MDCII Final Exam 3/ MCD 2 Exam 3 : questions and answers latest updated 2026- Rasmussen college.

MDCII Final Exam 3/ MCD 2 Exam 3 : questions and answers latest updated 2026- Rasmussen college. 1. A client tells the nurse that he is so “thirsty”. The result reveals an antidiuretic hormones (ADH) deficiency and increased urine output with a low urine specific gravity (1.005) What endocrine disorder is the client most likely experiencing? A. Diabetes Insipidus B. Myxedema C. Diabetes mellitus D. Syndrome of inappropriate antidiuretic hormone secretion (SIADH) 2. The Client has just received a round of chemotherapy and will be discharged home. The nurse is educating a client about the concerns of neutropenia and continuing risk for infection. Which of the following would not be appropriate, given the client’s situation? A. “If you experienced a fever, treat it with over-the-counter medication and report it to your physician if symptoms don’t resolve in 48 hours.” B. "Avoid crowds and other large gatherings of people who might be ill." C. "Wash your hands thoroughly with an antimicrobial soap before you eat and drink." D. "Bathe dally, or wash armpits and a perineal area twice daily with antimicrobial soap. 3. A nurse is providing client and family education for client diagnosed with irritable bowel syndrome. Which of the following is important to include in the education? (Select all that Apply) A. Stress reduction B. Adhere to prescribe medication C. Modify diet D. Limit physical activity E. limit fluid intake 4. After completion of external radiation treatment for cancer, a client tells the oncology nurse about an upcoming vacation to the breach to celebrate. What response by the nurse is most appropriate to the client? A. “Protect your skin, avoid exposure of radiation area to direct sunlight.” B. Have a wonderful time and enjoy your vacation C. Avoid submerging in saltwater on the radiation site D. Remember you should not drink alcohol for a year. 5. A client was admitted with the following arterial blood gas (ABG). How does the nurse interpret these results? PH 7.35 PaCO2 30 mm Hg HCO3 17 mEg/LPa02 92 mm Hg A. Metabolic acidosis with full respiratory compensation B. Rsis with full nsation C. Metabolic alkalosis with full respiratory compensation D. Rosis with full nsation 6. A client is diagnosed with metastatic cancer. The family asks the nurse, "What's the difference between hospice and palliative care? The nurse correctly responds with which statement? A. "Hospice is for clients with a prognosis of less than 12 months to live." B. "Palliative care is to prevent and treat symptoms and side effects of cancer treatments." C. "Hospice care allows for continued chemotherapy treatments, and palliative care does not." D. Palliative care requires revaluation every 30 days." 7. The nurses is assessing a client recently diagnosed with leukemia. Which of the following assessment findings would support that diagnosis? A. Petechia or ecchymosis B. blood in urine C. blood in stool D. blood in cough 8. Which of the following teaching instructions would not be accurate as a prevention strategy to reduce the risk of oral cancer? A. Visit a dentist every two years B. "Avoid sun exposure to lips C. "Avoid exposure to human papillomavirus (HPV).- D. Stop use of tobacco and alcohol. 9. A nurse is caring for a client admitted with mild acute pancreatitis. Which of the following are treatment options for the early stages of mild acute pancreatitis? (Select all that apply.) A. Assess and manage pain B. Nothing by mouth for 24 to 48 hours C. Assess labs for amylase and lipase levels D. Measure and document accurate intake and output E. Encourage early oral nutrition 10. A nurse is caring for a client recently diagnosed with thyroid cancer. Which of the following lab results will validate this diagnosis? A. Increase serum thyroglobulin (TG) level B. Increased serum calcium levelC. Increased serum phosphorus level D. Decreased serum thyroglobulin (TG) level 11. A nurse is caring for an adolescent client who has a long history of diabetes mellitus and is being admitted to the emergency department confused, flushed, and with an acetone odor on the breath. Diabetic ketoacidosis is suspected. The nurse should anticipate using which of the following types of insulin to be given intravenously to treat this client? A. Regular insulin B. Insulin glargine C. Insulin detemir D. NPH Insulin 12. A client underwent a colon resection with colostomy placement. Which of the following would the surgeon consult post-operatively for colostomy management? A. Wound Ostomy Continence Nurse B. Respiratory therapy C. Physical therapy D. Dietician 13. The laboratory values of a client with diabetes mellitus include a fasting blood glucose level of 92 mg/dL and hemoglobin A1C of 5.9%. What are the nurse's interpretations of these findings? A. The client’s glucose control tor the fasting glucose and past 90 days demonstrates good control. B. The client's glucose control for the fasting has been poor, and the overall poor. C. The values indcate that the client has poorLy managed their disease D. The values indicate that the cent needs further disease manasement education 14. A nurse is providing care to a client that is diagnosed with hypokalemia. After reviewing the client's current medications, which of the following might have contributed to hypokalemia? A. Opiods B. Loop diuretics C. Beta-blockers D. Corticosteroids 15. Which of the following is a life-threatening emergency and serious complication of untreated or poorly treated hypothyroidism? A. Myxedema coma B. Thyroid storm C. multinodular toxic goiterD. endemic goiter 16. A nurse is caring for a client recently diagnosed with colorectal cancer. Which of the following lab values would confirm the diagnosis? A. Increase carcinoembryonic antigens (CEA) B. increased serum creatinine C. decreased albumin D. decreased white blood count 17. A nurse is caring for a client recently diagnosed with diabetes insipidus. Which of the following medications would be appropriate for this disorder? A. Desmopressin B. Growth hormone antagonist C. Furosemide D. Dltiazem 18. The nurse is providing discharge education to a client diagnosed with anorexia nervosa. Which statement of the client would indicate the client needs further education? A. If I feel constipated, I will start an over-the-counter oral laxative B. I need to keep a food journal of my progress, food intake, and timing of meals." C. "I will take my multivitamins, zinc, and iron as prescribed to prevent malnutrition." D. I will schedule an outpatient session with a counselor to talk about my fear of gaining weight." 19. A nurse is providing teaching to a client about hyperglycemia. The nurse should recognize that the client understands the teaching when he identifies which of the following as manifestations specific to hyperglycemia? (Select all that apply.) A. Polyuria, B. Polydipsia, C. Polyphagia D. Hypervolemia E. Bradycardia 20. The nurse is assessing a client diagnosed with type 1 diabetes mellitus for symptoms associated with diabetic ketoacidosis. Which of the following will the nurse most likely assess in this client? (Select all that apply.) A. Kussmaul breathing B. Altered mental status C. Fruity breath odorD. Bradycardia E. Fluid overload 21. The nurse instructs the client on prolonged cortisol therapy to report which signs and symptoms? A. Weight gain and moon face B. Anura and hypoglycemia C. D) Hypotension and fluid loss D. Anorexla and muscle twitches 22. A nurse is caring for a client in the emergency room after a motor vehicle accident. The client is unconscious with a cervical collar in place. The client has been diagnosed with syndrome of inappropriate antidiuretic hormone (SIADH) secretion. Which of the following lab values validates the diagnosis? A. Decreased serum sodium B. Decreased glomerular filtration rate C. Decreased urine osmolality D. Increased serum sodium 23. A nurse is caring for a client who has diverticulitis. Which of the following is a clinical manifestation of diverticulitis? A. Localized lower abdominal pain B. Hypertension C. Generalized upper abdominal pain D. Bradycardia 24. The nurse is providing care for a client who underwent a parathyroidectomy two days ago. To prevent complications with this surgery, which laboratory value requires close monitoring by the nurse? A. Serum calcium levels B. Serum sodium levels C. Serum blood glucose levels D. Serum potassium levels 25. A client complains of weight gain, has thin extremities, a buffalo hump, moon face, and a protruding abdomen. The nurse realizes that this client is most likely to be diagnosed with which disease process? A. Cushing’s syndrome B. CretinismC. Addison's disease D. Pheochromocytoma 26. Which nursing intervention helps to prevent adrenocortical Insufficiency? A. Reducing high-dose steroid therapy gradually B. Administering diuretic therapy C. Teaching the client about a low-sodium diet D. Discontinuing high-dose steroid therapy quickly 27. The nurse would incorporate which of the following into the plan of care as a primary prevention strategy for reduction of the risk for cervical cancer? A. Administering the human papillomavirus (HPV) vaccine B. Yearly prostate-specific antigen (PS) and digital rectal exam for men aged 50 and over C. Colonoscopy at age 50 and every 10 years as the follow-up D. Yearly mammography for women aged 40 years and older 28. The nurse knows which statement is true about age-related changes and the endocrine system in older adults? A. Thyroid hormones secretion decreases B. the thyroid gland enlarges C. Adrenal gland enlarge D. decreased hormone sensitivity 29. An 8-month-old infant is hospitalized with severe diarrhea. The nurse knows that which of the following is the major problem associated with severe diarrhea? A. Electrolytes and fluid loss B. presence of excessive flatus C. pain in the abdominal area D. irritation of the perineal and rectal area 30. The nurse is caring for a client with end-stage renal failure. Pa02 is 94 mm Hg. Arterial blood gases indicate that she is experiencing metabolic acidosis with partial respiratory compensation. Which of the following arterial blood gases support this? A. PH=7.47, PAC02=50 mm HG, HC 03=30 mEq/l B. PH= 7. 32, PAC02=48 mm HG, HC03 18 MEQ/L C. pH=7.33, PaC02=31 mm Hg HC03=19 mEQ/LD. H=7.37 , PAC02=33 mm Hg HC03-18 mEQ/l 31. The nurse is caring for a diabetic client with a blood glucose of 56 mg/dL. The client is difficult to arouse. What action would the nurse take? A. Give a glass of milk and monitor the client B. Administer 50% dextrose (D50) IV push per order and monitor the client C. Give a complex carbohydrate and monitor the client D. Give a glass of orange juice with three sugar packets mixed in and monitor the client. 32.The nurse is caring for a client with a new diagnosis of adrenal insufficiency. Which of the following would the nurse expect upon assessment (Select all that apply). A. Hyponatremia B. Hyperkalemia C. Hyperpigmentation D. Hypotention E. Polyphagia 33. A nurse is caring for a client with an opioid overdose. The client is difficult to arouse. The vital signs include blood pressure 90/60 mm Hg, respirations 10/minute, heart rate 60 beats/minute. The arterial blood gas (ABG) results include a PH 7.34, PaCo2 48 mmHg. HC03 24 mEq/L Pa02 of 76 mm Hg. How would the nurse interpret these results? A. Respiratory acidosis not compensated with Hypoxemia B. Respiratory acidosis with partial metabolic compensation and hypoxemia. C. (B) Respiratory alkalosis not compensated with hypoxemia. D. Metabolic acidosis not compensated with normal oxygenation 34. The nurse is caring for a 46-year-old female client who presented to the emergency department with dizziness, nausea, vomiting, and fatigue over the past few days. The client has recently been diagnosed with breast cancer and has been undergoing chemotherapy. The client’s labs reveal the following: Na 150 mEg/mL, potassium: 3.0 mEq/mL., calcium 15 mg/dL. Which of the following imbalances is the client exhibiting? A. Hypernatremia, hypokalemia, hypercalcemia B. Hypovolemia and hypercalcemia C. Hypervolemia, hypercalcemia, hyperkalemia D. Hyponatremia, hypercalcemia 35. A medication order states, administer 100 mEq of potassium chloride PO twice a day. Available is potassium chloride oral solution 40 mEq/15 mL. How many mL should the nurse administer per dose? (Record answer as a whole number. Do not use a trailing zero.) Ans. 37.536.The nurse is providing care to a client diagnosed with fluid-volume deficit. Which of the following assessment data is of greatest concern? A. The blood pressure is 86/40 mmHg B. Oral fluid intake is 100 ml for the last 8 hours C. urine output is 40 ml over the last hour D. there is prolonged skin testing over the sternum 37. A nurse is caring for a 57-year-old Hispanic male who was recently diagnosed with Cushing's disease. Which of the following laboratory tests validate the diagnosis? A. Elevated lymphocyte count B. Decreased late-night salivary cortisol test C. Decreased urine specific gravity D. Elevated urine cortisol level 38. The nurse is preparing to teach the most common signs of colorectal cancer at a free health care seminar. Which of the following will the nurse include in the teaching? A. Frequent nausea heartburn and a metallic taste B. Increased hunger, weight gain, and gross blood. C. Rectal bleeding, anemia, and a change in stool consistency or shape. D. Hemorrhoids, negative fecal occult blood test, and abdominal swelling. 39. The nurse is talking with a group of older clients about colorectal cancer (CRC) risk factors. Which of the following factors are considered to be common CRC risk factors? (Select all that apply.) A. High-fat diet B. Family history of cancer C. Crohn's disease D. Alcoholism E. Male gender 40. A nurse assesses a client who is recovering from an ileostomy placement. Which clinical manifestation would alert the nurse to contact the health care provider urgently? A. A bluish stoma B. Liquid stool C. Blood smeared output D. ostomy pouch intact 41. A nurse is educating a newly diagnosed type 1 diabetic client. Which education topic is the nurse's priority? A. Sign and symptoms of hypoglycemiaB. Exercise vigorously only if blood glucose is 100-250 mg/dL C. Sexual dysfunction can develop D. Carbohydrate counting 42. The nurse is caring for a client diagnosed with diverticulitis. Which of the following orders would be expected for this client? A. Stool softeners to prevent constipation which will lead to further complications. B. A diet consisting of protein from seeds and nuts C. An enema to attempt to flush out the undigested food trapped in the diverticula D. Laxatives to ensure passage of fecal matter through the intestines. 43. A 56-year-old male was recently diagnosed with type 2 diabetes. Which of the following diagnostic tests would correlate with this diagnosis? (Select all that apply.) A. Increased random blood glucose B. Increased hemoglobin A1C C. Increased fasting blood glucose D. Increased hemoglobin E. increased hematocrit 44. A 42-year-old female presents to the emergency room with mid-upper abdominal pain radiating to her right shoulder, rebound tenderness, nausea, and dyspepsia. Based on the client's presentation, which of the following does the nurse anticipate is the client's diagnosis? A. Cholecystitis B. Diverticular disease C. Appendicitis D. Pancreatistis 45. A client was admitted with the following arterial blood gas (ABG). How does the nurse interpret these results? PH 7.32 PaC02 50 mm Hg Hc03 30 mEq/L Pa02 75 mm Hg A. Metabolic alkalosis with partial respiratory compensation B. Respiratory aikalosis with partial nsation C. Metabolic acidosis with partial respiratory compensation D. Respiratory acidosis with partial metabolic compensation46. A client was admitted with the following arterial blood gas (ABG). How does the nurse interpret these results? PH7.48 Pac02 34 mm He He03 20 mEg/L Pa02 75 mm Hg A. Respiratory alkalosis with partial metabolic compensation B. Metabolic alkalosis with partial respiratory compensation C. Metabolic acidosis with partial respiratory compensation D. Respiratory acidosis with partial metabolic compensation 47. A nurse is caring for a client admitted for an exacerbation of Crohn's disease. A nasogastric (NG) tube has been placed and is connected to suction, and the client is currently receiving an infusion of total parenteral nutrition via a peripherally inserted central catheter (PICC) line. Which of the following actions should the nurse take? A. Monitor laboratory values and assess for abnormal respiratory or cardiac functioning B. Remove unused parenteral nutrition after 12 hours of use. C. Place the parenteral nutrition solution on a warming device during infusion. D. Monitor the flow rate of the parenteral nutrition carefully and increase the rate as needed if it falls behind. 48. A nurse is reviewing lab values for a client and notes a potassium level of 2.3 mEq/L. What is the nurse's priority? A. Assess the client’s cardiovascular status B. Place seizure pads on the bed C. Order a high potassium diet D. Initiate fall precautions 49. A 28-year-old female presented to the emergency room with complaints of abdominal pain, nausea, and vomiting for the past 24 hours. The client is afebrile, heart rate is 130 beats/minute, and blood pressure is 90/60 mm Hg. During the pain assessment, the client rates her pain a "10' on a scale of 0-10. The nurse notes the client's pain to be in the right lower quadrant region. Based on the assessment findings, which of the following would the nurse anticipate as the client's diagnosis? A. Appendicitis B. Ulcerative colitis C. Cholecystitis D. Crohn's disease50. A nurse is caring for a client recently diagnosed with cirrhosis. Which of the following are appropriate nursing interventions for this client? (Select all that apply.) A. Monitor lab values B. Pain management C. Allow moderate alcohol intake in diet D. Fiber restriction from diet E. Strict bedrest for 48 hours 51. Which of the following signs or symptoms indicate a possible upper gastrointestinal (Gl) bleed? (Select all that apply.) A. Bright red or coffee-ground vomitus B. Weak peripheral pulses C. Increased blood pressure D. Vertigo E. Increased hemoglobin and hematocrit 52. A nurse cares for a dying client. Which manifestation of active dying would the nurse treat first? A. Pain B. Incontinence C. Nausea D. Anorexia 53. A nurse is planning to educate a client diagnosed with fluid volume overload. Which of the following would the nurse educate the client to determine gains and losses in fluid? A. Monitor daily weights B. Presence of edema C. Skin turgor D. Appearance of mucous membranes 54. A nurse is caring for a client who recently underwent a colon resection for colorectal cancer. The client is post-op day two and has developed a fever. Vital signs are a temperature of 102 degrees F, heart rate 126 beats/minute, blood pressure 100/50 mm Hg. The client is complaining of increased abdominal pain. Based on this information, which of the following conditions is the client exhibiting? A. Appendicitis B. intestinal obstruction C. peritonitisD. deep vein thrombosis 55. A nurse is caring for a 60-year-old female that underwent a surgical procedure and is post-op day four. The client has no active bowel sounds, no bowel movement, and no flatulence. Which of the following does the nurse suspect the client is experiencing? A. Non-mechanical bowel obstruction B. Appendicitis C. Peritonitis D. Perforated colon 56. The graduate nurse is caring for a child with suspected appendicitis. What intervention by this graduate nurse would be inappropriate or contraindicated in the care of this client? A. Administer an enema for constipation B. Administering pain medication every 4 hours PRN as ordered C. Contacting the health care provider immediately if the client reports sudden relief of pain D. Positioning the client in semi-flowers 57. A nurse is caring for a client recently diagnosed with Addisonian crisis. Which of the following signs and symptoms are consistent with this diagnosis? A. Severe Hypotension B. Hypokalemia C. Hypernatremia D. Vascular resistance 58. A client was admitted with the following arterial blood gas (ABG). How does the nurse interpret these results? PH 7 45 PaC02 29 mm Hg Hc03 17 mEg/L Pa02 88 mm Hg A. Respiratory alkalosis with full metabolic compensation B. Metabolic acidosis with full respiratory compensation C. Metabolic alkalosis with full respiratory compensation D. Respiratory acidosis with full metabolic compensation 59. A client was admitted with the following arterial blood gas (ABG). How does the nurse interpret these results?PH 7.44 PaC02 50 mm Hg Hc03 32 mEg/L Pa02 90 mm Hg A. Metabolic Alkalosis with full respiratory compensation B. Merabolic acidoss with full resoiratorycompenstion C. Respiratory alkalosis with full metabolic compensation D. Respiratory acidosis win full metabolic compensation 60. A nurse is caring for a client who is postoperative following abdominal surgery. Which of the following findings would indicate to the nurse that the client's peristalsis is returning? A. Passage of flatus B. Request for a cup of tea and some toast C. Abdominal distention D. Hypoactive bowel sounds in two quadrants 61. The nurse is evaluating the serum laboratory results on the following four clients. Which of the following clients would the nurse assess first? A. A client admitted with abdominal pain and vomiting with a potassium level of 2.8 meq/l B. A client with alcoholism and liver failure with a magnesium level of 1.6 mEq/L. C. A client with dehydration with a serum sodium level of 134 mEq/L. D. A client with osteoporosis with a serum calcium level of 8.1 mg/dL, 62. Which of these laboratory results would be most important for a nurse to monitor for a client with a lower gastrointestinal bleed? A. Hemoglobin and Hematocrit B. Platelet count C. Bleeding time D. Potassium level 63. Which laboratory report is of the highest concern for the nurse to monitor for a client with bone marrow suppression receiving chemotherapy? A. White blood cells (WBC) count B. Urine specific gravity C. triglycerides D. serum prostate-apecific antigen (PSA)64. An older adult client reports lack of energy and needs several naps throughout the day. Which problem may these symptoms be associated with that is often seen in older adults? A. Hypothyroidism B. overproduction of cortisol C. underproduction of glucagon D. hyperparathyroidism 65. A client assessment reveals fatigue, poor memory, and weight gain. The lab results reveal elevated thyroid-stimulating hormone (TSH) and decreased T3 and T4 levels. The nurse knows that these are manifestations of which disorder? A. Hyperparathyproidism B. Hypothyroidism C. hypoparathyroidism D. hyperthyroidism 66. The nurse is assessing a client that displays a positive Chvostek's sign. Which of the following is this assessment finding a clinical manifestation of? A. Hypocalcemia B. Hyponatremia C. Hyperkalemia D. Hypermagnesemia 67. A nurse is caring for a client that has recently been diagnosed with ulcerative colitis. Which of the following statements by the client would indicate an understanding of the disease process? A. It is caused by an inflammatory process of the gastrointestinal tract B. "I have to avoid eating nuts and seeds." C. "lam at a lower risk of developing cancer." D. "Diet modification can cure the disease." 68. A nurse is preparing to administer levothyroxine 125 mcg PO daily. Available is levothyroxine 50 mcg tablets. How many tablets should the nurse administer per dose? (Record answer to the nearest tenth, or one decimal place. Use a leading zero if it applies. Do not use a trailing zero.) Ans. 2.5 69. The nurse is providing discharge instructions to a client with Hepatitis B. Which of the following statements demonstrates an understanding of the discharge instructions? A. I won’t share my shaving razors with my spouse B. chronic hepatitis will not lead to liver cirrhosis or liver C. I don’t have to consider safe sex practices with this form of hepatitisD. All food handling practices are the same when traveling overseas 70. A nurse is caring for a client who was prescribed high-dose corticosteroid therapy for one month to treat a severe inflammatory condition in the intestines from irritable bowel syndrome. The client's symptoms have now resolved, and the client asks, "When can I stop taking these medications?" How would the nurse respond? A. The drug must be stopped abruptly B. The medication can be stopped when you start feeling better C. The inflammation can’t recur if you stop the medication D. Once you start corticosteroids, you must be tapered off the medication 71. The nurse is caring for a client diagnosed with cholelithiasis. Which of the following nursing instructions should be included as part of the discharge teaching? A. You should limit high-fat meats and fried foods from your diet B. Reduce foods high in uric acid from your diet, like anchovies and venison." C. "Call the provider if you have ten or more bloody stools in a 24-hour period." D. "Removing gluten from your diet can reduce cramping. 72. A nurse teaches a client who is diagnosed with diabetes mellitus. Which statement would the nurse include in this client's plan of care to delay the onset of microvascular and macro-vascular complications? A. Maintain tight glycemic control and prevent hyperglycemia B. "Prevent hypoglycemia by eating a bedtime snack." C. "Restrict your fluid intake to no more than 2 L a day." D. "Limit your intake of protein to prevent ketoacidosis." 73. A nurse is preparing to administer cephalexin suspension 2 grams PO daily given in four doses. Available is cephalexin suspension 250 mg/ 5mL. How many mL should the nurse administer in one dose? (Record answer as a whole number. Do not use a trailing zero.) Ans. 10 74. Which of the following surgical procedures is appropriate for a client with chronic pancreatitis? A. Radical Pancreatectomy B. Fistulotom C. SphincterotomyD. Proctocolectomy 75. A client with a history of vomiting complains of muscle weakness, heart palpitations, and nausea. The client's laboratory findings are as follows: Na 140 mEg/L and potassium 2.5 mEg/L. Which of the following electrolyte imbalances is the client exhibiting? A. Hypokalemia B. hyperphosphatemia C. hypovolemia D. hypocalcemia 76. What is a priority nursing intervention for a client with a nasogastric tube? A. Irrigate the tube with 250 mL of normal saline every 4 hours B. Confirmation of proper placement before initial use by aspirating the contents. C. Assess for proper placement, tube patency and output at least every 4 hours. D. Ensure that the nasogastric tube is always connected to high continuous suction to ensure tube patency. 77. The nurse is working in a triage call center. A client calls who has a history of ascites and esophageal varices. Which situation requires immediate intervention? A. The client was eating chips and salsa and has had one episode of hematemesis. B. The client notices that his feet are more swollen than normal. C. The client reports fatigue after his afternoon walks. D. The client reports a new blood pressure reading of 178/82 78. The nurse is caring for a client with Type 1 Diabetes. The blood glucose is 52. Using the sliding scale below, calculate the total amount of Aspart insulin you will administer based on the client's blood glucose. Blood glucose: • Less than 70- Call provider and provide a fast-acting carbohydrate snack, • 70 to 150 Give 0,5 units of Aspart insulin • 151 to 200 Give 1 unit of Aspart insulin • 201-250 Give 1.5 units of Apart insulin • 251-300 Give 2 units of Apart insulin 301+ Give 2.5 units of Aspart insulin and call provider A. Call provider and provide a fast-acting carbohydrate snack B. 2.5 units of Aspart insulin C. 0.5 units of Aspart insulinD. 1.5 units of Aspart Insulin 79. After chemotherapy for cancer, a client develops chemotherapy-induced nausea and vomiting (CINV). For this client, the nurse should give the highest priority to which action in the plan of care? A. Serving small portions of bland food B. Administering an antiemetic medication as prescribed C. Encouraging rhythmic breathing exercises D. Withholding fluids for the first 4-6hrs after chemotherapy administration 80. The graduate nurse is caring for a child with Type 1 Diabetes. The child's blood glucose is 246. The child is going to eat a snack that requires 1.5 units of Aspart insulin to cover the carbohydrates of the snack. Using the sliding scale below, calculate the total amount of Aspart insulin you will administer to the child to cover the snack and the blood glucose. Blood glucose: • 70 to 150 Give 0,5 units of Aspart insulin • 151 to 200 Give 1 unit of Aspart insulin • 201-250 Give 1.5 units of Aspart insulin • 251-300 Give 2 units of Aspart insulin • 301 + Give 2.5 units of Aspart insulin Answer 3 81. The nurse is preparing to teach a client with hepatic encephalopathy an appropriate diet modification. Which statement by the client causes concern? A. "I will continue to take my analgesic medications at the same time every day." B. "I will monitor my bowel pattern and report any signs or symptoms of constipation." C. "I will report any signs or symptoms of infection to my medical team." D. "I will make sure that I stay away from a high protein diet." 82. A nurse is teaching a client with diabetes mellitus who asks, Why is it necessary to maintain my blood glucose lower than about 60 mg/dL (3.3 mmol/L)?" How would the nurse respond? A. "Glucose in the blood prevents the formation of lactic acid and prevents acidosis." B. "Your brain needs a constant supply of glucose because it cannot store it." C. "Without a minimum level of glucose, your body does not make red blood cells." D. "Glucose is the only fuel used by the body to produce the energy that it needs."83. The nurse is preparing to teach a client on how to prevent fecal impaction. Which statement from the client, indicates an understanding? A. "I will not routinely take a laxative." B. “I will use cold beverages to decrease peristalsis." C. “I will eat plenty of protein and stay away from raw fruits and vegetables." D. "I will avoid bulk-forming products and foods." 84. A client was admitted with the following artenal blood gas (ABG). How does the nurse interpret these results PH7.48 Paco2 30 mm Hg Hc03 18 mEQ/L Pa02 85 mm Hg A. Metabolic acidosis with partial respiratory compensation B. Respiratory acidosis with partial metabolic compensation C. Metabolic alkalosis with partial respiratory compensation D. Respiratory alkalosis with partial metabolic compensaton