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Rasmussen College MDC 2 Final Exam Questions and Answers (Verified Answers) 1.A clients blood glucose level is 275 mg/dL. The client is about to eat breakfast. Per sliding scale, the nurse administers 8 units of regular human insulin subcutaneously at 0900,. The nurse knows the client is most at risk for hypoglycemia at what time?
A) 1130
B) 0830
C) 1530
D) 1430
ANS A) 1130
2.The nurse is caring for a 56-yr old female with a small bowel obstruction. The nurse should question which of the following orders preoperatively?A)Morphine intravenously for pain B)Nasogastric tube to low-intermittent wall suction C)Intravenous maintenance fluids D)Bland diet 1 / 4
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ANS D) Bland diet 3.The nurse knows which of the therapeutic response to hydrocortisone for Addisonian crisis?A)Weight gain B)No signs of pitting edema C)Increased urine output D)Client is alert and oriented with improved lethargy ANS D) Client is alert and oriented with improved lethargy 4.A nurse is teaching a client with diabetes mellitus who asks "why is it necessary to maintain my blood glucose levels to no lower than about 60 mg/dL?" How would you respond?A)Glucose is the only fuel used by the body to produce the energy 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 2 / 4
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ANS B) Your brain needs a constant supply of glucose because it cannot store it 5.A nurse caring for a client diagnosed with thyroid cancer. Which of the following lab results will validate these findings?A)Increased serum calcium levels B)Increased serum phosphorus levels C)Increased serum thyroglobulin level D)Decreased serum thyroglobulin level ANS C) Increased serum thyroglobulin level 6.A nurse cares for a client with chronic hypercortisolism. What action would the nurse take to prevent infection? 3 / 4
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A)Wash hands when entering room B)Keep the client in airborne isolation C)Observe the client for weight gain D)Asses the client's daily chest x-ray ANS A) Wash hands when entering room 7.The nurse identifies which lab result is consistent with a client's diagnosis of hyperthyroidism?A)Decreased serum T3 and T4 levels B)Elevated serum thyrotropin-releasing hormone (TRH) level C)Decreased radioactive iodine uptake D)Increased serum T3 and T4 levels ANS D) Increased serum T3 and T4 levels 8.A nurse assesses a client with a 15-year history of type 2 diabetes with peripheral neuropathy. What action would the nurse take first?A)Document the finding in the client's chart B)Compare extremities for deficiencies C)Perform a focused foot assessment D)Notify the healthcare provider
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