The nurse is caring for a client

The nurse is caring for a client who has history of excessive saliva production and is scheduled for surgical procedure. Which medication should the nurse anticipate being prescrbed by the healthcare provider? Diphenhydramine Atropine: Muscarine. Metoclopramide. 2 A client with type 1 diabetes mellitus (DM) is admitted to the hospital for an emergency cholecystectomy. The client explains to the nurse about experiencing difficulty at home in keeping blood glucose levels under 200 mg/dl (11.1 mmol/L). To prevent the client from developing diabetic ketoacidosis (DKA), which intervention is most important for the nurse to include in the plan of care? A. Test urine for the presence of ketones B. Ensure IV fluids are infusing continuously. C. Obtain a fingerstick glucose every 6 hours. D. Teach the client how to manage sick days. 3 client with a history of peptic ulcer disease (PUD) is admitted after vomiting bright red blood several times over the course of 2 hours. In reviewing the laboratory results, the nurse finds the client’s hemoglobin is 12 g/dL. (120 g/L) and the hematocrit is 35% (0.35). Which action should the nurse prepare to take? A Transfuse 2 units of platelets. B. Administer 1,000 mL (1 L) normal saline. C. Prepare the client for emergency surgery. D. Continue to monitor for blood loss. 4 The nurse is caring for a client with pancreatic cancer who reports feeling abdominal fullness. Which action should the nurse perform first? A. Evaluate the lower extremities for edema B. Percuss the abdomen for dullness. C. Observe for color changes in urine and stool. D. Monitor weight for a rapid fluctuation 5 The nurse is assessing the feet of a client with diabetes mellitus Type 1. Which finding requires the most immediate intervention by the nurse? UA Decreased response to pain discrimination on dorsal surface of foot. A Painful corns and calluses over hammer toes on both feet. B. Hard, painless nodule over C.metatarsophalangeal joint of first toe. D Erythema and edema at the base of the left great toe. 6 An unlicensed assistive personnel (UP) is assigned to a client with fu-like symptoms who has been placed on droplet precautions. The UAP requests a change in assignment, stating she has not yet been fitted for a particulate filter mask. Which action should the nurse take? A Advise the UP to wear a standard face mask to obtain vital signs, and then get fitted for a filter mask before providing personal care B Before changing assignments, determine which staff members have fitted particulate filter masks C Send the UP to be fitted for a particulate filter mask immediately so she can provide care to this client. D Instruct the UP that a standard face mask is sufficient to be able to provide care for the assigned client 7 client with type 2 diabetes mellitus is scheduled for a hemoglobin A1C (glycosylated hemoglobin) blood test to be drawn the following day. Which instructions should the nurse provide to the client? (Select all that applies ) A Explain that A1C test needs to be done periodically B. Take scheduled medications the day of the test C. Limit iron-rich foods for a week prior to the test. D. Blood should be drawn after fasting. E Maintain the prescribed diet before the test. SCIENCE HEALTH SCIENCE NURSING NURS 111

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