1. A nurse is caring for a client receiving TPN via a central line. Which actions should the nurse take? Select all that apply.
AG1 Exam 2 Review

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Charles Agba
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53 questions
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1.
MULTIPLE SELECT QUESTION
45 sec • 1 pt
A. Change TPN tubing and bag every 24 hours.
B. Check blood glucose every 8 hours.
C. Stop the TPN abruptly if the bag runs out.
D. Monitor for signs of fluid overload.
E. Use an infusion pump to administer the solution.
2.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
A nurse is teaching a newly diagnosed Type 1 diabetic client about insulin administration. Which statement indicates the need for further teaching?
A. I will rotate injection sites within the same anatomical area.
B. I will check my blood glucose before each meal and at bedtime.
C. I will store my unopened insulin in the refrigerator.
D. I will use the same needle for multiple injections to reduce waste.
3.
MULTIPLE SELECT QUESTION
45 sec • 1 pt
Which findings should alert the nurse that a client with enteral feedings via a nasogastric tube is experiencing aspiration? Select all that apply.
A. Coughing during feeding
B. Decreased urine output
C. Crackles in lung fields
D. Shortness of breath
E. Increased gastric residual volume
4.
MULTIPLE SELECT QUESTION
45 sec • 1 pt
Which of the following would the nurse include in discharge teaching for a patient with newly diagnosed T1DM regarding sick-day management? Select all that apply.
A. Stop taking insulin if vomiting
B. Check blood glucose levels more frequently
C. Check for ketones in blood or urine
D. Drink 8 ounces of fluid every hour
E. Skip meals until feeling better
5.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
A patient with diabetes is undergoing aerobic exercise. What teaching should the nurse include to prevent hypoglycemia?
A. Avoid eating before exercising
B. Take extra insulin dose before working out
C. Consume a 10-15g carbohydrate snack before beginning
D. Drink protein shakes immediately after exercise
6.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
A patient with Type 2 DM presents with acanthosis nigricans on the neck and axillae. What is the best nursing interpretation?
A. Sign of insulin resistance
B. Sign of autoimmune beta-cell destruction
C. Indicator of diabetic nephropathy
D. Indicator of hypoglycemic episodes
7.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
A 63-year-old patient with Type 2 Diabetes Mellitus (T2DM) is admitted with a glucose level of 435 mg/dL, dry mucous membranes, and confusion. Labs show no ketones in urine. What complication is most likely?
A. Diabetic Ketoacidosis (DKA)
B. Hypoglycemia
C. Diabetic Hyperosmolar Hyperglycemic Syndrome (HHS)
D. Lactic Acidosis
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