Question 1: A 68-year-old patient with a history of hypertension presents with sudden-onset chest pain and shortness of breath. The nurse suspects a myocardial infarction. What immediate actions should the nurse take, and what assessments are crucial for this patient? Question 2: A diabetic patient is admitted with hyperglycemia. The nurse is responsible for managing the patient's insulin therapy. What key considerations should the nurse keep in mind regarding insulin administration and monitoring in diabetic patients?

Question 1: A 68-year-old patient with a history of hypertension presents with sudden-onset chest pain and shortness of breath. The nurse suspects a myocardial infarction. What immediate actions should the nurse take, and what assessments are crucial for this patient? Question 2: A diabetic patient is admitted with hyperglycemia. The nurse is responsible for managing the patient's insulin therapy. What key considerations should the nurse keep in mind regarding insulin administration and monitoring in diabetic patients?

Understanding Health Insurance: A Guide to Billing and Reimbursement

14th Edition

ISBN:9781337679480

Author:GREEN

Publisher:GREEN

Chapter8: Hcpcs Level Ii Coding

Section: Chapter Questions

Problem 29R

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Question 86 The nurse is evaluating the effectiveness of therapy for a client who has received treatment during an asthma attack. Which of the following findings is the best indicator that the therapy has been effective? Question 86 options: No wheezes are audible Oxygen saturation is >92% Accessory muscle use has decreased Respiratory rate is 16 breaths / minute
Question 33 Which action by an individual who has type 1 diabetes indicates to the nurse that they need to provide teaching about exercise and glucose control? Question 33 options: The patient goes for a vigorous walk when the glucose is 8.9mmol/L The patient increases daily exercise when ketones are present in the urine The patient has a peanut butter sandwich before going for a bicycle ride The patient always carries hard candies when engaging in exercise
Question 66 A client who is receiving sustained-release morphine sulfate every 12 hours for chronic pain reports breakthrough pain at a 9 out of 10. Which of these prescribed medications will be BEST for the nurse to administer? Question 66 options: Lorazepam (Ativan) 2 mg PO Carbamazepine (Tegretol) 200 mg PO Immediate-release morphine 30 mg PO Ibuprofen (Motrin) 600 mg PO
Question 30 The nurse is caring for a client who has a new diagnosis of Crohn’s disease after having frequent diarrhea and a weight loss of 4.5 kg over 3 months. Which of the following topics should the nurse include in the initial teaching plan? Question 30 options: Enteral Nutrition Surgical Treatment Activity and Exercise Medication use
Question 89 The nurse is assessing a client with asthma who has recorded daily peak flows that are 85% of their baseline. Which of the following actions should the nurse take? Question 89 options: Administer a bronchodilator and recheck the peak flow Instruct the client to continue to use their current medications Evaluate whether the peak flow meter is being used correctly Teach the client how to use oral corticosteroids
Question 15 An older adult client has been taking new antidepressants and going to therapy for a week. The client is getting frustrated as he does not feel better. What is the nurse's best response to his concern? Question 15 options: Suggest he talk to the physician about an alternative medication Tell the client not to worry as others are seeing improvements Explain that is can take a few weeks for therapy to be take effect Clarify the client's expectations about the improvements he is hoping to see
What strategies might the nurse use to assist elderly clients consume enough fluid? Question 73 options: a) Encourage them to drink whenever they are thirsty b) If preferred, encourage them to drink juice or soda to prevent dehydration c) Encourage them to choose a specific water bottle (1L) and drink the contents twice a day d) Remind them that coffee or tea consumption is separate from their fluid requirement
Question 28 Which question by the nurse will help identify autonomic neuropathy in a client with diabetes? Question 28 options: "Have you noticed any painful new ulcerations or sores on your feet?" "Do you need to increase your insulin dosage when you are stressed?" "Have you observed any recent skin changes?" "Do you notice a bloating feeling after eating?"
Question 76 Which assessment is of highest priority for the nurse to complete before administration of morphine? Question 76 options: Pain rating Blood pressure Respiratory rate Level of consciousness
The nurse is providing instructions to a maternity client with a history of cardiac disease regarding appropriate dietary measures. Which statement, if made by the client, indicates an understanding of the information provided by the nurse? Question 33 options: a) “I should increase my sodium intake during pregnancy.” b) “I should drink adequate fluids and increase my intake of high-fibre foods.” c) “I should maintain a low-calorie diet to prevent any weight gain.” d) “I should lower my blood volume by limiting my fluids.”
Which of the following should the nurse interpret as an indication of a complication after the first few days of TPN therapy? Question 77 options: a) Elevated temperature b) Elevated HbA1c c) Decreased appetite d) A 0.45-0.9 kg weight gain
Question 24 Which of these laboratory values, noted by the nurse when reviewing the chart of a hospitalized client with diabetes, indicates the need for rapid assessment of the client? Question 24 options: Hb A1C of 6.9% Noon blood glucose of 2.9 mmol/L Hb A1C of 5.8% Fasting blood glucose of 7.2 mmol/L