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NU 185 Exam 4 | Diabetes Mellitus, Insulin Therapy & Endocrine Nursing | Verified NCLEX‑Style Questions & Answers

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Comprehensive NU 185 Exam 4 practice set with verified answers. Focuses on diabetes mellitus, endocrine disorders, and nursing interventions. Key topics: Type 1 vs. Type 2 diabetes: pathophysiology, risk factors, diagnostic criteria (A1C, OGTT, fasting glucose) Hypoglycemia & hyperglycemia management: HHS, DKA, 15/15 rule, IV dextrose Insulin therapy: injection techniques, site rotation, lipohypertrophy prevention Oral hypoglycemics: metformin, sulfonylureas, contraindications, pregnancy considerations Complications: neuropathy, nephropathy, retinopathy, foot care teaching Metabolic syndrome & lifestyle modifications

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Instelling
NU 185
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NU 185

Voorbeeld van de inhoud

NU155 exam 4 Galen
The nurse is caring for a client who has been diagnosed with a Candida albicans (yeast)
infection. Which of the following findings does the nurse expect to observe?

Cottage cheese-like discharge.

The nurse is reinforcing instruction with a client who has gonorrhea. Which of the
following statements
by the client indicates a need for further instruction?

"I can continue to have sex as long as I am taking antibiotics."

The nurse is contributing to a community education program about testicular self-
examination (TSE).
Which of the following information should the nurse suggest including?

Gently roll each testicle between the thumb and fingers to check for lumps or swelling.

The nurse is reinforcing teaching with a female client about breast self-examinations (BSE).
Which of
the following should the nurse include as the best time to perform BSE?

1 week after the menstrual cycle.

The nurse is caring for a client who is diagnosed with viral meningitis. Which of the
following client findings supports this diagnosis?

Positive Kernig's sign.

The nurse is caring for a client who has experienced a hemorrhagic stroke. Which of the
following medication prescriptions for the client should the nurse question?

Heparin sodium.

The nurse is reinforcing postoperative teaching with a client who had cataract surgery.
Which of the
following client statements indicates a correct understanding of the teaching?

"I will need to take an antiemetic immediately if I become nauseated."

, The nurse is caring for a client and notices that the client is using their peripheral vision to
look at the
nurse. The nurse correlates this behavior to which of the following conditions?

Macular degeneration.

The nurse is caring for a client who reports blurred vision with halos around lights and
reduced
peripheral vision. Which of the following does the nurse suspect the client is experiencing?

Glaucoma.

The nurse is caring for a client who is suspected of having a retinal detachment. Which of
the following
client statements is consistent with this diagnosis?

" I can see bright flashes of light."

The nurse is caring for a client who is being discharged after cataract surgery. Which of the
following
client statements should the nurse report to the surgeon immediately?

"I have a sharp, stabbing pain in my eye."

The nurse is reinforcing discharge instructions with a client who will be applying topical eye
medications. Which of the folowing instructions should the nurse include?

Pull the lower lid down and drop the medication into the conjunctival sac

The nurse is reinforcing teaching with a client who is newly diagnosed with endometriosis.
Which of the
following should the nurse include as a common symptom?

Painful bowel movements.

The nurse is caring for a client who had a transurethral resection of the prostate (TURP) and
has
continuous bladder irrigation (CBI) in place. The amount of irrigation hanging at the
beginning of the
shift was 3,000 mL. After 8 hours, the nurse calculates that 2,000 mL of irrigant has infused
and
empties 2,500 mL from the urinary drainage bag. The nurse should document the urine

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