An 80-year-old client with type 2 diabetes is admitted after being found confused at home. The client takes Glyburide daily. Laboratory results reveal: Blood glucose: 38 mg/dL (normal fasting: 70–99 mg/dL) Serum creatinine: 2.3 mg/dL (normal: 0.6–1.3 mg/dL) Decreased oral intake over the past 2 days Which factor most likely contributed to this client’s condition?

A nurse is reinforcing discharge teaching for a client newly prescribed a basal-bolus insulin regimen consisting of insulin glargine once daily and insulin lispro before meals. Which client statement indicates a need for further teaching?

A 22-year-old client with type 1 diabetes is admitted to the ICU with diabetic ketoacidosis (DKA). The client is started on a regular insulin IV infusion and IV fluids per protocol. Blood glucose: 432 mg/dL (normal fasting: 70–99 mg/dL) Serum potassium: 4.2 mEq/L (normal: 3.5–5.0 mEq/L) Serum sodium: 134 mEq/L (normal: 135–145 mEq/L) pH: 7.18, HCO₃⁻: 12 mEq/L ( Metabolic Acidosis )   Which nursing intervention is the highest priority while the client is receiving the insulin infusion?

The nurse should instruct a client who is taking dexamethasone and furosemide to report:

A 62-year-old client with type 2 diabetes who takes Metformin daily is scheduled for a CT scan with intravenous contrast in the morning. The client’s latest labs show: Serum creatinine: 1.3 mg/dL (normal: 0.6–1.3 mg/dL) Which nursing action is most appropriate prior to the procedure?

A client receiving potassium iodide reports metallic taste and mouth burning. What is the nurse’s priority action?

A client is practicing moving from lying down to sitting on the edge of the bed) The OTR stands next to the bed with hands ready but not touching the client. The client completes the entire task independently but appears unsteady. The OTR remains close in case the client loses balance. How should this be documented?

Select ALL that apply: All of the following are contraindications for taking blood pressure except:

Is this practice ungraded exam graded? (If you plan to use the HonorLock on-screen calculator, be sure that you can view it). 

A client with left-sided weakness is learning to move from supine to sitting at the edge of the bed) The OTR provides verbal cues to “bend your knees” and “roll to your right side,” but does not touch the client. The client completes the entire task successfully following these cues. What is the appropriate level of assistance to document?