Medical Test With Answers #3

with Diabetic ketoacidosis. From above scenario chooses the best answer 1- Which of the following the nurse should expect a client's blood gases reflect diabetic acidosis? Increased pH b. Decreased PO2 c. Increased PCOZ Decreased HCO e. Increase HCO3 2-Which of the following finding would a nurse expect to note as confirming a cllent with a diagnosis of diabetic ketoacidosis (DKA)? Elevated blood glucose level and a low plasma bicarbonate h. Decreased urine output c. Increased respirations and an increase in pH d. Increase o2 saturation e. Increase hemoglobin level 3-Which of the following are the methods of insulin administration would be used in the initial treatment of hyperglycemia in a client with diabetic ketoacidosis? Subcutaneous b. Intramuscular IV bolus only 276 IV bolus, followed by continpous infusion e. Intradermal 4-Which of the following are the symptoms might the nurse see a client is in diabetic ketoacidosis (DKA)? a. Kussmaul's respirations and a fruity odor on the breath b. Shallow respirations and severe abdominal pain. c. Decreased respirations and increased urine output. d. Cheyne-stokes respirations and foul-smelling urine e. Tachycardia, Palpitations Part II: Read each statement carefully & put (A) in front of the correct sentence and (B) in front of the wrong sentence and correct the false sentence 1- The client with diabetes have fasting blood glucose level is more than or equal 126mg/dl. ()A 2-A low-carb diet is the best diet for people with type 2 diabetes ( 3- Eating too much sugar causes diabetes () A 4-Type 2 diabetes can cause short term complication as diabetic ketoacidosis () B He prefer to snack throughout the day? Regulated food intake is basic to control. b. Salt and sugar restriction is the main concern c. Small, frequent meals are better for digestion d. Large meals can contribute to a weight problem e. Fat and protein restriction is the main concern 17 4. Which of the following is the chronic complications associated with diabetes? a. Dizziness, dyspnea on exertion, and coronary artery disease. Retinopathy, neuropathy, and coronary artery disease c. Leg ulcers, cerebral ischemic events, and pulmonary infarcts d. Fatigue, nausen, vomiting and muscle weakness e. Tachycardia, Palpitations, Pallor and Diaphoresis 5. Which of the following a clinical feature are that distinguishes a hypoglycemic and a ketoacidosis reaction? a. Blurred vision Diaphoresis c. Nausea d. Weakness e. Weight gain 6. Which of the following is the most appropriate intervention to decrease the client's anxiety when first admitted for the treatment of hyperglycemia? a. Administer a sedative b. Make sure the client knows all the correct medical terms to understand c. Ignore the signs and symptoms of anxiety so that they will soon disappear what is happening. Convey empathy, trust, and respect toward the client e. Maintain the patient quite 1. What is the important intervention for patient with type 2 diabetes? a. Monitor blood glucose level. b. Give insulin as order. Instruct diet, exercise and drug. d. Use proper foot wear e. Keep the skin soft and smooth 2. Which of the following are signs and symptoms the nurse should be identify for the client is admitting emergency room with hypoglycemia? a. Thirst Palpitations c. Kussmaul's respirations d. Acetone breath Altered level of consciousness 3. Which of the following is the instruction of the nurse should carefully explain to client with diabetes mellitus states, "He cannot eat big meals; He prefer to snack throughout the day? Regulated food intake is basic to control. b. Salt and sugar restriction is the main concern c. Small, frequent meals are better for digestion d. Large meals can contribute to a weight problem e. Fat and protein restriction is the main concern 17 4. Which of the following is the chronic complications associated with diabetes? a. Dizziness, dyspnea on exertion, and coronary artery disease. Retinopathy, neuropathy, and coronary artery disease c. Leg ulcers, cerebral ischemic events, and pulmonary infarcts d. Fatigue, nausea, vomiting and muscle weakness c. Tachycardia, Palpitations, Pallor and Diaphoresis