NR 603 Week 7 Quiz - All Correct

5) a pediatric patient was treated for an episode of hypoglycemia earlier in the day and is now brought in by the parents for an evaluation at the conclusion of the visit the parent asks how to best monitor the patient for additional events which of the following monitoring strategies is most appropriate a. withhold all insulin until symptoms completely resolve in three to four days b. check blood glucose every one to two hours and observe for behavior changes c. monitor glucose before meals and bedtime d. increased basal insulin rate to avoid rebound hyperglycemia 6) A patient with CHF is taking furosemide and reports Lightheadedness when standing up. He is compliant with medications and dietary restrictions. Blood pressure today is 90/56, which is the complication most likely associated with these symptoms a. hypovolemia b. Anemia c. hypernatremia d. recurrent heart failure exacerbation 7) A pediatric patient with a history of type 1 diabetes presents with altered mental status and lethargy. The parent reports difficulty in managing blood sugar. While the patient's current symptoms are related to glycemic control, which additional assessment is most appropriate to rule out another contributing factor a. Assess recent fluid intake and signs of dehydration b. perform a cardiac stress test c. order a stat CT of the brain d. refer to psychiatry for anxiety evaluation 8) The nurse practitioner is evaluating a patient who reports that follow-up appointments have been challenging due to long wait times and distance from the clinic. The patient has had no trouble accessing medications and receives support from family at home. What is the most appropriate clinical interpretation of this statement a. The patient is at risk for medication errors due to the lack of home support b. The patient is non-compliant with the treatment due to transportation issues c. the patient has adequate support at home but limited access to care d. the patient requires urgent hospitalization due to social instability 9) A 76-year-old patient recently discharged following a CHF exacerbation reports new orthopnea and increasing fatigue. He also notes feeling more swollen than usual and waking up at night short of breath. Which of the following findings would most likely indicate decompensation and need for intervention a. weight gain of 4 lbs over the past two days b. report of mild ankle pain when walking c. decreased appetite over the last week d. occasional headaches in the morning a. we will switch it to an alternative medication that is safer during lactation b. You'll need to stop breastfeeding while adjusting your thyroid medication c. Levothyroxine is safe for breastfeeding and important for your well-being d. It's best to delay treatment until after weaning to avoid exposure to your infant 16)If clients' thyroid labs show the following: TSH 7.8, T 42.2. What does this pattern most likely indicate a. hypothyroidism requiring levothyroxine dose adjustment b. postpartum thyroiditis c. sick euthyroid syndrome due to infection d. normal postpartum thyroid changes that require no intervention 17)A postpartum client presents