NURSING 120 FINAL EXAM The nurse is caring for the diabetic client who complains of sweating at night and who has hyperglycemic episodes in the morning. The nurse suspects that the client is experiencing the Somogyi effe
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NURSING 120 FINAL EXAM The nurse is caring for the diabetic client who complains of sweating at night and who has hyperglycemic episodes in the morning. The nurse suspects that the client is experiencing the Somogyi effect. What interventions would the nurse potentially implement? Select all that apply A. Provide an evening snack B. Increase the client's protein intake C. Decrease nighttime insulin doses D. Provide an evening snack and check blood sugars every 2 hours E. Monitor insulin regimens A nurse prepares to administer prescribed regular and NPH insulin. Place the nurse's actions in the correct order to administer these medications.1. Inspect bottles for expiration dates.2. Gently roll the bottle of NPH between the hands.3. Wash your hands.4. Inject air into the regular insulin.5. Withdraw the NPH insulin.6. Withdraw the regular insulin.7. Inject air into the NPH bottle.8. Clean rubber stoppers with an alcohol swab.
A. 1, 3, 8, 2, 4, 6, 7, 5 B. 2, 3, 1, 8, 7, 5, 4, 6 C. 3, 1, 2, 8, 7, 4, 6, 5 D. 8, 1, 3, 2, 4, 6, 7, 5 A nurse reviews the medication list of a client recovering from a computed tomography (CT) scan with IV contrast to rule out small bowel obstruction. Which medication would alert the nurse to contact the provider and withhold the prescribed dose? A. Glimepiride (Amaryl) B. Glipizide (Glucotrol) C. Pioglitazone (Actos) D. Metformin (Glucophage) The diabetic client asks the nurse, "Why is exercise important for me?" What is the best response by the nurse?" A. "Exercise increases your insulin sensitivity." B. "As long as you lose weight through dieting, exercise can be limited." C. "Exercise can help decrease your blood pressure and increase your lipid levels." D. "You are a type 1 diabetic so exercising is not a priority A nurse assesses a client with diabetes mellitus and notes that the client only responds to a sternal rub by moaning, has a capillary blood glucose of 33 g/dL (1.8 mmol/L), and has an intravenous line that is infiltrated with 0.45% normal saline. What action would the nurse take first? A. Encourage the patient to drink orange juice. B. Administer 25 mL dextrose 50% (D50) IV push. C. Insert a new intravenous access line. D. Administer 1 mg of intramuscular glucagon.
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