NUR 325 EXAM 2
A nurse is caring for a client who has a blood glucose of 52mg/dL.
The client is lethargic but arousable. Which of the following actions
should the nurse perform first?
A. Recheck blood glucose in 15 min.
B. Provide a carbohydrate and protein food
C. Provide 15 g of simple carbohydrates
D. Report findings to the provider - ANSWERS-C. provide 15 g of
simple carbohydrates
A nurse is preparing to administer morning doses of insulin glargine
and regular insulin to a client who has a blood glucose of 279mg/dL.
Which of the following actions should the nurse take?
A. Draw up the regular insulin and then the glargine insulin in the
same syringe
B. Draw up the glargine insulin then the regular insulin in the same
syringe
C. Draw up and administer regular and glargine insulin in separate
syringes
D. Administer the regular insulin, wait 1 hr, and then administer the
glargine insulin - ANSWERS-C. Draw up and administer regular and
glargine insulin in separate syringes
,Rationale: These insulins are not compatible and should not be drawn
up in the same syringe
A nurse is presenting information to a group of clients about nutrition
habits that prevent type 2 DM. Which of the following should the
nurse include in the information? (Select all that apply).
A. Eat at regular intervals
B. Decrease intake of saturated fats
C. Increase daily fiber intake
D. Limit saturated fat intake to 15% of daily caloric intake
E. Include omega-3 fatty acids in the diet - ANSWERS-A. Eat at
regular intervals
B. Decrease intake of saturated fats
C. Increase daily fiber intake
E. Include omega-3 fatty acids in the diet
A nurse is teaching foot care to a client who has DM. Which of the
following information should the nurse include in the teaching?
(Select all that apply).
A. Remove calluses using OTC remedies
B. Apply lotion between toes
C. Test water temperature with fingers before bathing
D. Trim toenails straight across
, E. Wear closed-toe shoes - ANSWERS-D. Trim toenails straight
across
E. Wear closed-toe shoes
Rationale: A podiatrist should rove calluses. Lotion between toes
increases moisture which can lead to infection. Temperature of
bathwater should be checked with a thermometer not fingers.
A nurse is reviewing the medication list for a client who has a new
diagnosis for type 2 DM. The nurse should recognize which of the
following medications can cause glucose intolerance?
A. Ranitidine
B. Guaifenesin
C. Prednisone
D. Atorvastatin - ANSWERS-C. Prednisone
Rationale: Corticosteroids such as prednisone can cause glucose
intolerance and hyperglycemia. The client might require increased
dosage of a hypoglycemic medication.
A nurse is providing teaching to a female client who has type 2 DM
and a new prescription for pioglitazone. Which of the following
instructions should the nurse include in the teaching? (Select all that
apply).
A nurse is caring for a client who has a blood glucose of 52mg/dL.
The client is lethargic but arousable. Which of the following actions
should the nurse perform first?
A. Recheck blood glucose in 15 min.
B. Provide a carbohydrate and protein food
C. Provide 15 g of simple carbohydrates
D. Report findings to the provider - ANSWERS-C. provide 15 g of
simple carbohydrates
A nurse is preparing to administer morning doses of insulin glargine
and regular insulin to a client who has a blood glucose of 279mg/dL.
Which of the following actions should the nurse take?
A. Draw up the regular insulin and then the glargine insulin in the
same syringe
B. Draw up the glargine insulin then the regular insulin in the same
syringe
C. Draw up and administer regular and glargine insulin in separate
syringes
D. Administer the regular insulin, wait 1 hr, and then administer the
glargine insulin - ANSWERS-C. Draw up and administer regular and
glargine insulin in separate syringes
,Rationale: These insulins are not compatible and should not be drawn
up in the same syringe
A nurse is presenting information to a group of clients about nutrition
habits that prevent type 2 DM. Which of the following should the
nurse include in the information? (Select all that apply).
A. Eat at regular intervals
B. Decrease intake of saturated fats
C. Increase daily fiber intake
D. Limit saturated fat intake to 15% of daily caloric intake
E. Include omega-3 fatty acids in the diet - ANSWERS-A. Eat at
regular intervals
B. Decrease intake of saturated fats
C. Increase daily fiber intake
E. Include omega-3 fatty acids in the diet
A nurse is teaching foot care to a client who has DM. Which of the
following information should the nurse include in the teaching?
(Select all that apply).
A. Remove calluses using OTC remedies
B. Apply lotion between toes
C. Test water temperature with fingers before bathing
D. Trim toenails straight across
, E. Wear closed-toe shoes - ANSWERS-D. Trim toenails straight
across
E. Wear closed-toe shoes
Rationale: A podiatrist should rove calluses. Lotion between toes
increases moisture which can lead to infection. Temperature of
bathwater should be checked with a thermometer not fingers.
A nurse is reviewing the medication list for a client who has a new
diagnosis for type 2 DM. The nurse should recognize which of the
following medications can cause glucose intolerance?
A. Ranitidine
B. Guaifenesin
C. Prednisone
D. Atorvastatin - ANSWERS-C. Prednisone
Rationale: Corticosteroids such as prednisone can cause glucose
intolerance and hyperglycemia. The client might require increased
dosage of a hypoglycemic medication.
A nurse is providing teaching to a female client who has type 2 DM
and a new prescription for pioglitazone. Which of the following
instructions should the nurse include in the teaching? (Select all that
apply).
