A nurse in the emergency department (ED) is admitting a client who has Type 1 diabetes mellitus. Vital Signs 1400:   Temperature: 37.2° C (99° F);  Heart rate: 128/min;   Respiratory rate: 30/min;   Blood pressure: 98/58 mm Hg;   SpO2 saturation: 89% on room air Nurses’ Notes 1400: The client reports “increased glucose levels” on their home glucometer and “feeling really bad.” States, “I think I may not have given myself the right amount of insulin.”;  Oriented to person, place, and time; appears lethargic.;  Skin is warm and moist. Decreased turgor. Dry mucous membranes.;  Pulse is rapid, S1S2 heard on auscultation.;   Respirations deep and rapid. A fruity odor was noted on their breath.;  Chest is clear on auscultation.;   Bowel sounds auscultated in 4 quadrants. Reports anorexia and abdominal pain.;   Reports frequent urination with no difficulty. Diagnostic Results 1430:   Sodium: 130 mEq/L (136 to 145 mEq/L);  Potassium: 5.4 mEq/L (3.5 to 5 mEq/L);  Glucose: 670 mg/dL  (74 to 106 mg/dL);  BUN: 22 mg/dL (10 to 20 mg/dL);  Creatinine: 1 mg/dL (0.5 to 1 mg/dL) For each potential provider’s INITIAL orders,  specify if the prescription is: (1) anticipated or (2)  not indicated A) Obtain ABG   B) Obtain urinalysis for ketones.  C) Cardiac monitoring  D) Chest X-ray  E) Infuse D5½ sodium chloride @ 100 mL/hr.  F) Obtain capillary blood glucose every hr.  G) CT scan of the head 

A nurse is completing a shift assessment on a client. Which physical manifestation(s) noted on the client’s assessment should the nurse correlate with a diagnosis of hypercortisolism (Cushing’s Disease)?

A nurse is teaching a client who has type 1 diabetes about managing blood glucose during an illness such as the flu. Which statement by the client indicates understanding of the teaching?

A nurse is evaluating clients in a health clinic for risk factors for contracting hepatitis. Which of the following clients is at risk for developing hepatitis C?

A nurse is caring for a client with type 1 diabetes mellitus who is alert and oriented, reports feeling shaky, and is having palpitations. The nurse checks the client’s blood glucose, and it is found to be 56 mg/dL. Which food should the nurse offer to the client to assist with their hypoglycemia?

A nurse is assisting a client with meal planning. The client has been diagnosed with hypothyroidism. Which of the following foods would the nurse recommend that the client add to their diet?

A nurse is caring for an adolescent client who has a long history of diabetes mellitus and is being admitted to the emergency department confused, flushed, and with an acetone odor on their breath. The nurse suspects the client has diabetic ketoacidosis. The nurse would anticipate using which of the following types of insulin to treat this client?

A nurse is evaluating a client who has been diagnosed with advanced cirrhosis. Which of the following physical manifestations of advanced cirrhosis would the nurse expect to see?

A nurse is reviewing the laboratory results of a client at risk for developing diabetes mellitus. The nurse should recognize which of the following results meets the criteria for diagnosis of diabetes mellitus.

A nurse is about to give lactulose to a client who has cirrhosis. The client says, “I’m not constipated, so I don’t need this.” The nurse should explain that lactulose is given to lower the blood level of which substance?