Thyroid crisis
d. Hypoglycemia
e. Infection
c. Thyroid crisis
A male client with type 1 diabetes mellitus asks the nurse about taking an oral antidiabetic agent. Nurse Jack explains that these medications are only effective if the client:
a. is pregnant and has type 2 diabetes.
b. has type 1 diabetes.
c. has diabetes insupidus
d. has type 2 diabetes.
e. prefers to take insulin orally.
d. has type 2 diabetes.
When assessing a male client with pheochromocytoma, a tumor of the adrenal medulla that secretes excessive adrenaline, nurse April is most likely to detect:
a. bradycardia.
b. a blood glucose level of 13mmol/l.
c. a blood pressure of 176/88 mm Hg.
d. Hypotension
e. a blood pressure of 130/70 mm Hg.
c. a blood pressure of 176/88 mm Hg.
A male client with type 1 diabetes mellitus has a highly elevated glycosylated haemoglobin (Hb) test result. In discussing the result with the client, nurse Sharmaine would be most accurate in stating:
a. “With these results you are heading to the grave”
b. “It tells us about your sugar control for the last 3 months.”
c. “It looks like you aren’t following the prescribed diabetic diet.”
d. “The test needs to be repeated following a 12 ‐hour fast.”
e. “Your insulin regimen needs to be altered significantly.”
b. “It tells us about your sugar control for the last 3 months.”
During a class on exercise for diabetic clients, a female client asks the nurse educator how often to exercise. The nurse educator advises the clients to exercise how often to meet the goals of planned exercise?
a. At least three times a week
b. At least five times a week
c. At least once a week
d. Once a month
e. Every day
a. At least three times a week
Capillary glucose monitoring is being performed every 4 hours for a female client diagnosed with diabetic ketoacidosis. Insulin is administered using a scale of regular insulin according to glucose results. Nurse Vince should expect the following except:
a. Intravenous fluids
b. Short acting insulin is used
c. If glucose levels are high ketones are also checked
d. Glucagon is administered for long term stability
e. Higher doses administered with high glucose level results
d. Glucagon is administered for long term stability
Nurse Noemi administers glucagon to her diabetic client and starts monitoring the patient. She know glucagon has worked if,
a. glucose levels increase
b. glucose levels stay the same
c. a change in glucose levels occurs after 12hrs
d. a change in glucose levels is noticed after a meal
e. glucose levels decrease
a. glucose levels increase
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. 10 U of fast‐acting insulin
b. 10 units of slow acting insulin
c. fast‐acting carbohydrate such as orange juice
d. I.M. or subcutaneous glucagon.
e. I.V. bolus of dextrose 50%
c. fast‐acting carbohydrate such as orange juice
Dr. Kennedy prescribes diamicron, 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. “Take diamicron with a drink a of glycosylated beer ”
b. “diamicron may cause a low serum sodium level, so make sure you have your sodium level checked monthly.”
c. “Be sure to take diamicron 30 minutes before meals.”
d. “Take diamicron after a meal to prevent heartburn.”
e. “You won’t need to check your blood glucose level after you start taking glipizide.”
c. “Be sure to take diamicron 30 minutes before meals.”
Nurse Joey is assigned to care for a postoperative male client who has diabetes mellitus. During the assessment interview, the client reports that he’s impotent and says he’s concerned about its effect on his marriage. In planning this client’s care, the most appropriate intervention would be to:
a. Encourage the client to ask questions about personal sexuality.
b. Suggest Viagra
c. Provide time for privacy.
d. Suggest referral to a sex counselor or other appropriate professional.
e. Provide support for the spouse or significant other.
d. Suggest referral to a sex counselor or other appropriate professional.
