logo

Question 1 of 5.

Extract:The following scenario applies to the next 1 items The nurse cares for a client who arrived at the emergency department (ED) complaining of generalized weakness Item 1 of 1 History and Physical 23-year-male arrives at the emergency department (ED) reporting a headache, feeling unwell, fatigue, and thirst. The symptoms started one day ago and have worsened. He could not check his blood glucose because he reports being out of testing supplies for two weeks. On exam, the client reports feeling fatigued and thirsty. He is lethargic and completely oriented. His physical exam revealed sunken eyes, skin that was hot to the touch, very dry mucous membranes, with white patches on his tongue. The client has a medical history of type I diabetes mellitus. Vital Signs Oral Temperature 100o F (37.8o C) Pulse 123/minute Respirations 24/minute Blood pressure 94/50 mm Hg O2 saturation 96% on room air

Complete the sentence below from the list of options. The client is at highest risk of developing....... based on the client's.............

A. hyperglycemic-hyperosmolar state

B. metabolic alkalosis

C. diabetic ketoacidosis

D. positive serum ketones.

E. glycosylated hemoglobin.

F. potassium level.

Explanation: In type 1 diabetes, fatigue, thirst, and dry mucous membranes with elevated glucose suggest DKA. Positive serum ketones confirm ketosis, a hallmark of DKA due to insulin deficiency.

Question 2 of 5.

The nurse is caring for a client who has diabetic ketoacidosis (DKA). Which of the following would indicate the client is achieving the treatment goals?

A. Mean arterial pressure (MAP) 71 mmHg

B. Potassium 3.3 mEq/L (mmol) [3.5-5 mEq/L]

C. Blood glucose 255 mg/dL (14.15 mmol/L) [70-110 mg/dL, 4.0-11.0 mmol/L]

D. Serum pH 7.33 [7.35 and 7.45]

Explanation: In DKA, treatment aims to correct acidosis, hyperglycemia, and electrolyte imbalances. A serum pH of 7.33 is closer to the normal range (7.35-7.45), indicating improvement in acidosis. MAP of 71 mmHg is low, potassium is below normal, and glucose remains elevated, suggesting ongoing issues.

Question 3 of 5.

The nurse supervises a graduate nurse caring for a client newly admitted for postoperative management following a thyroidectomy. Which of the following actions by the graduate nurse indicates effective planning of the client's care?

A. A bottle of sterile water and petroleum-based gauze is at the bedside.

B. Obtains a prescription for magnesium sulfate.

C. The bedside is prepared with a tracheostomy set, oxygen, and suction.

D. Applies a cervical collar to the client

Explanation: Post-thyroidectomy, airway obstruction from swelling or hemorrhage is a risk. A tracheostomy set, oxygen, and suction are essential for emergency airway management. Sterile water and gauze are insufficient, magnesium sulfate is unrelated, and a cervical collar may restrict breathing.

Question 4 of 5.

The nurse plans care for a client experiencing a hyperglycemic-hyperosmolar state (HHS). The nurse should anticipate which prescriptions from the primary healthcare provider (PHCP)?

A. 0.9% saline infusion

B. Glargine insulin

C. Sodium polystyrene

D. Sodium bicarbonate

Explanation: HHS involves severe hyperglycemia and dehydration. 0.9% saline corrects fluid loss. Glargine is long-acting and not ideal for acute HHS, sodium polystyrene treats hyperkalemia, and bicarbonate is rarely used unless pH is critically low.

Question 5 of 5.

Extract:The following scenario applies to the next 6 items The nurse in the clinic is caring for a 32-year-old female client. Item 1 of 6 Nurses' Notes 1559: Client reports to the outpatient clinic with reports of persistent fatigue, weakness, lethargy, and lower back pain over the last 8 months. She is also concerned because she has gained 24 pounds (10.9 kg) over the past 4 months. She stated that the weight gain has been so significant that she developed reddened streaks on her abdomen from the weight gain. The client is concerned because, over the past month, she has noticed she has been drinking more often and has had increased hunger. She has also noticed she is urinating more frequently. She went to urgent care one week ago and tested negative for urinary tract infection. She also noticed that her menstrual cycle has been irregular. She is not on birth control and took a home pregnancy test, which was negative. During the assessment, the client was fully alert and oriented. Clear lung sounds bilaterally. Skin was dry. Excessive facial hair was noted. 1+ pedal and ankle edema bilaterally. Peripheral pulses palpable, 2+, and regular. Body mass index (BMI) of 32. Vital signs: T 97.5° F (36.4° C), P 93, RR 18, BP 145/93, pulse oximetry reading 96% on room air. She is currently taking escitalopram for persistent depressive disorder. Laboratory Results Capillary Blood Glucose 1613: 254 mg/dL [70-110 mg/dL]

Select the client findings that require follow-up.

A. Capillary blood glucose

B. Peripheral pulse findings

C. Blood pressure

D. Not taking birth control

Explanation: Elevated glucose (254 mg/dL) suggests hyperglycemia, needing investigation. BP (145/93) indicates hypertension, requiring monitoring. Edema and BMI of 32 signal potential endocrine or cardiac issues. Peripheral pulses are normal and birth control is unrelated.

GET IN TOUCH

+012 345 67890

support@examlin.com

Privacy

Terms

FAQS

Help


© Examlin.All Rights Reserved.