U3 - Practice

Front

A nurse is reinforcing teaching with a client who takes prednisone orally to prevent organ rejection following a kidney transplant. Which of the following statements by the client indicates an understanding of the teaching? I will plan to come to the clinic for periodic testing of my blood glucose. I will avoid drinking grapefruit juice while taking this medication. I will stop taking the medication immediately if I develop a fever. I will avoid crushing the prednisone tablet.

Back

I will plan to come to the clinic for periodic testing of my blood glucose.

Front

A nurse is collecting data from a client who has been taking methimazole for hyperthyroidism. For which of the following findings should the nurse monitor to identify that the medication is effective? Weight loss, Decreased heart rate, Increased urine output, Elevated temperature

Back

Decreased heart rate

Front

A nurse is collecting data on a client who is receiving liothyronine for treatment of hypothyroidism. Identify a therapeutic response to this medication.

Back

Weight loss

Front

Which of the following is a manifestation of effective treatment for hypothyroidism? Loss of appetite, Increase in daily weight, Improvement of overall mood, Decrease in body temperature

Back

Improvement of overall mood

Front

A nurse is preparing to administer insulin lispro to a client who has type 1 diabetes mellitus. Which action should the nurse plan to take? Options: Check the client for hypoglycemia 4 hr after the insulin lispro injection. Inject insulin lispro 15 min before a meal. Monitor the client for polyuria after the insulin lispro injection. Administer insulin lispro in the same syringe as a short-acting insulin.

Back

Inject insulin lispro 15 min before a meal.

Front

A nurse is reinforcing teaching with a client who is taking metformin XR for type II diabetes mellitus. Which of the following information should the nurse include in the teaching? Take the medication with a meal. You may crush or chew the medication. This medication can cause an increase in perspiration. This medication can turn your urine orange.

Back

Take the medication with a meal.

Front

A nurse is reinforcing teaching for a client who has type 2 diabetes mellitus and is prescribed glipizide. The client should be taught that glipizide works in which of the following ways?

Back

Glipizide stimulates the pancreas to release adequate insulin.

Front

A nurse is reinforcing teaching for a client who has diabetes mellitus and has a prescription for insulin detemir injections once daily. Which of the following statements by the client indicates an understanding of the teaching? A. "If my blood sugar is high, I can mix a dose of regular insulin with my insulin detemir." B. "I should inject by insulin detemir 30 min before a meal to lower my blood sugar." C. "I can inject my insulin detemir in the evening before bedtime."

Back

I can inject my insulin detemir in the evening before bedtime.

Front

A nurse is reinforcing teaching with a client who is to self-administer regular insulin and NPH insulin from the same syringe. Which of the following instructions should the nurse provide?
- Draw up the NPH insulin into the syringe first.
- Inject air into the regular insulin first.
- Shake the NPH insulin until it is well-mixed.
- Discard regular insulin if it appears cloudy.

Back

Draw up the NPH insulin into the syringe first.

Front

A nurse is collecting data from a client who takes metformin for type 2 diabetes. Which of the following medications is contraindicated for this client due to its effect on blood glucose levels? Cimetidine, Cephalexin, Prednisone, Levothyroxine

Back

Prednisone