Ati Review for Sem 2 Midterm Final Exam

Ati Review for Sem 2 Midterm Final Exam lOMoAR cPSD|18041796 Final/ Midterm review 1. A nurse administers subcutaneous lispro insulin at 0700 to a client who has diabetes. At which of the following times should the ...

Ati Review for Sem 2 Midterm Final Exam lOMoAR cPSD|18041796 Final/ Midterm review 1. A nurse administers subcutaneous lispro insulin at 0700 to a client who has diabetes. At which of the following times should the nurse observe for hypoglycemia caused by the onset of the medication? - 0715 2. What is required by medical asepsis that is not required by surgical asepsis? - Good handwashing technique. 3. A nurse is preparing to administer dexamethasone 1.5 mg/kg/day PO to divide equally every 6 hours to a preschool-age child who weighs 22 lb. Available is dexamethasone oral solution 1 mg/mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth.) lOMoAR cPSD|18041796 - 3.8 4. A postoperative client who has no previous medical conditions is difficult to arouse when transferred to the surgical unit from the post-anesthesia care unit. A nurse monitors the pulse oximeter and gets a reading of 85%. The nurse arouses the client and has him cough and perform deep breathing; the pulse oximeter is now reading 83% what should be the nurse's next action? - Start oxygen at 2 liters per nasal cannula. 5. A nurse in the emergency department knows that tissue damage has probably occurred in a person with hypothermia when a rectal temperature of is assessed. (do not use degree sign,) - 95 lOMoAR cPSD|18041796 6. At 0330, a nurse is caring for a client who is postoperative. The client’s IV fluids are infusing at 120 mL/hr. How many mL of IV fluid should infuse by 0600? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) - 300 7. A nurse is reinforcing teaching with a client who has a family history of hypertension. The nurse should inform the client that his blood pressure reading of 112/64 mm Hg places him in which of the following categories? - Within the expected reference range. 8. A nurse is reinforcing teaching with a client who has type 2 diabetes mellitus. The nurse determines that teaching has been effective when the client identifies which of the following manifestations of hypoglycemia? (Select all that apply.) lOMoAR cPSD|18041796 - Blurry vision - Tachycardia - Sweating 9. A nurse is reinforcing teaching with a client who has diabetes mellitus and self-administers insulin. The client reports drinking an occasional glass of wine. Which of the following is an appropriate response by the nurse? - “It is best for you to drink an occasional glass of wine with a meal”. 10. A nurse is caring for a client who has type 1 diabetes mellitus. The nurse misread the client’s morning fasting blood glucose level as 210 mg/dL instead of 120 mg/dL and administered the insulin dose appropriate for a reading over 200 mg/dL. Which of the following actions should the nurse identify as the priority? lOMoAR cPSD|18041796 - Check the client’s blood glucose level. 11. A nurse is assisting with the plan of care for a client who has a new deep-vein thrombosis (DVT) in his leg. Which of the following interventions should the nurse include in the plan? - Keep the client’s affected leg elevated. 12. A nurse is collecting data from a client who is postoperative following abdominal surgery. Which of the following findings should cause the nurse to suspect deep-vein thrombosis (DVT)? - Unilateral leg edema. 13. A nurse is collecting data from a client who has hypertension and a prescription for propranolol. A history of which of the following conditions should be reported to the provider? - Heart failure. lOMoAR cPSD|18041796 14. A nurse is caring for an older adult client who has colon cancer. The client asks the nurse several questions about his treatment plan. Which of the following actions should the nurse take? - Help the client write down questions to ask his provider. 15. A nurse is collecting data from client who has received chemotherapy to treat lung cancer. Which of the following adverse effects should the nurse report to the provider? - Manifestations of infection. 16. A nurse is assisting with the plan of care for a client who has pneumonia and requires