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1) A nurse is planning care for a client who has type 1 diabetes mellitus and is scheduled for joint replacement surgery. Which should the nurse include in the plan of care?
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2) A nurse is reviewing a client's laboratory results and sees that their hemoglobin A1C is 9%. Which of the following would the nurse say?
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1) A nurse is planning care for a client who has type 1 diabetes mellitus and is scheduled for joint replacement surgery. Which should the nurse include in the plan of care? The client's blood glucose levels may fluctuate more severely.
2) A nurse is reviewing a client's laboratory results and sees that their hemoglobin A1C is 9%. Which of the following would the nurse say? ” Your average blood sugar is high.”
3) A nurse is reviewing the medical records of clients on a hospital floor. Which client is at most risk for hyperthroidrism ? 45-year-old female who has a family history of autoimmune disorders or 35-year-old male who has Graves' disease
4)A nurse is reinforcing teaching with a client about hypothyroidism. Which of the following should the nurse include? Myxedema coma
5) A nurse is caring for a client who has type 2 diabetes mellitus reports blurred vision, numbness in feet, a wound in the past 2 months. the client's Hemoglobin A1C is 8.1%. Which of the following should the nurse include in the client teaching ? ” The symptoms you are experiencing, along with the elevated Hemoglobin A1C, mean that your blood sugar level has been too high!
7) A nurse is caring for a client who has type 2 diabetes mellitus and their glucose levels are rising. Which of the following would indicate the client has hyperosmolar hyperglycemic state (HHS)? Glucose level of 500 mg/dL
8) The nurse is caring for several clients on a hospital unit. Which of the following clients is most at risk for hypoglycemia? A client with type 1 diabetes mellitus who has taken a high dose of insulin
9) A nurse is caring for a client who reports increased anxiety, nervousness, heat intolerance, and unintentional weight loss, TSH, elevated T4, elevated (T3) levels. Which of the following vital signs should the nurse anticipate? Tachycardia
10) A nursing is providing care for a client diagnosed with DKA ? Select all that apply Ketosis, Acidosis, Hyperglycemia
11) A nurse is reinforcing teaching with a client who has hypoglycemia. Which of the following information should the nurse include in the teaching of blood glucose levels? ” The adrenal glands release epinephrine and norepinephrine to respond to low blood glucose
12) A nurse is caring for a client who is newly diagnosed with hyperthyroidism and reports dry eyes and sensitivity to light he also has a bulging appearance. Which of the following should the nurse include in the client's plan of care ? ”Eye drops and dim lighting can improve your symptoms.”
13) A nurse is caring for a client who has type 1 diabetes mellitus. Which of the following should the nurse monitor for the conditions should the lack of insulin production? Diabetic ketoacidosis (DKA)
14) A nurse is providing care for an older adult client who has diabetic ketoacidosis (DKA). Which of the following is the client's mortality risk? Polypharmacy
16) A nurse is reinforcing teaching with a client, who is newly diagnosed with type 1 diabetes mellitus, about insulin safety the nurse is appropriate? ”Clients with type 1 diabetes mellitus should keep backup medication and supplies in their car."
17) A nurse is reinforcing teaching with a 28-year-old female client about the impacts of hypothyroidism what would the nurse include in the teaching? ”If you become pregnant, low thyroid hormone levels can affect your developing fetus."
18) A nurse is collecting data from a client who is experiencing thyroid storm. Which of the following ? Tachycardia
19) The nurse is discussing the epidemiology of type 2 diabetes mellitus with a group of nursing student’s which of the flowing should the nurse to make? Most people diagnosed with diabetes mellitus have type 2 diabetes.
20) A nurse is caring for a client who was diagnosed with type 2 diabetes mellitus2 years ago. The client reports ‘blank’ four times per week. Which of the following findings indicates that the clients beta cells are restoring function ? HbA1c = 5.6 %
21) A nurse is providing care for a client who has diabetes mellitus. Which of the following laboratory findings related with diabetic ketoacidosis (DKA)? Serum bicarbonate less than 15
22) An emergency department nurse is reviewing the electronic whiteboard at the nurse's station. Which of the follow should be helped first? A 22-year-old female with a blood glucose level of 58 mg/dL
23) A nurse is reinforcing teaching with a client who has hypothyroidism and has been prescribed levothyroxine. Which would the nurse reinforce? ” Take this medication before a meal or several hours after a meal."
24) A nurse is reviewing laboratory results and notes that a client has an elevated thyroid stimulating hormone. Which findings would the nurse expect ? Fatigue, constipation, weight gain
25) A nurse is developing a plan of care for a client admitted to the hospital for myxedema crisis. Which should the nurse anticipate? Medication administration to increase blood pressure
26) A nurse in the emergency department is caring for a client who appears shaking and says I'm having an anxiety attack and need some medication." Which of the following is an appropriate ? Check a fingerstick blood glucose level.
27) A nurse is collecting data from a client who has type 1 diabetes mellitus and has a blood glucose level of 550 mg/dL nurse collect if diabetic ketoacidosis (DKA) is suspected? Mental status changes
28) A nurse is reinforcing education with a client who has type 1 diabetes mellitus and has been experiencing BLANK statements by the nurse is appropriate? ” Keeping supplies on hand to treat hypoglycemic episodes is important."
29) A nurse is evaluating the effectiveness of client teaching on managing hypoglycemic episodes. Which of the following teaching has been effective? ”I can take either regular or diet juice.
30) Which of the following assessment findings would indicate to the nurse that the client is at risk for developing diabetic ketoacidosis (DKA) (Select All that Apply.) Serum blood glucose 300 mg/dL, Ketones present in urine, HbA1c 12.6%
Created by: nursejones40
 

 



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