A nurse is providing care for several clients who have type 2 diabetes mellitus. Which of the following clients is most at risk for developing hyperosmolar hyperglycemic syndrome (HHS)?

A client admitted for hip fracture surgery.

A client who is awaiting cataract surgery.

A client who is receiving an antibiotic for a urinary tract infection.

A client who is being evaluated for a breast lump.

Answer and Explanation

The Correct Answer is C

Choice A reason:

A client admitted for hip fracture surgery is at risk for various complications, but not specifically for hyperosmolar hyperglycemic syndrome (HHS). HHS is more commonly triggered by infections, severe dehydration, or other acute illnesses. While surgery can be a stressor, it is not as directly linked to HHS as infections are.

Choice B reason:

A client who is awaiting cataract surgery is not typically at high risk for developing HHS. Cataract surgery is generally a planned and controlled procedure that does not usually involve the acute stressors or infections that can precipitate HHS.

Choice C reason:

A client who is receiving an antibiotic for a urinary tract infection is at a higher risk for developing HHS. Infections are a common precipitating factor for HHS because they can cause significant stress on the body, leading to elevated blood glucose levels. The body’s response to infection can exacerbate hyperglycemia, especially in individuals with type 2 diabetes.

Choice D reason:

A client who is being evaluated for a breast lump is not typically at high risk for HHS. While the evaluation process can be stressful, it does not usually involve the acute physiological stressors or infections that are more directly linked to the development of HHS.

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Correct Answer is A

Explanation

The correct answer is a. Insulin is stable at room temperature for one month.

Choice A Reason:

Insulin is stable at room temperature (between 59°F and 86°F) for up to one month. This is important for patients to know, especially if they do not have immediate access to refrigeration. However, it is crucial to avoid exposing insulin to extreme temperatures, such as direct sunlight or freezing conditions, as these can degrade the medication’s effectiveness.

Choice B Reason:

While some types of insulin can be mixed in the same syringe, this practice is not universally applicable to all insulin types. For example, rapid-acting and intermediate-acting insulins can sometimes be mixed, but long-acting insulins should not be mixed with other insulins. Therefore, this statement is not entirely accurate and should be clarified based on the specific types of insulin being used.

Choice C Reason:

Storing insulin in the freezer is not recommended as freezing can damage the insulin, rendering it ineffective. Insulin should be stored in a refrigerator at temperatures between 36°F and 46°F. If insulin is accidentally frozen, it should not be used.

Choice D Reason:

While it is advisable for clients with type 1 diabetes to have backup medication and supplies, storing them in a car is not recommended due to the potential for extreme temperature fluctuations. Insulin and other diabetes supplies should be kept in a stable, controlled environment to ensure their efficacy.

A. Acetaminophen B. Amiodarone C. Indomethacin

Correct Answer is ["A","C"]

Explanation

Choice A Reason:

Acetaminophen is often used to manage pain and fever associated with pericarditis. It is a common analgesic and antipyretic that helps alleviate discomfort without causing significant gastrointestinal side effects. However, it does not have anti-inflammatory properties, so it is typically used in conjunction with other medications that address inflammation.

Choice B Reason:

Amiodarone is an antiarrhythmic medication used to treat and prevent various types of serious irregular heartbeats, such as ventricular tachycardia or ventricular fibrillation. It is not typically used for treating pericarditis, as it does not address the inflammation or pain associated with the condition.

Choice C Reason:

Indomethacin is a nonsteroidal anti-inflammatory drug (NSAID) that is effective in reducing inflammation and pain associated with pericarditis. NSAIDs are commonly prescribed for pericarditis to help manage symptoms and reduce inflammation. Indomethacin, along with other NSAIDs like ibuprofen, is often part of the first-line treatment for this condition.

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A nurse is providing care for several clients who have type 2 diabetes mellitus. Which of the following clients is most at risk for developing hyperosmolar hyperglycemic syndrome (HHS)?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who is newly diagnosed with type 1 diabetes mellitus about insulin safety. Which of the following statements by the nurse is appropriate?

Correct Answer is A

Explanation

A nurse is preparing to administer medications to a client who has pericarditis. Which of the following medications should the nurse anticipate to his client? (Select All that Apply)

Correct Answer is ["A","C"]

Explanation

A nurse is providing discharge teaching for a client who was admitted with diabetes insipidus. Which of the following teaching topics should be prioritized?

A nurse is providing teaching to a client who has coronary artery disease. Which of the following statements should the nurse include in the teaching to explain the correlation between changes in the coronary arteries and manifestations that occur?

A nurse is providing discharge teaching to a client who has heart failure. Which of the following lifestyle modifications should the nurse include in the discharge teaching?

A nurse is teaching a client who is newly diagnosed with type 1 diabetes mellitus about insulin safety. Which of the following statements by the nurse is appropriate?

A nurse is providing care for a client who has syndrome of inappropriate antidiuretic hormone secretion (SIADH). Which of the following findings are manifestations of hyponatremia? (Select All that Apply)

A nurse is providing teaching to a client who has hypothyroidism and has been prescribed levothyroxine. Which of the following medication instructions would the nurse include in the teaching?

A nurse is providing education to a client who has type 1 diabetes mellitus and has been experiencing hypoglycemic episodes. Which of the following statements by the nurse is appropriate?

A nurse is preparing to administer medications to a client who has pericarditis. Which of the following medications should the nurse anticipate administering to this client? (Select All that Apply.)