NURS 340 EXAM 1 NEWEST NURS 340

NURS 340 EXAM 1 NEWEST /NURS 340

HEALTH ASSESSMENT EXAM 1 AND STUDY

GUIDE NEWEST ACTUAL EXAM 200

QUESTIONS AND CORRECT DETAILED

ANSWERS (VERIFIED ANSWERS) |ALREADY

GRADED A+

a patient with diabetes is learning to mix regular insulin and NPH insulin in the same syringe; the nurse determines tha t additional teaching is needed when the patient does what - ...ANSWER...withdraws the NPH dose into the syringe first

the following interventions are planned for a diabetic patient; which intervention can the nurse delegate to unlicensed assistive personnel - ...ANSWER...check that the bath water is not too hot

the home care nurse should intervene to correct a patient whose insulin administration includes - ...ANSWER...mixing an evening dose of regular insulin with insulin glargine in one syringe for administration

when teaching the patient with type 1 diabetes, what should the nurse emphasize as the major advantage of using an insulin pump - ...ANSWER...tight glycemic control can be maintained

a patient taking insulin has recorded fasting glucose levels above 200 mg/dL on awakening for the last five mornings; what should the nurse advise the patient to do first - ...ANSWER...monitor the glucose level at bedtime, between 2 and 4am, and on arising

which class of oral glucose-lowering agents is most commonly used for people with type 2 diabetes because it reduces hepatic glucose production and enhances tissue uptake of glucose - ...ANSWER...biguinide

the patient with type 2 diabetes is being put on acarbose (precose) and wants to know why she is taking it; what should the nurse include in this patient's teaching - ...ANSWER...take it with the first bite of each meal; effectiveness is measured by 2-hour postprandial glucose; it delays glucose absorption from the gastrointestinal tract

the nurse is assessing a newly admitted diabetic patient; which observation should be addressed as the priority by the nurse - ...ANSWER...rapid respirations with deep inspiration

individualized nutrition therapy for patients using conventional, fixed insulin regimens should include teaching the patient to - ...ANSWER...eat regular meals at regular times

what should the goals of nutrition therapy for the patient with type 2 diabetes include - ...ANSWER...normal serum glucose and lipid levels

to prevent hyperglycemia or hypoglycemia related to exercise,

what should the nurse teach the patient using glucose- lowering agents about the best time for exercise - ...ANSWER...about 1 hour after eating when blood glucose levels are rising

the nurse assesses the diabetic patient's technique of selfmonitoring of blood glucose three months after initial instruction; which error in the performance of self-monitoring of blood glucose noted by the nurse requires intervention - ...ANSWER...cleaning the puncture site with alcohol before the puncture

a nurse working in an outpatient clinic plans a screening program for diabetes; what recommendations for screening should be included - ...ANSWER...FPG for all individuals at age 45 and then every three years

a patient with diabetes calls the clinic because she is experiencing nausea and flu-like symptoms; which advice form the nurse will be the best for this patient - ...ANSWER...administer the usual insulin dosage

the nurse should observe the patient for symptoms of ketoacidosis when - ...ANSWER...glucose levels become so high that osmotic diuresis promotes fluid and electrolyte loss

what are manifestations of diabetic ketoacidosis (DKA) - ...ANSWER...thirst; ketonuria; dehydration; metabolic acidosis; kussmaul respirations; sweet, fruity breath odor

what describes the primary difference in treatment for diabetic ketoacidosis and hyperosmolar hyperglycemic syndrome - ...ANSWER...hyperosmolar hyperglycemic syndrome requires greater fluid replacement to correct the dehydration the patient with newly diagnosed diabetes is displaying shakiness, confusion, irritability, and slurred speech; what should the nurse suspect is happening - ...ANSWER...hypoglycemia

the patient with diabetes has a blood glucose level of 248 mg/dL; which manifestations in the patient would the nurse understand as being related to this blood glucose level - ...ANSWER...headache, abdominal cramps, increase in urination, weakness and fatigue

a diabetic patient is found unconscious at home and a family member calls the clinic; after determining that a glucometer is not available, what should the nurse advise the family member to do - ...ANSWER...administer glucagon 1 mg intramuscularly or subcutaneously

the patient with diabetes is brought to the emergency department by his family members, who say that he is not acting like himself and he is more tired than usual; what would be the order of the nursing actions for this patient - ...ANSWER...ensure patent airway; check blood glucose; establish IV access; administer 0.9% NaCl solution at 1L/hr; begin continuous regular insulin drip; establish time of las food and medication(s)

two days following a self-managed hypoglycemic episode at home, the patient tells the nurse that his blood glucose levels