Med-Surg II HESI - set three Questions and Answers Graded A+
Angiotensin-converting enzyme (ACE) inhibitors may be prescribed for the client with diabetes mellitus to reduce vascular changes and posterm-3sibly prevent or delay
development of:
- Chronic obstructive pulmonary disease (COPD).
- Pancreatic cancer.
- Renal failure.
- Cerebrovascular accident. ✔✔3
The nurse should teach the diabetic client that which of the following is the most common symptom of hypoglycemia?
- Nervousness.
- Anorexia.
- Kussmaul's respirations.
- Bradycardia. ✔✔1 1 / 3
- The nurse is assessing the client's use of medications. Which of the following
medications may cause a complication with the treatment plan of a client with diabetes?
- Aspirin.
- Steroids.
- Sulfonylureas.
- Angiotensin-converting enzyme (ACE) inhibitors. ✔✔2
A client with type 1 diabetes mellitus has influenza. The nurse should instruct
the client to:
- Increase the frequency of self-monitoring (blood glucose testing).
- Reduce food intake to diminish nausea.
- Discontinue that dose of insulin if unable to eat.
- Take half of the normal dose of insulin. ✔✔1
Which of the following is a priority goal for the diabetic client who is taking 2 / 3
insulin and has nausea and vomiting from a viral illness or influenza?
- Obtaining adequate food intake.
- Managing own health.
- Relieving pain.
- Increasing activity. ✔✔1
A client with diabetes begins to cry and says, "I just cannot stand the thought of having to give myself a shot every day." Which of the following would be the best response by the nurse?
- "If you do not give yourself your insulin shots, you will die."
- "We can teach your daughter to give the shots so you will not have to do it."
- "I can arrange to have a home care nurse give you the shots every day."
- "What is it about giving yourself the insulin shots that bothers you?" ✔✔4
A client is to have a transsphenoidal hypophysectomy to remove a large, invasive pituitary tumor. The nurse should instruct the client that the surgery will be
- / 3