An active 28-year-old male with type 1 diabetes is being seen in the endocrine clinic. Which finding may indicate the need for a change in therapy?

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Introduction to Nursing Final Exam Quizlet Questions

Question 1 of 5

An active 28-year-old male with type 1 diabetes is being seen in the endocrine clinic. Which finding may indicate the need for a change in therapy?

Correct Answer: B

Rationale: The correct answer is B because a blood pressure reading of 146/88 mmHg indicates hypertension, which is a common comorbidity with type 1 diabetes. Hypertension increases the risk of cardiovascular complications in diabetic patients. Choices A, C, and D are within normal ranges and do not directly indicate the need for a change in therapy for a 28-year-old active male with type 1 diabetes.

Question 2 of 5

A nurse cares for a client with arthritis who reports frequent asthma attacks. What action would the nurse take first?

Correct Answer: B

Rationale: The correct answer is B: Ask about medications the client is currently taking. This is the first action the nurse should take because asthma attacks can be triggered or exacerbated by certain medications. By inquiring about the client's current medications, the nurse can identify any potential triggers and make necessary adjustments. Reviewing pulmonary function test results (A) can provide valuable information but should not be the first step. Assessing bronchodilator use (C) is important but does not address potential medication triggers. Consulting the primary health care provider and requesting arterial blood gases (D) may be necessary but is not the initial action to take in this scenario.

Question 3 of 5

A nurse is caring for a client with a peripheral vascular access device who is experiencing pain, redness, and swelling at the site. After removing the device, what action will the nurse take to relieve pain?

Correct Answer: B

Rationale: The correct answer is B: Place warm compresses on the site. Warm compresses help to increase blood flow, promote healing, and reduce pain and swelling in the affected area. By applying warm compresses to the site, the nurse can help to alleviate the client's pain and discomfort. Rationale for other choices: A: Administer topical lidocaine to the site - Topical lidocaine may help with numbing the area but may not address the underlying issue of pain, redness, and swelling. C: Administer prescribed oral pain medication - Oral pain medication may take time to take effect and may not provide immediate relief for the client's symptoms. D: Massage the site with scented oils - Massaging the site with scented oils can potentially irritate the skin further and does not address the client's symptoms effectively.

Question 4 of 5

A patient is taking thiazide diuretic and reports anorexia and fatigue the nurse suspects which electrolyte imbalance in this patient?

Correct Answer: A

Rationale: The correct answer is A: Hypokalemia. Thiazide diuretics can lead to potassium loss, causing hypokalemia. Anorexia and fatigue are common symptoms of hypokalemia due to potassium's role in muscle and nerve function. Hyperkalemia (choice B) is unlikely with thiazide diuretics. Hyponatremia (choice C) and hypernatremia (choice D) are related to sodium levels, not potassium imbalance as seen with thiazide diuretics.

Question 5 of 5

A nurse is caring for a client who has just had a central venous access line inserted. What action will the nurse take next?

Correct Answer: B

Rationale: The correct answer is B. Ensuring that an x-ray is completed to confirm placement is crucial after the insertion of a central venous access line to verify proper positioning within the vein and rule out potential complications such as pneumothorax. This step is essential for patient safety before any infusion is initiated. Checking medication calculations with a second RN (Choice C) is important for medication safety but not the immediate next step. Beginning the prescribed infusion (Choice A) without confirming placement can lead to serious complications. Ensuring the solution is appropriate for a central line (Choice D) is important but not the immediate priority.

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