NURS 6201 Adults 1 Med/Surg Exam 1 Questions With
Complete Solutions
A nurse is teaching a client who has diabetes and 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 RN include?
Expect the NPH insulin to peak in 6 to 14 hr.
A nurse is preparing to administer lispro insulin to a client who
has type 1 diabetes. Which of the following actions should the
RN take?
Inject the insulin 15 minutes before a meal
A nurse is caring for a client who has uncontrolled type 1
diabetes. Which of the following finding should the nurse
expect?
Weight loss
What are the manifestations of type 2 hypoglycemia out of:
Polyuria, blurred vision, polydipsia, tachycardia, moist, clammy
skin
Blurred vision: Hypoglycemia can affect the functioning of the
eyes and lead to blurred vision or difficulty focusing.
Tachycardia: Hypoglycemia can cause an increase in heart rate,
leading to tachycardia (rapid heart rate). This is the body's
,response to low blood sugar levels.
Moist, clammy skin: Hypoglycemia can cause the body to
produce excess sweat, resulting in moist and clammy skin. This
can be accompanied by feelings of coldness or clamminess.
Fluticasone is a corticosteroid, which reduces the client's
immunity and increases the risk for infection, such as Candida
albicans. Therefore what should Client take care to do?
Inspect their mouths for lesions
When planning for meals, when should your client plan to use
their bronchodilator?
About 30 minutes before eating to decrease the risk for
bronchospasm
COPD s/s
- coughing
-accessory use of muscles
- exercise intolerance
- fatigue
- inability to take a deep breath (tightness in chest)
- finger clubbing
COPD risk factors
- smoking
- industrial settings: coal miners
- second hand smoke
- chronic bronchitis
, - coal or wood burning stove
- premature
- 40 or older as lung function declines as we age
COPD testing assessments:
- ABGs (show amount of oxygen in the blood or how well CO2
is being removed)
- Spirometry (most common amount and speed of air that comes
out of lungs)
- CHEST X-RAY cannot
- MRI (to show type of COPD or severe of disease)
- AAT( alpha one tripson in the body ?)
COPD treatment:
There is no cure just management by:
- meds
- oxygen therapy
- bronchodilators
- diet
- diuretics
- smoking cessation
tripod positioning
leaning forward with the arms braced against the knees, or
against a chair or bed. This is in indication of respiratory
distress. This position enhances the use of the accessory
muscles.
Oxygenation in COPD
Must be tailored to the patient
Complete Solutions
A nurse is teaching a client who has diabetes and 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 RN include?
Expect the NPH insulin to peak in 6 to 14 hr.
A nurse is preparing to administer lispro insulin to a client who
has type 1 diabetes. Which of the following actions should the
RN take?
Inject the insulin 15 minutes before a meal
A nurse is caring for a client who has uncontrolled type 1
diabetes. Which of the following finding should the nurse
expect?
Weight loss
What are the manifestations of type 2 hypoglycemia out of:
Polyuria, blurred vision, polydipsia, tachycardia, moist, clammy
skin
Blurred vision: Hypoglycemia can affect the functioning of the
eyes and lead to blurred vision or difficulty focusing.
Tachycardia: Hypoglycemia can cause an increase in heart rate,
leading to tachycardia (rapid heart rate). This is the body's
,response to low blood sugar levels.
Moist, clammy skin: Hypoglycemia can cause the body to
produce excess sweat, resulting in moist and clammy skin. This
can be accompanied by feelings of coldness or clamminess.
Fluticasone is a corticosteroid, which reduces the client's
immunity and increases the risk for infection, such as Candida
albicans. Therefore what should Client take care to do?
Inspect their mouths for lesions
When planning for meals, when should your client plan to use
their bronchodilator?
About 30 minutes before eating to decrease the risk for
bronchospasm
COPD s/s
- coughing
-accessory use of muscles
- exercise intolerance
- fatigue
- inability to take a deep breath (tightness in chest)
- finger clubbing
COPD risk factors
- smoking
- industrial settings: coal miners
- second hand smoke
- chronic bronchitis
, - coal or wood burning stove
- premature
- 40 or older as lung function declines as we age
COPD testing assessments:
- ABGs (show amount of oxygen in the blood or how well CO2
is being removed)
- Spirometry (most common amount and speed of air that comes
out of lungs)
- CHEST X-RAY cannot
- MRI (to show type of COPD or severe of disease)
- AAT( alpha one tripson in the body ?)
COPD treatment:
There is no cure just management by:
- meds
- oxygen therapy
- bronchodilators
- diet
- diuretics
- smoking cessation
tripod positioning
leaning forward with the arms braced against the knees, or
against a chair or bed. This is in indication of respiratory
distress. This position enhances the use of the accessory
muscles.
Oxygenation in COPD
Must be tailored to the patient
