A nurse reviews the health history of a client with an oversecretion of renin. Which disorder should the nurse correlate with this assessment finding?
a. Alzheimer's disease
b. Hypertension
c. Diabetes mellitus
d. Viral hepatitis
Question 2A nurse reviews the urinalysis results of a client and notes a urine osmolality of 1200 mOsm/L. Which action should the nurse take?
a. Contact the provider and recommend a low-sodium diet.
b. Prepare to administer an intravenous diuretic.
c. Obtain a suction device and implement seizure precautions.
d. Encourage the client to drink more fluids.
Question 3A nurse collaborates with the interdisciplinary team to develop a plan of care for a client who is newly diagnosed with diabetes mellitus. Which team members should the nurse include in this interdisciplinary team meeting? (Select all that apply.)
a. Registered dietitian
b. Clinical pharmacist
c. Occupational therapist
d. Health care provider
e. Speech-language pathologist
Question 4A nurse reviews the urinalysis of a client and notes the presence of glucose. Which action should the nurse take?
a. Document findings and continue to monitor the client.
b. Contact the provider and recommend a 24-hour urine test.
c. Review the client's recent dietary selections.
d. Perform a capillary artery glucose assessment.
Question 5A nurse provides diabetic education at a public health fair. Which disorders should the nurse include as complications of diabetes mellitus? (Select all that apply.)
a. Stroke
b. Kidney failure
c. Blindness
d. Respiratory failure
e. Cirrhosis
Question 6At 4:45 p.m., a nurse assesses a client with diabetes mellitus who is recovering from an abdominal hysterectomy 2 days ago. The nurse notes that the client is confused and diaphoretic. The nurse reviews the assessment data provided in the chart below:
Capillary Blood Glucose Testing (AC/HS)
Dietary
Intake
At 0630: 95
At 1130: 70
At 1630: 47
Breakfast: 10 eaten - client states she is not hungry
Lunch: 5 eaten - client is nauseous; vomits once
After reviewing the client's assessment data, which action is appropriate at this time?
a.
Assess the client's oxygen saturation level and administer oxygen.
b.
Reorient the client and apply a cool washcloth to the client's forehead.
c.
Administer dextrose 50 intravenously and reassess the client.
d.
Provide a glass of orange juice and encourage the client to eat dinner.
Question 7A nurse teaches a client with diabetes mellitus about foot care. Which statements should the nurse include in this client's teaching? (Select all that apply.)
a. Do not walk around barefoot.
b. Soak your feet in a tub each evening.
c. Trim toenails straight across with a nail clipper.
d. Treat any blisters or sores with Epsom salts.
e. Wash your feet every other day.
Question 8A nurse assesses a client who is experiencing diabetic ketoacidosis (DKA). For which manifestations should the nurse monitor the client? (Select all that apply.)
a. Deep and fast respirations
b. Decreased urine output
c. Tachycardia
d. Dependent pulmonary crackles
e. Orthostatic hypotension
Question 9A nurse assesses clients at a health fair. Which clients should the nurse counsel to be tested for diabetes? (Select all that apply.)
a. 56-year-old African-American male
b. Female with a 30-pound weight gain during pregnancy
c. Male with a history of pancreatic trauma
d. 48-year-old woman with a sedentary lifestyle
e. Male with a body mass index greater than 25 kg/m2
f.
28-year-old female who gave birth to a baby weighing 9.2 pounds
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