1) It is suspected that a patient

1) It is suspected that a patient is severely hypoglycemic. What should the nurse prepare for possible immediate administration to the patient (DKA) A. NPH insulin B. Glycogen C. Glucagon D. Regular insulin 2) The nurse teaches a diabetic patient about factors that may have contributed to her admission for diabetic ketoacidosis. These include: select all that apply. A. A recent death in her family B. Glycosated hemoglobin of 3.5 % C. Her age of 40 years D. Appendectomy E. Influenza 3) A patient is volume depleted secondary to hyperglycemic osmolar state. Which assessment finding is consistent with volume depletion? E. Sinus bradycardia F. Absent bowel sounds G. Hypotension H. Capillary refill less than 3 sec 4) A patient has received morning dose of NPH. Before breakfast the physician determines that the patient must be NPO in preparation for a test. The nurse known that the patient may be at risk for developing which of the following DKA? A. Hyperglycemia B. Diabetic ketoacidosis C. Hyperglycemic hyperosmolar state D. Risk for hypoglycemia 5) A 27year-old patient admitted with diabetics ketoacidosis (DKA) has a serum glucose level of 732mg/dL and a serum potassium level of 3.2 mEq/L. which action prescribed by the health care provider should the nurse take first? A. Place the patient on a cardiac monitor B. Administration IV potassium supplements C. Obtain a urine glucose and ketone levels D. Start insulin infusion at 0.1 units/kg/hr 6) A patient receives aspart (NOVOLOG) insulin at 8:00am. Which time will it be most important for the nurse to monitor for symptoms of hypoglycemia? A. 10:0am B. 12:00am C. 2:00pm D. 4:00pm 7) A patient is in a hyperglymic hyperosmolar state. Which IV solution should the nurse have available since it is likely to be ordered as fluid replacement (DKA)? A. Hypertonic saline B. Isotonic saline C. Dextran D. Hypotonic saline with electrolytes 8) Which of the following are true statements about crisis (Select all that apply) A. Although crisis often start as acute they easily become chronic B. Experiencing crisis indicates psychopathology C. Crisis typically lasts no longer than a few weeks to months D. During crisis patient is unable to resolve the problem using his/her coping mechanism E. Patient in crisis may experience panic level of anxiety when resolution fails to occur

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