Endocrine and Metabolic Disorders
Test
Question 1 of 5
A nurse is about to administer a client's morning dosage of insulin. The client's order is for 5 U of regular and 10 U of NPH given as a basal dose. He also is to receive anamount prescribed from his medium-dose sliding scale (shown below), based on his morning blood glucose level. The nurse performs a bedside blood glucosemeasurement and the result is 264 mg/dl. How many total units of insulin should the nurse administer to the client?
Plasmaglucose(mg/dl)Low dose(Regular insulin)Medium dose(Regular insulin)High dose(Regular insulin)Very high dose(Regular insulin)< 70Call physicianCall physician Call physicianCall physician71-1400 U0 U0 U0 U141-1801 U2 U4 U10 U181-2402 U4 U8 U15 U241-3004 U6 U12 U20 U301-4006 U9 U16 U25 U> 4008 U and call physician12 U and call physician20 U and call physician30 U and call physician
Answer:
4u
Correct Answer: 21Your Answer: 4uRATIONALES: The basal dosage for this client is 5 U of regular insulin and 10 U of NPH insulin. Using the medium-dose sliding scale and the client's blood glucose readingof 264 mg/dl, the nurse should determine that an additional 6 U of regular insulin are required, totalling 21 U (5 U + 10 U + 6 U = 21 U).NURSING PROCESS STEP: ImplementationCLIENT NEEDS CATEGORY: Physiological integrityCLIENT NEEDS SUBCATEGORY: Pharmacological and parenteral therapiesCOGNITIVE LEVEL: ApplicationThe nurse is feeding an average-size client when the client suddenly begins choking on his food. According to the American Heart Association, thenurse should intervene using the actions listed below. List the actions in the sequence in which the nurse should perform them.1. Administer abdominal thrusts until effective or until client becomes unresponsive.2. Activate the emergency response team.3. Ask the client if he can speak.4. Perform a tongue-jaw lift.5. Open the airway and attempt to ventilate the client.6. Give up to five abdominal thrusts.
RATIONALES: According to the American Heart Association, the nurse should ask the client if he's choking and if he can speak. Next, the nurse shouldadminister abdominal thrusts or chest thrusts (if the client is obese or pregnant). The nurse should continue thrusts until they are effective or until theclient becomes unresponsive. When the latter occurs, the nurse should activate the emergency response team and then perform a tongue-jaw left.Next, the nurse should open the airway and try to ventilate the client. If the airway is still obstructed, the nurse should reposition the head and try toventilate again. Then, the nurse should give up to five abdominal thrusts.
020168 4 2 0.39 1false test 5 true
Cardiovascular Disorders
Test
Question 4 of 5
The nurse is interpreting a client's telemetry strip. If the QT interval is 0.52 second and the R-R interval is 1.72 seconds, how many seconds is the QTc interval (the QTinterval corrected for the heart rate)?Answer:
50
Correct Answer: 0.39Your Answer: 50RATIONALES: To correct the QT interval for variations in heart rate, divide the measured QT interval by the square root of the measured R-R interval.Square root of 1.72 = 1.310.52 ÷ 1.31 = 0.39 secondThe QTc should be less than 0.44 seconds in men, and less than 0.46 seconds in women.NURSING PROCESS STEP: AnalysisCLIENT NEEDS CATEGORY: Physiological integrityCLIENT NEEDS SUBCATEGORY: Reduction of risk potentialCOGNITIVE LEVEL: Application
028149 1 3 180,36;190,45 0false test 5 false 191,30
010051 4 1 2,3,4,5 3true test 5 false 2,3,4,5025049 12 0 4 11true pretest 75 false 4
Endocrine and Metabolic Disorders
Pretest
Question 12 of 75
When assessing a client with pheochromocytoma, a tumor of the adrenal medulla that secretes excessive catecholamine, the nurse is most likely to detect:
1. a blood pressure of 130/70 mm Hg.
2. a blood glucose level of 130 mg/dl.
3. bradycardia.
4.a blood pressure of 176/88 mm Hg.Correct Answer: 4Your Answer: 4RATIONALES: Pheochromocytoma, a tumor of the adrenal medulla that secretes excessive catecholamine, causes hypertension, tachycardia, hyperglycemia,hypermetabolism, and weight loss. It isn't associated with the other options.NURSING PROCESS STEP: AssessmentCLIENT NEEDS CATEGORY: Physiological integrityCLIENT NEEDS SUBCATEGORY: Physiological adaptationCOGNITIVE LEVEL: Analysis
029004 14 0 4 13true pretest 75 false 4
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