The nurse is caring for a patient with diabetes.
Exhibits

Exhibits

Only choose one option (anticipated, nonessential, contraindicated) for each potential order. Each option will be used at least once.

Check Urinalysis in the morning

Maintain NPO

Physical therapy consult

Insert a urinary catheter

IV Dextrose 5% with NS at 100 ml/hr

Answer and Explanation

The Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"B"},"D":{"answers":"C"},"E":{"answers":"A"}}

Check Urinalysis in the morning: Ongoing urine monitoring remains essential to assess resolution of ketonuria and metabolic status as the patient stabilizes. It guides further management decisions during recovery.

Maintain NPO: At this stage of clinical stability (CBG 140) and normal vital signs, continuing NPO is nonessential; the patient may tolerate oral intake as metabolic control improves and nausea subsides. Early nutritional support can aid recovery.
Physical therapy consult: A physical therapy consult is not an immediate priority for a client in the acute phase of DKA. The client is still recovering from a serious metabolic emergency, requiring stabilization of fluid, electrolyte, and glucose balance.
Insert a urinary catheter: Catheterization is contraindicated without specific indications due to infection risk and patient mobility considerations, especially as he is alert and stable.
IV Dextrose 5% with NS at 100 ml/hr: With the patient’s blood glucose now lowered to 140 mg/dL on insulin drip, administering IV dextrose prevents hypoglycemia while continuing insulin to clear residual ketoacidosis. This is standard care once glucose approaches normal levels.

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Correct Answer is ["B","D","E"]

Explanation

A. Periorbital edema: Periorbital edema is more commonly associated with hypothyroidism or thyroid eye disease (Graves’ orbitopathy), not thyroid storm. It does not typically present as an acute sign of thyroid storm.

B. Recent tooth extraction: Recent invasive procedures such as tooth extraction can act as a precipitating stressor for thyroid storm by triggering an acute release of thyroid hormones. Identifying such triggers is important for prompt intervention.

C. Hypoventilation: Thyroid storm typically causes increased metabolism leading to tachypnea (rapid breathing), not hypoventilation. Respiratory rate is generally elevated to meet increased oxygen demands.

D. Diarrhea last 4 days: Gastrointestinal symptoms like diarrhea are common in thyroid storm due to increased gastrointestinal motility from excess thyroid hormone. Persistent diarrhea reflects systemic hypermetabolism.

E. Heart rate 140 bpm: A significantly elevated heart rate (tachycardia) is a hallmark feature of thyroid storm and reflects excessive thyroid hormone stimulation on the cardiovascular system, increasing risk for cardiac complications.

A. BMI less than 25 B. Diuretic use C. Hypocalcemia D. Family history

Correct Answer is D

Explanation

A. BMI less than 25: A lower BMI (under 25) is generally not considered a risk factor for urolithiasis. In fact, higher BMI and obesity are associated with increased risk due to changes in urinary composition that promote stone formation.

B. Diuretic use: Certain diuretics, such as thiazides, can actually reduce the risk of kidney stones by decreasing urinary calcium excretion. Not all diuretics increase stone risk, so this is not a common associated risk factor.

C. Hypocalcemia: Low calcium levels are not typically linked to kidney stone formation. Hypercalcemia or hypercalciuria, where excess calcium is excreted in urine, is a known risk factor for calcium-based stones, unlike hypocalcemia.

D. Family history: A family history of kidney stones significantly increases a person’s risk of developing urolithiasis. Genetic predisposition affects stone formation through inherited metabolic abnormalities or structural differences in the urinary tract.

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The nurse is caring for a patient with diabetes. Exhibits Exhibits Only choose one option (anticipated, nonessential, contraindicated) for each potential order. Each option will be used at least once.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient newly diagnosed with hyperthyroidism has a fever of 101.3°F. Which additional assessment findings should the nurse identify as those associated with thyroid storm? Select all that apply.

Correct Answer is ["B","D","E"]

Explanation

A nurse is caring for a client who has a new diagnosis of urolithiasis. Which of the following should the nurse identify as an associated risk factor?

Correct Answer is D

Explanation

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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?

The nurse is caring for a patient with diabetes. Exhibits The nurse is preparing to speak with the provider regarding the client's condition. Which of the following orders should the nurse anticipate? Select all that apply.

A nurse is planning care for a client who has urolithiasis. Which of the following actions should the nurse take?

A patient with Type 2 Diabetes has been diagnosed with Hyperglycemic Hyperosmolar Syndrome (HHS). The patient's spouse asks the RN which symptoms characterize this disorder. Which are the most appropriate responses by the RN? Select all that apply.

The nurse is caring for a patient with diabetes.
Exhibits

Exhibits

Only choose one option (anticipated, nonessential, contraindicated) for each potential order. Each option will be used at least once.