DM
The nurse has been made aware of laboratory test results for a client with dm who has an infected wound. Which of the following test results would be a priority to follow up :
A1C: 8%
creatinine : 2.0
WBC: 12,000
Sodium: 134
creatinine 2.0
the nurse in the emergency department is caring for a client with DKA. After obtaining the client's blood glucose level, which prescription should the nurse implement first?
1. administer 0.9% sodium chloride 1000ml bolus
2. adminster long-activing insulin subq
3. initiate continous regular insulin IV infusion
4. obtain potassium level
1. administer 0.9% sodium chloride 1000 ml IV bolus
The nurse is assessing a client who has Addisons disease. Which of the following findings is consistent with the condition?
1. bronze pigmentation of the skin
2. increased body and facial hair
3. purple or red striae on the abdomen
4. supraclavicular fat pad
.1. bronze pigmentation of the skin
The nurse is screening clients for those at risk for developing SIADH. The nurse should recognize that the client at highest risk for devleoping SIADH is a client with
1. carpal tunnel syndrome
2. small cell lung CA
3. osteomyelitis
4. sciatica
2. SMALL cell lung CA
The nurse assesses a client with Cushing syndrome. Which of the following clinical manifestations should the nurse expect?
SELECT ALL THAT APPLY
1. hyperglycemia
2. hypertension
3. hyponatremia
4. truncal obesity
5. weight loss
1, 2, 4
The nurse is caring for a client with type 1 dm who is obtunded and responding only to painful stimuli. a STAT blood sample reveals a blood glucose level of 38. Which initial action by the nurse is best?
1. adminsiter 1 mg glucagon IM
2. assist the client to drink 4 oz of orange juice
3. measure the client's blood pressure and heart rate
4. observe for sweating , shakiness, and pallor
1. administer 1 mg glucagon IM
The nurse in the ED is caring for a client with HHS. The nurse should recognize that which of the following findings are commonly associated with the condition :
SELECT ALL THAT APPLY
1. abdominal pain
2. blood glucose level 600>
3. history of type 2 DM
4. Kussmaul respirations
5. Neurological manifestations
2, 3, 5
The nurse is assessing a client with primary adrenal insufficiency. The nurse notes that the client is hypotensive and confused. Which of the following actions would be a priority for the nurse to take ?
1. obtain orthostatic vital signs
2. assess the client for potential source of infection
3. Administer IV hydrocortisone
4. Document the findings in the client's electronic medical record
3. administer IV hydrocortisone
The nurse is assessing a client with SIADH. Which of the following findings would be consistent with the condition?
SELECT ALL THAT APPLY
1. decreased serum sodium level
2. decreased urine output
3. dry mucous membranes
4. low urine specific gravity
5. sudden weight gain
1, 2, 5
The nurse in the ICU is caring for a client who had a hypophysectomy 2 days ago and has developed DI. Which action should the nurse take?
1. administer desmopressin
2, Check the client's fasting blood glucose level
3. institute a fluid restriction
4. place the client in the trendelenburg postion
1. administer desmopressin
The nurse is teaching a group of clients with type 1 DM about hypoglycemia. Which of the following should the nurse include as s.s of hypoglycemia?
SELECT ALL THAT APPLY
1. diaphoresis
2. flushing
3. pallor
4. polyuria
5. trembling
1, 3, 5
A client with DKA is most likely to have which of the following ABGs?
1. ph: 7.26, PaCO2: 56, HCO3: 23
2. ph: 7.3 , PaCO2: 30, HCO3 :15
3. ph: 7.4, PaCo2: 40 , HCO3 : 24
4. ph: 7.58 , PaCo2 : 48, HCO3 : 44
2. ph 7.3 , PaCO2 : 15 , HCO3: 15
The nurse is assessing a client with addison disease who was involved in a motor vehicle collison and sustained a fracture of the right femur. Which of the following findings would be a priority to follow up?
1. blood pressure changed from 128/80 to 90/50
2. development of first-degree atrioventricular block on ECG
3. reports of pain in the affected extremity rated as 7 on a scale of 0-10
4. Vesicular breath sounds auscultated over the upper lobes of the lungs
1. blood pressure changed from 128/80 to 90/50
The nurse is caring for a client with SIADH. Which of the following interventions should the nurse include in the plan of care ?
1. implement seizure precautions
2. monitor daily weights
3. monitor serum osmolality
4. perform frequent neurological checks
5. place the client on fluid restriction
all the above
The nurse is caring for a client with suspected pheochromocytoma. The client has diaphoresis, a severe headache, and a blood pressure of 200/110. Which of the following actions should the nurse take?
SELECT ALL THAT APPLY
1. prepare the client for surgery
2. administer radioactive iodine
3. administer IV antihypertensive medication
4. initiate a 24 hour urine specimen collection
5. Palpate the abdomen to assess for tenderness
1, 3, 4