Solutions
An indigenous client has been placed on a strict diet due to heart
failure. The nurse enters the client's room to find them drinking
out of a bottle a family member brought in. The client reports it
is traditional medicine. What is the most appropriate response
from the nurse?
a. "I'll have to report this to your healthcare provider as non-
compliance."
b. "Can you tell me more about meds? I'm concerned with
interactions with our meds."
c. "Traditional practices are not allowed during your treatment."
d. "You need to throw that away immediately."
"Can you tell me more about meds? I'm concerned with
interactions with our meds."
You are the nurse conducting a mental status assessment for a
client who recently immigrated from Pakistan. You sit directly
in front of the client, 18 inches away, and begin the interview
with direct eye contact. What is the most likely reason the client
has become uncomfortable?
a. violation of personal space
b. hes a germaphobe
c. he's uncomfortable with nurses
d. he thinks its times for meds
,violation of personal space
Cardiac monitoring is initiated for a client in diabetic
ketoacidosis. The nurse recognizes that this measure is
important to identify which of the following complications?
a. liver failure
b. Electrocardiogram (ECG) changes and dysrhythmias related
to hypokalemia
c. Pulmonary embolism
d. respiratory alkalosis
Electrocardiogram (ECG) changes and dysrhythmias related to
hypokalemia
The following drug is classified as a sulphonylurea:
a. glyburide
b. metformin
c. insulin
d. none of the above
glyburide
The following are side-effects to treatment of DKA with fluid:
a. adult respiratory distress syndrome
b. myocardial infarction
c. cerebro vascular accident
d. cerebral edema
cerebral edema
, A diabetic patient is suddenly feeling sweaty, anxious and
jittery. The most likely explanation is:
a. high blood sugar
b. too much insulin with not enough food
c. low blood sugar
d. too much food without enough insulin
too much insulin with not enough food
low blood sugar
Why should diabetic patients that take long-acting
sulphonylureas never be "signed off"?
a. Postprandial hypoglycemia after a large meal
b. Insulin shock caused by overdose
c. Rebound hypoglycemia
d. Hypoglycemia from skipping meals
Hypoglycemia from skipping meals
following signs and symptoms are common both
HHS (hyperglycemic hyperosmolaric state) and
DKA (diabetic ketoacidosis):
a. acetone breath
b. nausea/vomiting
c. abdominal pain
d. kussmauls breathing
nausea/vomiting