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NURS 498 Midterm 2 Questions and
Correct Answers/ Latest Update / Already
Graded
The nurse obtains the following information about a client before the
administration of metformin. Which of the following findings indicate a
need to contact the health care provider before giving the metformin?
Ans: - The client's blood urea nitrogen (BUN) level is 21.4
mmol/L.
- The BUN indicates impending renal failure and metformin
should not be used in clients with renal or hepatic impairment.
The nurse should teach a patient taking an oral corticosteroid to take
the medication at what time?
Ans: - 0800 hours
- Oral corticosteroids should be taken in the morning to
minimize adrenal suppression
A client is being treated with a medication to block the effect of the
antidiuretic hormone to control the symptoms of the syndrome of
inappropriate antidiuretic hormone (SIADH). Which of the following
findings indicates that the medication is effective?
Ans: - Increased urinary output
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- Agents that block the effect of ADH on the renal tubules may
be prescribed, allowing more dilution of urine leading to
increased urine output.
A client with systemic lupus erythematosus has a prescription for 2
weeks of high-dose prednisone therapy. When teaching the client
about prednisone, which of the following information is most
important for the nurse to include?
Ans: - Do not stop taking the prednisone suddenly; it should be
decreased gradually.
- Acute adrenal insufficiency may occur if exogenous
corticosteroids are suddenly stopped.
Which of the following information should the nurse include when
teaching a client who has type 2 diabetes about glyburide?
Ans: - Glyburide stimulates insulin production and release from
the pancreas.
- The sulphonylureas stimulate the production and release of
insulin from the pancreas.
The nurse is caring for a client with type 2 diabetes who has sensory
neuropathy of the feet and legs and peripheral arterial disease. Which
of the following information will the nurse include in client teaching?
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Ans: - Choose flat-soled leather shoes.
- The client is taught to avoid high heels and that leather shoes
are preferred.
The nurse is caring for a client who had radical neck surgery and
develops hypoparathyroidism. Which of the following information
should the nurse include in the teaching plan?
Ans: - Take calcium supplementation to normalize serum
calcium levels.
- Oral calcium supplements are used to maintain the serum
calcium in the normal range and prevent the complications of
hypocalcemia.
A client with type 2 diabetes that is well-controlled with metformin
develops an allergic rash to an antibiotic and the health care provider
prescribes prednisone. Which of the following information should the
nurse anticipate while the client is taking the prednisone?
Ans: - Administration of insulin
- Glucose levels increase when clients are taking
corticosteroids, and insulin may be required to control blood
glucose.
All rights reserved © 2025/ 2026 |
, Page |4
Which of the following laboratory values, noted by the nurse when
reviewing the chart of a hospitalized client with diabetes, indicates the
need for rapid assessment of the client?
Ans: - Noon blood glucose of 2.9 mmol/L
- The nurse should assess the client with a blood glucose level
of 2.9 mmol/L for symptoms of hypoglycemia as the normal
range is 4-6 mmol/L.
A patient who has been receiving antipsychotic medication for 6 weeks
tells the nurse that the hallucinations are nearly gone and that
concentration has improved. When the patient reports flulike
symptoms including a fever and a very sore throat, what is the priority
nursing action?
a. Suggest that the patient take something for her fever and get extra
rest
b. Consider recommending a change of antipsychotic medication
c. Arrange for the patient to have blood drawn for a white blood cell
count
d. Advise the physician that the patient should be admitted to the
hospital
Ans: c. Arrange for the patient to have blood drawn for a white
blood cell count
All rights reserved © 2025/ 2026 |
NURS 498 Midterm 2 Questions and
Correct Answers/ Latest Update / Already
Graded
The nurse obtains the following information about a client before the
administration of metformin. Which of the following findings indicate a
need to contact the health care provider before giving the metformin?
Ans: - The client's blood urea nitrogen (BUN) level is 21.4
mmol/L.
- The BUN indicates impending renal failure and metformin
should not be used in clients with renal or hepatic impairment.
The nurse should teach a patient taking an oral corticosteroid to take
the medication at what time?
Ans: - 0800 hours
- Oral corticosteroids should be taken in the morning to
minimize adrenal suppression
A client is being treated with a medication to block the effect of the
antidiuretic hormone to control the symptoms of the syndrome of
inappropriate antidiuretic hormone (SIADH). Which of the following
findings indicates that the medication is effective?
Ans: - Increased urinary output
All rights reserved © 2025/ 2026 |
, Page |2
- Agents that block the effect of ADH on the renal tubules may
be prescribed, allowing more dilution of urine leading to
increased urine output.
A client with systemic lupus erythematosus has a prescription for 2
weeks of high-dose prednisone therapy. When teaching the client
about prednisone, which of the following information is most
important for the nurse to include?
Ans: - Do not stop taking the prednisone suddenly; it should be
decreased gradually.
- Acute adrenal insufficiency may occur if exogenous
corticosteroids are suddenly stopped.
Which of the following information should the nurse include when
teaching a client who has type 2 diabetes about glyburide?
Ans: - Glyburide stimulates insulin production and release from
the pancreas.
- The sulphonylureas stimulate the production and release of
insulin from the pancreas.
The nurse is caring for a client with type 2 diabetes who has sensory
neuropathy of the feet and legs and peripheral arterial disease. Which
of the following information will the nurse include in client teaching?
All rights reserved © 2025/ 2026 |
, Page |3
Ans: - Choose flat-soled leather shoes.
- The client is taught to avoid high heels and that leather shoes
are preferred.
The nurse is caring for a client who had radical neck surgery and
develops hypoparathyroidism. Which of the following information
should the nurse include in the teaching plan?
Ans: - Take calcium supplementation to normalize serum
calcium levels.
- Oral calcium supplements are used to maintain the serum
calcium in the normal range and prevent the complications of
hypocalcemia.
A client with type 2 diabetes that is well-controlled with metformin
develops an allergic rash to an antibiotic and the health care provider
prescribes prednisone. Which of the following information should the
nurse anticipate while the client is taking the prednisone?
Ans: - Administration of insulin
- Glucose levels increase when clients are taking
corticosteroids, and insulin may be required to control blood
glucose.
All rights reserved © 2025/ 2026 |
, Page |4
Which of the following laboratory values, noted by the nurse when
reviewing the chart of a hospitalized client with diabetes, indicates the
need for rapid assessment of the client?
Ans: - Noon blood glucose of 2.9 mmol/L
- The nurse should assess the client with a blood glucose level
of 2.9 mmol/L for symptoms of hypoglycemia as the normal
range is 4-6 mmol/L.
A patient who has been receiving antipsychotic medication for 6 weeks
tells the nurse that the hallucinations are nearly gone and that
concentration has improved. When the patient reports flulike
symptoms including a fever and a very sore throat, what is the priority
nursing action?
a. Suggest that the patient take something for her fever and get extra
rest
b. Consider recommending a change of antipsychotic medication
c. Arrange for the patient to have blood drawn for a white blood cell
count
d. Advise the physician that the patient should be admitted to the
hospital
Ans: c. Arrange for the patient to have blood drawn for a white
blood cell count
All rights reserved © 2025/ 2026 |
