Nu 390 Nursing of the Adult Proctored Exam (Med Surg Exam) Practice Questions

A nurse assesses a patient with diabetes mellitus and notes that the patient only responds to a sternal rub by moaning, has a capillary blood glucose of 33 mg/dL (1.8 mmol/L), and has an intravenous line that is infiltrated with 0.45% normal saline. What action would the nurse take first?

A nurse cares for a patient experiencing diabetic ketoacidosis who presents with Kussmaul respirations. What action would the nurse take?

A nurse reviews the laboratory results of a patient who is receiving intravenous insulin. Which would alert the nurse to intervene immediately?

A patient is experiencing syndrome of inappropriate antidiuretic hormone secretion (SIADH). What does the nurse expect that the lab work will show?

A nurse assesses a patient who is experiencing diabetic ketoacidosis (DKA). Which manifestations would the nurse correlate with DKA? (Select all that apply)

A patient went on a cruise and forgot his steroid medication. After he abruptly stopped his medication, he went into Addisonian crisis. In addition to serum sodium, which of the following labs is known to decrease in an Addisonian crisis?

A patient presents with bradycardia, low serum sodium, a blood pressure of 86/54 mmHg, decreased level of consciousness, and difficulty breathing. His labs support severe hypothyroidism. Which life-threatening complication is he likely experiencing?

A nurse caring for a patient with diabetes insipidus notes that the treatment involves antidiuretic hormone (ADH) replacement to help the kidneys absorb water and decrease urine output. The nurse remembers vasopressin should be avoided or used with caution in patients with coronary artery disease (CAD) because vasopressin can cause:

A nurse is caring for a patient who is in a myxedema coma. Which of the following actions should the nurse take?