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NCLEX Challenge 7 1.A nurse is caring for four clients. After administering morning medications, she realizes that the nifedipine prescribed for one client was inadvertently administered to another client. Which of the following actions should the nurse take first?Check the client’s vital signs.
2.A nurse is caring for a client who has a new diagnosis of type 1 diabetes mellitus. To focus on effective learning with this client, which of the following interventions should the nurse use?Explore the client’s feelings about dietary modifications.
3.A nurse is preparing to use the Z-track technique to administer a medication to a client. Which of the following is an appropriate action during this procedure?Aspirate for 5 to 10 seconds.
4.A nurse is assessing a client who has an acoustic neuroma. Which of the following client manifestations should the nurse expect?Vertigo.
5.A nurse in an ophthalmology clinic is interviewing a client who was referred by his primary care provider for suspicion of cataracts. The nurse should expect the client to report?Having a decreased ability to perceive colors.
6.A nurse is reviewing the medication list for a client who has a new diagnosis of type 2 diabetes mellitus. The nurse should recognize which of the following medications can cause glucose intolerance?Prednisone.
7.A nurse is caring for a client who has difficulty swallowing medications and is prescribed enteric-coated aspirin PO once daily. The client asks if the medication can be crushed to make it easier to swallow. Which of the following responses should the nurse provide? This study source was downloaded by 100000819885058 from CourseHero.com on 02-08-2022 06:16:46 GMT -06:00
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“Crushing the medication might cause you to have a stomachache or indigestion.” 8.A nurse is providing teaching to a client who has a new diagnosis of type 2 diabetes mellitus. The nurse should recognize that the client understands the teaching when he identifies which of the following as manifestations of hypoglycemia? (Select all that apply).Blurred vision Tachycardia Moist, clammy skin 9.A nurse is caring for a client who is receiving mydriatic eye drops.Which of the following manifestations indicates to the nurse that the client has developed a systemic anticholinergic effect?Constipation.
- A nurse is providing teaching for a client who is newly diagnosed
- A nurse is administering timolol eye drops to a client who has
- A nurse is teaching an older adult client who has diabetes
- A nurse accidentally administers the wrong medication to a
with type 2 diabetes mellitus and has a prescription for glipizide. Which of the following statements by the nurse best describes the action of glipizide?“Glipizide stimulates your pancreas to release insulin.”
glaucoma. Which of the following actions should the nurse take?Drop prescribed amount of medication into the conjunctival sac.
mellitus about preventing the long-term complications of retinopathy and nephropathy. Which of the following instructions should the nurse include?“Maintain stable blood glucose levels.”
client, which results in a severe allergic reaction and prolongs the client’s hospitalization. The client could rightfully sue the nurse for which of the following?Malpractice. This study source was downloaded by 100000819885058 from CourseHero.com on 02-08-2022 06:16:46 GMT -06:00
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- A nurse is caring for a client who is postoperative following a left
- A nurse is teaching a client who has diabetes mellitus and
- A nurse is caring for a client who has type 1 diabetes mellitus.
- A nurse is providing dietary teaching to a client who has a history
- A nurse at an outpatient surgery center is providing discharge
- A nurse at an ophthalmology clinic is providing teaching to a
corneal transplant. The nurse observes purulent drainage from the affected eye. Which of the following actions is the nurse’s priority?Notify the surgeon.
receives 25 units of NPH insulin every morning if her blood glucose level is above 200 mg/dL. Which of the following information should the nurse include?Expect the NPH insulin to peak in 6 to 14 hr.
The nurse misread the client’s morning blood glucose level as 210 mg/dL instead of 120 mg/dL and administered the insulin dose appropriate for a reading over 200 mg/dL before the client’s breakfast.Which of the following actions is the nurse’s priority?Monitor the client for hypoglycemia.
of recurring calcium oxalate kidney stones. Which of the following instructions should the nurse include in the teaching?Drink 3 L of fluid every day.
teaching to a client and his spouse following surgical removal of a cataract. Which of the following should the nurse include in the teaching?The client should wear dark glasses while outdoors.
client who has open angle glaucoma and a new prescription for timolol eye drops. Which of the following instructions should the nurse provide?The medication should be applied on a regular schedule for the rest of the client’s life. This study source was downloaded by 100000819885058 from CourseHero.com on 02-08-2022 06:16:46 GMT -06:00
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- A nurse is caring for a client who is on a 2,000-calorie American
- A nurse is planning care for a client 1 day postoperative following
- A nurse is providing dietary teaching to a client who has
Diabetes Association (ADA) diet and substitutes the whole milk on his breakfast tray with skim milk. Because of this substitution, the nurse should know that the client can add which of the following items to the oatmeal on his breakfast tray?One tablespoon low-fat margarine.
a detached retinal repair. Which of the following instructions should the nurse include in the plan?Avoid reading and writing.
nephropathy secondary to diabetes mellitus and plans to make dietary adjustments. Which of the following instructions should the nurse include?Consume less than 0.8 g/kg of body weight of protein per day.
- A nurse is caring for a female client who has recurrent kidney
- A nurse is reviewing the medical record of a client who has a
- A nurse is planning care for a client who has urolithiasis. Which of
- A nurse is planning a community diabetes mellitus management
stones and is scheduled for an intravenous pyelogram. Which of the following statements by the client should the nurse report to the provider?“I don’t eat shellfish because it gives me hives.”
urinary tract infection (UTI). Which of the following findings should the nurse recognize as a risk factor?Diabetes mellitus.
the following actions should the nurse take?Encourage intake of at least 3 L of fluids per day.
program. Which of the following goals should the nurse include for the program? This study source was downloaded by 100000819885058 from CourseHero.com on 02-08-2022 06:16:46 GMT -06:00
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