NURS 340 EXAM 1 NEWEST NURS 340 HEALTH

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NURS 340 EXAM 1 NEWEST /NURS 340 HEALTH

ASSESSMENT EXAM 1 N EWEST ACTUAL EXAM

150 QUESTIONS AND CORRECT DETAILED A NSWERS

(VERIFIED ANSWERS ) |ALREADY GRADED A+

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

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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)

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two days following a self-managed hypoglycemic episode at home, the patient tells the nurse that his blood glucose levels since the episode have been between 80 and 90 mg/dL; which is the best response by the nurse - ANSWER- "that is a good range for your glucose levels"

which statement best describes atherosclerotic disease affecting the cerebrovascular, cardiovascular, and peripheral vascular systems in patients with diabetes - ANSWER- it occurs with a higher frequency and earlier onset than in the nondiabetic population

what disorders and diseases are related to macrovascular complications of diabetes - ANSWER- coronary artery disease, ulceration and amputation of the lower extremities

the patient with diabetes has been diagnosed with autonomic neuropathy; what problems should the nurse expect to find in this patient - ANSWER- erectile dysfunction, vomiting undigested food, painless myocardial infarction

following the teaching of foot care to a diabetic patient, the nurse determines that additional instruction is needed when the patient makes which statement - ANSWER- "I'll know if I have sores or lesions on my feet because they will be painful" 3 / 4

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a 72-year-old woman is diagnosed with diabetes; what does the nurse recognize about the management of diabetes in the older adult - ANSWER- it is more difficult to achieve strict glucose control than in younger patients

in planning community education for prevention of spinal cord injuries, what group should the nurse target - ANSWER- adolescent and young adult men

a 70-year-old patient is admitted after falling form his roof; he has a spinal cord injury at the C7 level; what findings during the assessment identify the presence of spinal shock - ANSWER- tetraplegia with total sensory loss

which syndrome of incomplete spinal cord lesion is described as cord damage common in the cervical region resulting in greater weakness in upper extremities than lower - ANSWER- central cord syndrome

the patient is diagnosed with Brown-Séquard syndrome after a knife wound to the spine; which description accurately describes this syndrome - ANSWER- spinal cord damage resulting in ipsilateral motor paralysis and contralateral loss of pain and sensation below the level of the lesion

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