Clinical Flashcard Exam 1

Front

A client is admitted with diabetic ketoacidosis (DKA). Which nursing intervention should the nurse implement first?

Back

Start IV fluid replacement with 0.9% NaCl

Front

A client states, “I always draw up my NPH insulin first, then my regular insulin.” What is the nurse’s best response?

Back

Actually, you should draw up the clear insulin before the cloudy insulin.

Front

The nurse is reviewing insulin self-administration with a client. Which statement requires immediate follow-up? Options: I’ll rotate injections within my abdomen to prevent complications. I’ll keep my unopened insulin vials in the refrigerator. I’ll inject insulin into my thigh before jogging so it works faster. I’ll dispose of used needles in a hard plastic container.

Back

I’ll inject insulin into my thigh before jogging so it works faster.

Front

A client with type 1 diabetes reports shakiness, sweating, and dizziness. Blood glucose is 58 mg/dL. Which is the best initial intervention?

Back

Drink 4 oz of orange juice

Front

A client with type 2 diabetes feels shaky and lightheaded. Blood glucose is 65 mg/dL. The nurse gives 4 oz of orange juice. Fifteen minutes later, blood glucose is 80 mg/dL and symptoms have improved. Which snack should the nurse provide next to maintain the glucose level?

Back

Half a peanut butter sandwich

Front

A client with type 1 diabetes reports feeling shaky, sweaty, and slightly confused. Blood glucose is 58 mg/dL. Which is the nurse’s best action?

Back

Encourage the client to eat some crackers with jelly.

Front

The nurse is caring for a client with DKA receiving IV regular insulin. Which monitoring is most important?

Back

Serum potassium levels

Front

The nurse teaches a client with type 1 diabetes about alcohol use. Which statement indicates understanding? Drinking alcohol before bedtime may increase my morning blood sugar., Alcohol can lower my blood sugar, especially if I don’t eat with it., “Alcohol prevents my insulin from causing hypoglycemia.”
, “I should skip insulin if I drink alcohol with a meal.”

Back

Alcohol can lower my blood sugar, especially if I don’t eat with it.

Front

A client on continuous subcutaneous insulin infusion (insulin pump) reports nausea and fruity-smelling breath. Which is the nurse’s priority action?

Back

Check the infusion site and tubing for kinks or disconnection.

Front

A client with type 2 diabetes is prescribed glyburide. Which concurrent condition places the client at greatest risk for hypoglycemia? Hypertension managed with ACE inhibitors, Chronic kidney disease with decreased renal clearance, Hyperlipidemia managed with statins, COPD with steroid use

Back

Chronic kidney disease with decreased renal clearance