Inclass Questions

5
Q. A client with advanced cirrhosis with ascites is short of breath and has an increase respiratory rate. What can the nurse do? è High fowler’s position. Q. A pt. is suspected of haing hept. Which diagnosic test result will assist inconfirming the disease. èElevated serum bilirubin Practice questions: 1. when assessing he client with type 1 diabetes mellitus, which is most appropriate to the nurse to ask? èhave you felt hungry, thirsty, and tired recently? 2. A nurse is assisting a client with DM who is recovering from diabetic who is recovering from a DKA, to develop a teacing plan to prevent a recurrence of this condition. Which of the foll is most important to include in the teaching plan? è monitor blood glucose levels as schedule or more frequently 3. A client w/ type 2 diabetes has just been admitted in the hospital who is schedule for an oral glucose tolerance test. Which client assessment finding would be documented and reported to the HCP to the diagnostic test? è taking a dose of the glucocorticoid mediation 4. A nursing student is caring for a client diagnosed with type 2 DM who has a glycosylated hemoglobin ATc of 8.1 %. Which of the foll responses by the nursing students is most appropriate? The test result is not withing an acceptable level 5. The nurse is evaluating the effectivess of discharge teaching for a client with DM. which of the following responses by the client requires follow up? Select all that apply? èI soak my feet in hot water, going to the salon for foot care

description

Questions

Transcript of Inclass Questions

Q. A clientwith advanced cirrhosis with ascites is short of breath and has an increase respiratory rate. What can the nurse do?High fowlers position.Q. A pt. is suspected of haing hept. Which diagnosic test result will assist inconfirming the disease.Elevated serum bilirubinPractice questions:1.when assessing he client with type 1 diabetes mellitus, which is most appropriate to the nurse to ask?have you felt hungry, thirsty, and tired recently?2.A nurse is assisting a client with DM who is recovering from diabetic who is recovering from a DKA, to develop a teacing plan to prevent a recurrence of this condition. Which of the foll is most important to include in the teaching plan?monitor blood glucose levels as schedule or more frequently3.A client w/ type 2 diabetes has just been admitted in the hospital who is schedule for an oral glucose tolerance test. Which client assessment finding would be documented and reported to the HCP to the diagnostic test?taking a dose of the glucocorticoid mediation4.A nursing student is caring for a client diagnosed with type 2 DM who has a glycosylated hemoglobin ATc of 8.1 %. Which of the foll responses by the nursing students is most appropriate? The test result is not withing an acceptable level5.The nurse is evaluating the effectivess of discharge teaching for a client with DM. which of the following responses by the client requires follow up? Select all that apply?I soak my feet in hot water, going to the salon for foot care6.A licent who received 34 u of NPH insulin at 0700 is away from the med-surg unit, awaiting diagnostic testing for a procedure that does not require a dietary prescription when lunch trays are distributed. Which intervention is appropriate at 1200 hours?request tha the client be returned to the unit to eat if testing will no be performed7.A client with type 2 diabetes whose blood sugar is well controlled with metformin. Is prescribed prednisone 10mg by mouth daily. Which of the following outcomes will the nurse most likely anticipate?A blood glucose level >200 mg/dl8.After the nurse has finished teaching a client about self administration fo the prescriber aspart insulin before discharge, which client response indicates good understanding of the teaching?the client cleans the skin with soap and water bf insulin administration9.A client newly diagnosed with diabetes mellitus is injected aspart insulin at 800 am later, the client begins to become nervous and izzy. Which time are these clinical manifestaiont most likely occurring and what is the most appropriate nursing management at this time?0900 check the blood glucose level10.The client received 10 units of humulin r. at 07;00. At 1000 the UAP tell the nurse the client is diaphoretic and is really acting funny. Which intervention should the nurse implement first?check the clients condition11.A 43 y/o client with suspected acromegaly I seen at the clienic. Which assessment questions is the most appropriate to the nurse ask to assist in conforming this diagnosisdo youhave to war larger shoes now than 7 years ago?12.A client schedule for a transsphenidal hypophysectomy for treatment of a pituitary adenoma. Which of the following instruction should the nurse incude during the preop teachibg? Select all that applyelevated the head of bed at 30 degress angle at all times, avoid straining during bowel movement valasaba maneuver,13.A male client, who was admitted with a head injury several days ago becomes confused and is experiencing weakness, was diagnosed of inapproapriate andiuretic hormone. SIAD. Based on the healh information which laboratory results would the nurse most likely expect to find?Sodium of 129 meq/14.A 52 year old female client with a history of cardiac disease is diagnosed with hypothyroidism and levothyroxine (synthroid) 25 mcg by mouth eery day is prescribed. Which assessment is most important for the nurse to make during the initial phase of thyroid replacement therapy?Apical pulse rate and blood pressure15.When caring for a client with a diagnosis of Cushing syndrome, which data will the urse expect to find during the admission assessmentpurplish red streaks on the abdomen16.A client is admitted to the hospital in addisonian crisis. Which client statement supports the nursing diagnosis fo ineffective self-health management r/t lack of knowledge about management of Addisons disease?I had the stomach flu from a party earlier this week and couldnt take the hydrocortisone17.A client is admitted to the hospital w/ pheochromocytoma. Aside from HTN, severe headache, and tachycardia, which assessment finding will the nurse monitor the client for?profuse sweating18.A client w/ symptoms of DM is admitted to the hospital for evaluation and treatment of the condition. Which of the following is most appropriate nursing diagnoss or the client?insomnia r/t frequent waking at night to void19.a nurse is caring for a client who has an adrenocortical adenoma, causing hyperaldosteronism. Which intervention by the nurse requires follow up?provide a potassium restricted diet20.a client with hypoparathyroidism develops tingling of the lips and positive Trouseseaus sign. Which nursing action should be taken first?check the electrolyte levels and give the oral calcium supplements21.a client newly diagnosed with pancreatic cancer was admitted to the med surg unit and a student nurseis caring for the client . which of the following statements y the student nurse requires follow up?we can reassure the family that the prognosis is good for this type of cancer.22.A client is admitted to the hospital with acute cholcystitis. Which assessment information will be most important for the nurse to report to the HCP?clay colored stools23.A client with cirrhosis has been stabilized and brought to the medical surgical unit. In which order will the nurse implement the actions below? Please arrange in the correct numerical order, then select the best answer. all number must be used: 4. 3.1.2.5Place the client in the semi-fowlers to fowlers position.Check BP, HR, and RespirationInsert a large-gauge IV catheterDraw blood for coagulation studies.Place call light with in reach and ask client to call for assistance.24.Which data obtained by the nurse during the assessment of a client with cirrhosis will be of most concern?confusion and had flapping when the arms are extended25.The nurse is caring for a client with chronic pancreatitis who is being discharged after an acute pancreatitis attack?relieve obstruction and dietary management26.A client is diagnosed with Heapatitis B. which of the following nursing interventions is most appropriate for the nurse to include in the care plan?measure that will be helpful in promoting rest and nutrition27.The nurse is caring for a male client with the HIV who has chronic. The PHCP has prescribed alphainterferon and ribavirin. Which of the following side effects requires immediate attention?cd4 count 18028.Which information given bya client who is experiencing body malaise, jaundice, and hepatomegaly during the nursing assessment indicates that screening for Hep C should be performed?one time use of iv drugs with frineds las year29.the nurse has just provided discharge insturnction to a client following a laparoscopic cholecystectomy. Which statement by the client requires follow up?I should plan to limit my activities and not return to work for 4-6 weeks30.a client with ascites secondary to liver disease who has morning doses of spironolactone and furosemide prescribed has a serum potassium level 3.1 mEq/L. which should the nurse do next? (Lasix is potassium waisting)contact HCP administer the spironolactone and withhold furosemide.