Care Management 2 Practice Questions Part 2

An older adult client is hospitalized with Guillain-Barr syndrome. The client is given amitriptyline (Elavil). After receiving the hand-off report, what actions by the nurse are most important? (Select all that apply.) a. Administering the medication as ordered b. Advising the client to have help getting up c. Consulting the provider about the drug d. Cutting the dose of the drug in half e. Placing the client on safety precautions B C E The nurse caring for a client with Guillain-Barr syndrome has identified the priority client problem of decreased mobility for the client. What actions by the nurse are best? (Select all that apply.) a. Ask occupational therapy to help the client with activities of daily living. b. Consult with the provider about a physical therapy consult. c. Provide the client with information on support groups. d. Refer the client to a medical social worker or chaplain. e. Work with speech therapy to design a high-protein diet. A B E A nurse assesses a client with hyperthyroidism who is prescribed lithium carbonate. Which assessment finding should alert the nurse to a side effect of this therapy? a. Blurred and double vision b. Increased thirst and urination c. Profuse nausea and diarrhea d. Decreased attention and insomnia B A nurse assesses a client who is recovering from a total thyroidectomy and notes the development of stridor. Which action should the nurse take first? a. Reassure the client that the voice change is temporary. b. Document the finding and assess the client hourly. c. Place the client in high-Fowlers position and apply oxygen. d. Contact the provider and prepare for intubation. D A nurse assesses a client who is recovering from a subtotal thyroidectomy. On the second postoperative day the client states, I feel numbness and tingling around my mouth. What action should the nurse take? a. Offer mouth care. b. Loosen the dressing. c. Assess for Chvosteks sign. d. Ask the client orientation questions. C A nurse assesses a client on the medical-surgical unit. Which statement made by the client should alert the nurse to the possibility of hypothyroidism? a. My sister has thyroid problems. b. I seem to feel the heat more than other people. c. Food just doesnt taste good without a lot of salt. d. I am always tired, even with 12 hours of sleep. D A nurse cares for a client who presents with bradycardia secondary to hypothyroidism. Which medication should the nurse anticipate being prescribed to the client? a. Atropine sulfate b. Levothyroxine sodium (Synthroid) c. Propranolol (Inderal) d. Epinephrine (Adrenalin) B A nurse plans care for a client with hypothyroidism. Which priority problem should the nurse plan to address first for this client? a. Heat intolerance b. Body image problems c. Depression and withdrawal d. Obesity and water retention C A nurse assesses a client who is prescribed levothyroxine (Synthroid) for hypothyroidism. Which assessment finding should alert the nurse that the medication therapy is effective? a. Thirst is recognized and fluid intake is appropriate. b. Weight has been the same for 3 weeks. c. Total white blood cell count is 6000 cells/mm3. d. Heart rate is 70 beats/min and regular. D A nurse cares for a client who has hypothyroidism as a result of Hashimotos thyroiditis. The client asks, How long will I need to take this thyroid medication? How should the nurse respond? a. You will need to take the thyroid medication until the goiter is completely gone. b. Thyroiditis is cured with antibiotics. Then you wont need thyroid medication. c. Youll need thyroid pills for life because your thyroid wont start working again. d. When blood tests indicate normal thyroid function, you can stop the medication. C A nurse assesses clients for potential endocrine disorders. Which client is at greatest risk for hyperparathyroidism? a. A 29-year-old female with pregnancy-induced hypertension b. A 41-year-old male receiving dialysis for end-stage kidney disease c. A 66-year-old female with moderate heart failure d. A 72-year-old male who is prescribed home oxygen therapy B A nurse plans care for a client with hyperparathyroidism. Which intervention should the nurse include in this clients plan of care? a. Ask the client to ambulate in the hallway twice a day. b. Use a lift sheet to assist the client with position changes. c. Provide the client with a soft-bristled toothbrush for oral care. d. Instruct the unlicensed assistive personnel to strain the clients urine for stones. B A nurse cares for a client who is recovering from a parathyroidectomy. When taking the clients blood pressure, the nurse notes that the clients hand has gone into flexion contractions. Which laboratory result does the nurse correlate with this condition? a. Serum potassium: 2.9 mEq/L b. Serum magnesium: 1.7 mEq/L c. Serum sodium: 122 mEq/L d. Serum calcium: 6.9 mg/dL D A nurse cares for a client newly diagnosed with Graves disease. The clients mother asks, I have diabetes mellitus. Am I responsible for my daughters disease? How should the nurse respond? a. The fact that you have diabetes did not cause your daughter to have Graves disease. No connection is known between Graves disease and diabetes. b. An association has been noted between Graves disease and diabetes, but the fact that you have diabetes did not cause your daughter to have Graves disease. c. Graves disease is associated with autoimmune diseases such as rheumatoid arthritis, but not with a disease such as diabetes mellitus. d. Unfortunately, Graves disease is associated with diabetes, and your diabetes could have led to your daughter having Graves disease. B While assessing a client with Graves disease, the nurse notes that the clients temperature has risen 1 F. Which action should the nurse take first? a. Turn the lights down and shut the clients door. b. Call for an immediate electrocardiogram (ECG). c. Calculate the clients apical-radial pulse deficit. d. Administer a dose of acetaminophen (Tylenol). A After teaching a client who is recovering from a complete thyroidectomy, the nurse assesses the clients understanding. Which statement made by the client indicates a need for additional instruction? a. I may need calcium replacement after surgery. b. After surgery, I wont need to take thyroid medication. c. Ill need to take thyroid hormones for the rest of my life. d. I can receive pain medication if I feel that I need it. B A nurse plans care for a client who has hypothyroidism and is admitted for pneumonia. Which priority intervention should the nurse include in this clients plan of care? a. Monitor the clients intravenous site every shift. b. Administer acetaminophen (Tylenol) for fever. c. Ensure that working suction equipment is in the room. d. Assess the clients vital signs every 4 hours. C A nurse evaluates the following laboratory results for a client who has hypoparathyroidism: Calcium 7.2 mg/dL Sodium 144 mEq/L Magnesium 1.2 mEq/L Potassium 5.7 mEq/L Based on these results, which medications should the nurse anticipate administering? (Select all that apply.) a. Oral potassium chloride b. Intravenous calcium chloride c. 3% normal saline IV solution d. 50% magnesium sulfate e. Oral calcitriol (Rocaltrol) B D A nurse cares for a client with elevated triiodothyronine and thyroxine, and normal thyroidstimulating hormone levels. Which actions should the nurse take? (Select all that apply.) a. Administer levothyroxine (Synthroid). b. Administer propranolol (Inderal). c. Monitor the apical pulse. d. Assess for Trousseaus sign. e. Initiate telemetry monitoring. C E A nurse teaches a client with hyperthyroidism. Which dietary modifications should the nurse include in this clients teaching? (Select all that apply.) a. Increased carbohydrates b. Decreased fats c. Increased calorie intake d. Supplemental vitamins e. Increased proteins A C E A nurse assesses a client with hypothyroidism who is admitted with acute appendicitis. The nurse notes that the clients level of consciousness has decreased. Which actions should the nurse take? (Select all that apply.) a. Infuse intravenous fluids. b. Cover the client with warm blankets. c. Monitor blood pressure every 4 hours. d. Maintain a patent airway. e. Administer oral glucose as prescribed. A B D A nurse teaches a client who is prescribed an unsealed radioactive isotope. Which statements should the nurse include in this clients education? (Select all that apply.) a. Do not share utensils, plates, and cups with anyone else. b. You can play with your grandchildren for 1 hour each day. c. Eat foods high in vitamins such as apples, pears, and oranges. d. Wash your clothing separate from others in the household. e. Take a laxative 2 days after therapy to excrete the radiation. A D E A nurse is teaching a client with diabetes mellitus who asks, Why is it necessary to maintain my blood glucose levels no lower than about 60 mg/dL? How should the nurse respond? A Glucose is the only fuel used by the body to produce the energy that it needs. B Your brain needs a constant supply of glucose because it cannot store it. C Without a minimum level of glucose, your body does not make red blood cells. D Glucose in the blood prevents the formation of lactic acid and prevents acidosis. B A nurse reviews laboratory results for a client with diabetes mellitus who presents with polyuria, lethargy, and a blood glucose of 560 mg/dL. Which laboratory result should the nurse correlate with the clients polyuria? A Serum sodium: 163 mEq/L B Serum creatinine: 1.6 mg/dL C Presence of urine ketone bodies D Serum osmolarity: 375 mOsm/kg D After teaching a young adult client who is newly diagnosed with type 1 diabetes mellitus, the nurse assesses the clients understanding. Which statement made by the client indicates a correct understanding of the need for eye examinations? a. At my age, I should continue seeing the ophthalmologist as I usually do. b. I will see the eye doctor when I have a vision problem and yearly after age c. My vision will change quickly. I should see the ophthalmologist twice a year. d. Diabetes can cause blindness, so I should see the ophthalmologist yearly. D .A nurse assesses a client who has a 15-year history of diabetes and notes decreased tactile sensation in both feet. Which action should the nurse take first? A Document the finding in the clients chart. B Assess tactile sensation in the clients hands. C Examine the clients feet for signs of injury. D Notify the health care provider. C A nurse cares for a client who has a family history of diabetes mellitus. The client states, My father has type 1 diabetes mellitus. Will I develop this disease as well? How should the nurse respond? A Your risk of diabetes is higher than the general population, but it may not occur. B No genetic risk is associated with the development of type 1 diabetes mellitus. C The risk for becoming a diabetic is 50% because of how it is inherited. D Female children do not inherit diabetes mellitus, but male children will. A A nurse teaches a client who is diagnosed with diabetes mellitus. Which statement should the nurse include in this clients plan of care to delay the onset of microvascular and macrovascular complications? A Maintain tight glycemic control and prevent hyperglycemia. B Restrict your fluid intake to no more than 2 liters a day. C Prevent hypoglycemia by eating a bedtime snack. D Limit your intake of protein to prevent ketoacidosis. A A nurse assesses clients who are at risk for diabetes mellitus. Which client is at greatest risk? A A 29-year-old Caucasian B A 32-year-old African- American C A 44-year-old Asian D A 48-year-old American Indian D A nurse teaches a client about self-monitoring of blood glucose levels. Which statement should the nurse include in this clients teaching to prevent bloodborne infections? a. Wash your hands after completing each test. b. Do not share your monitoring equipment. c. Blot excess blood from the strip with a cotton ball. d. Use gloves when monitoring your blood glucose. B A nurse teaches a client with type 2 diabetes mellitus who is prescribed glipizide (Glucotrol). Which statement should the nurse include in this clients teaching? A Change positions slowly when you get out of bed. B Avoid taking nonsteroidal anti-inflammatory drugs (NSAIDs). C If you miss a dose of this drug, you can double the next dose. D Discontinue the medication if you develop a urinary infection. B After teaching a client with type 2 diabetes mellitus who is prescribed nateglinide (Starlix), the nurse assesses the clients understanding. Which statement made by the client indicates a correct understanding of the prescribed therapy? A Ill take this medicine during each of my meals. B I must take this medicine in the morning when I wake. C I will take this medicine before I go to bed. D I will take this medicine immediately before I eat. D A nurse cares for a client who is prescribed pioglitazone (Actos). After 6 months of therapy, the client reports that his urine has become darker since starting the medication. Which action should the nurse take? A Assess for pain or burning with urination. B Review the clients liver function study results. C Instruct the client to increase water intake. D Test a sample of urine for occult blood. B A nurse cares for a client with diabetes mellitus who asks, Why do I need to administer more than one injection of insulin each day? How should the nurse respond? A You need to start with multiple injections until you become more proficient at self-injection. B A single dose of insulin each day would not match your blood insulin levels and your food intake patterns. C A regimen of a single dose of insulin injected each day would require that you eat fewer carbohydrates. D A single dose of insulin would be too large to be absorbed, predictably putting you at risk for insulin shock. B After teaching a client with diabetes mellitus to inject insulin, the nurse assesses the clients understanding. Which statement made by the client indicates a need for additional teaching? A The lower abdomen is the best location because it is closest to the pancreas. B I can reach my thigh the best, so I will use the different areas of my thighs. C By rotating the sites in one area, my chance of having a reaction is decreased. D Changing injection sites from the thigh to the arm will change absorption rates. A .A nurse assesses a client with diabetes mellitus and notes the client only responds to a sternal rub by moaning, has capillary blood glucose of 33 g/dL, and has an intravenous line that is infiltrated with 0.45% normal saline. Which action should the nurse take first? A Administer 1 mg of intramuscular glucagon. B Encourage the client to drink orange juice. C Insert a new intravenous access line. D Administer 25 mL dextrose 50% (D50) IV A A nurse cares for a client with diabetes mellitus who is visually impaired. The client asks, Can I ask my niece to prefill my syringes and then store them for later use when I need them? How should the nurse respond? A Yes. Prefilled syringes can be stored for 3 weeks in the refrigerator in a vertical position with the needle pointing up. B Yes. Syringes can be filled with insulin and stored for a month in a location that is protected from light. C Insulin reacts with plastic, so prefilled syringes are okay, but you will need to use glass syringes. D No. Insulin syringes cannot be prefilled and stored for any length of time outside of the container. A A nurse teaches a client who is prescribed an insulin pump. Which statement should the nurse include in this clients discharge education? A Test your urine daily for ketones. B Use only buffered insulin in your pump. C Store the insulin in the freezer until you need it. D Change the needle every 3 days. D After teaching a client who has diabetes mellitus and proliferative retinopathy, nephropathy, and peripheral neuropathy, the nurse assesses the clients understanding. Which statement made by the client indicates a correct understanding of the teaching? A I have so many complications; exercising is not recommended. B I will exercise more frequently because I have so many complications. C I used to run for exercise; I will start training for a marathon. D I should look into swimming or water aerobics to get my exercise. D An emergency department nurse assesses a client with ketoacidosis. Which clinical manifestation should the nurse correlate with this condition? A Increased rate and depth of respiration B Extremity tremors followed by seizure activity C Oral temperature of 102 F (38.9 C) D Severe orthostatic hypotension A A nurse assesses a client who has diabetes mellitus. Which arterial blood gas values should the nurse identify as potential ketoacidosis in this client? a. pH 7.38, HCO3 22 mEq/L, PCO2 38 mm Hg, PO2 98 mm Hg b.pH7.28,HCO 18mEq/L,PCO 28mmHg,PO 98mmHg 322 c. pH 7.48, HCO3 28 mEq/L, PCO2 38 mm Hg, PO2 98 mm Hg d. pH 7.32, HCO3 22 mEq/L, PCO2 58 mm Hg, PO2 88 mm Hg B A nurse cares for a client experiencing diabetic ketoacidosis who presents with Kussmaul respirations. Which action should the nurse take? A Administration of oxygen via face mask B Intravenous administration of 10% glucose C Implementation of seizure precautions D Administration of intravenous insulin D A nurse cares for a client who has type 1 diabetes mellitus. The client asks, Is it okay for me to have an occasional glass of wine? How should the nurse respond? A Drinking any wine or alcohol will increase your insulin requirements. B Because of poor kidney function, people with diabetes should avoid alcohol. C You should not drink alcohol because it will make you hungry and overeat. D One glass of wine is okay with a meal and is counted as two fat exchanges. D A nurse teaches a client with type 1 diabetes mellitus. Which statement should the nurse include in this clients teaching to decrease the clients insulin needs? A Limit your fluid intake to 2 liters a day. B Animal organ meat is high in insulin. C Limit your carbohydrate intake to 80 grams a day. D Walk at a moderate pace for 1 mile daily. D A nurse cares for a client who is diagnosed with acute rejection 2 months after receiving a simultaneous pancreas-kidney transplant. The client states, I was doing so well with my new organs, and the thought of having to go back to living on hemodialysis and taking insulin is so depressing. How should the nurse respond? A Following the drug regimen more closely would have prevented this. B One acute rejection episode does not mean that you will lose the new organs. C Dialysis is a viable treatment option for you and may save your life. D Since you are on the national registry, you can receive a second transplantation. B After teaching a client who is recovering from pancreas transplantation, the nurse assesses the clients understanding. Which statement made by the client indicates a need for additional education? A If I develop an infection, I should stop taking my corticosteroid. B If I have pain over the transplant site, I will call the surgeon immediately. C I should avoid people who are ill or who have an infection. D I should take my cyclosporine exactly the way I was taught. A .A nurse assesses a client with diabetes mellitus 3 hours after a surgical procedure and notes the clients breath has a fruity odor. Which action should the nurse take? A Encourage the client to use an incentive spirometer. B Increase the clients intravenous fluid flow rate. C Consult the provider to test for ketoacidosis. D Perform meticulous pulmonary hygiene care. C .A preoperative nurse assesses a client who has type 1 diabetes mellitus prior to a surgical procedure. The clients blood glucose level is 160 mg/dL. Which action should the nurse take? A Document the finding in the clients chart. B Administer a bolus of regular insulin IV. C Call the surgeon to cancel the procedure. D Draw blood gases to assess the metabolic state. A A nurse teaches a client with diabetes mellitus who is experiencing numbness and reduced sensation. Which statement should the nurse include in this clients teaching to prevent injury? A Examine your feet using a mirror every day. B Rotate your insulin injection sites every week. C Check your blood glucose level before each meal. D Use a bath thermometer to test the water temperature. D A nurse reviews the medication list of a client with a 20-year history of diabetes mellitus. The client holds up the bottle of prescribed duloxetine (Cymbalta) and states, My cousin has depression and is taking this drug. Do you think Im depressed? How should the nurse respond? A Many people with long-term diabetes become depressed after a while. B Its for peripheral neuropathy. Do you have burning pain in your feet or hands? C This antidepressant also has anti-inflammatory properties for diabetic pain. D No. Many medications can be used for several different disorders. B A nurse assesses a client with diabetes mellitus. Which clinical manifestation should alert the nurse to decreased kidney function in this client? A Urine specific gravity of 1.033 B Presence of protein in the urine C Elevated capillary blood glucose level D Presence of ketone bodies in the urine B .A nurse develops a dietary plan for a client with diabetes mellitus and new-onset microalbuminuria. Which component of the clients diet should the nurse decrease? a. Carbohydrates b. Proteins c. Fats d. Total calories B A nurse assesses a client who has diabetes mellitus and notes the client is awake and alert, but shaky, diaphoretic, and weak. Five minutes after administering a half-cup of orange juice, the clients clinical manifestations have not changed. Which action should the nurse take next? a. Administer another half-cup of orange juice. b. Administer a half-ampule of dextrose 50% intravenously. c. Administer 10 units of regular insulin subcutaneously. d. Administer 1 mg of glucagon intramuscularly A A nurse reviews the laboratory results of a client who is receiving intravenous insulin. Which should alert the nurse to intervene immediately? A Serum chloride level of 98 mmol/L B Serum calcium level of 8.8 mg/dL C Serum sodium level of 132 mmol/L D Serum potassium level of 2.5 mmol/L D A nurse teaches a client with diabetes mellitus about sick day management. Which statement should the nurse include in this clients teaching? A When ill, avoid eating or drinking to reduce vomiting and diarrhea. B Monitor your blood glucose levels at least every 4 hours while sick. C If vomiting, do not use insulin or take your oral antidiabetic agent. D Try to continue your prescribed exercise regimen even if you are sick. B A nurse assesses a client who is being treated for hyperglycemic-hyperosmolar state (HHS). Which clinical manifestation indicates to the nurse that the therapy needs to be adjusted? A Serum potassium level has increased. B Blood osmolarity has decreased. C Glasgow Coma Scale score is unchanged. D Urine remains negative for ketone bodies. C A nurse cares for a client who has diabetes mellitus. The nurse administers 6 units of regular insulin and 10 units of NPH insulin at 0700. At which time should the nurse assess the client for potential problems related to the NPH insulin? a. 0800 b. 1600 c. 2000 d. 2300 B After teaching a client with type 2 diabetes mellitus, the nurse assesses the clients understanding. Which statement made by the client indicates a need for additional teaching? A I need to have an annual appointment even if my glucose levels are in good control. B Since my diabetes is controlled with diet and exercise, I must be seen only if I am sick. C I can still develop complications even though I do not have to take insulin at this time. D If I have surgery or get very ill, I may have to receive insulin injections for a short time. B When teaching a client recently diagnosed with type 1 diabetes mellitus, the client states, I will never be able to stick myself with a needle. How should the nurse respond? a. I can give your injections to you while you are here in the hospital. b. Everyone gets used to giving themselves injections. It really does not hurt. c. Your disease will not be managed properly if you refuse to administer the shots. d. Tell me what it is about the injections that are concerning you. D A nurse assesses a client with diabetes mellitus who self-administers subcutaneous insulin. The nurse notes a spongy, swelling area at the site the client uses most frequently for insulin injection. Which action should the nurse take? A Apply ice to the site to reduce inflammation. B Consult the provider for a new administration route. C Assess the client for other signs of cellulitis. d. Instruct the client to rotate sites for insulin injection. D 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 should alert the nurse to contact the provider and withhold the prescribed dose? A Pioglitazone (Actos) B Glimepiride (Amaryl) C Glipizide (Glucotrol) D Metformin (Glucophage) D After teaching a client who is newly diagnosed with type 2 diabetes mellitus, the nurse assesses the clients understanding. Which statement made by the client indicates a need for additional teaching? A I should increase my intake of vegetables with higher amounts of dietary fiber. B My intake of saturated fats should be no more than 10% of my total calorie intake. C I should decrease my intake of protein and eliminate carbohydrates from my diet. D My intake of water is not restricted by my treatment plan or medication regimen. C A nurse reviews laboratory results for a client with diabetes mellitus who is prescribed an intensified insulin regimen: Fasting blood glucose: 75 mg/dL Postprandial blood glucose: 200 mg/dL Hemoglobin A1c level: 5.5% How should the nurse interpret these laboratory findings? A Increased risk for developing ketoacidosis B Good control of blood glucose C Increased risk for developing hyperglycemia D Signs of insulin resistance B A nurse prepares to administer insulin to a client at 1800. The clients medication administration record contains the following information: Insulin glargine: 12 units daily at 1800 Regular insulin: 6 units QID at 0600, 1200, 1800, 2400Based on the clients medication administration record, which action should the nurse take? A Draw up and inject the insulin glargine first, and then draw up and inject the regular insulin. B Draw up and inject the insulin glargine first, wait 20 minutes, and then draw up and inject the regular insulin. C First draw up the dose of regular insulin, then draw up the dose of insulin glargine in the same syringe, mix, and inject the two insulins together. D First draw up the dose of insulin glargine, then draw up the dose of regular insulin in the same syringe, mix, and inject the two insulins together. A A nurse prepares to administer prescribed regular and NPH insulin. Place the nurses 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. 3, 1, 2, 8, 7, 4, 6, 5 c. 8, 1, 3, 2, 4, 6, 7, 5 d. 2, 3, 1, 8, 7, 5, 4, 6 B A nurse reviews the chart and new prescriptions for a client with diabetic ketoacidosis: Vital Signs and Assessment Blood pressure: 90/62 mm Hg Pulse: 120 beats/min Respiratory rate: 28 breaths/min Urine output: 20 mL/hr via catheter Laboratory Results Serum potassium: 2.6 mEq/L Medications Potassium chloride 40 mEq IV bolus STAT Increase IV fluid to 100 mL/hr Which action should the nurse take? A Administer the potassium and then consult with the provider about the fluid order. B Increase the intravenous rate and then consult with the provider about the potassium prescription. C Administer the potassium first before increasing the infusion flow rate. D Increase the intravenous flow rate before administering the potassium. B At 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) At 0630: 95 At 1130: 70 At 1630: 47 Dietary Intake Breakfast: 10% eaten client states she is not hungry Lunch: 5% eaten client is nauseous; vomits once After reviewing the clients assessment data, which action is appropriate at this time? A Assess the clients oxygen saturation level and administer oxygen. B Reorient the client and apply a cool washcloth to the clients forehead. C Administer dextrose 50% intravenously and reassess the client. D Provide a glass of orange juice and encourage the client to eat dinner. C A 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 A D E F A 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 A C E A nurse teaches a client with diabetes mellitus about foot care. Which statements should the nurse include in this clients 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. A C A 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 A B C A 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 A B D