NUR 325 Exam 3 Practice Exam Questions and Solutions
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Course
NUR 325
Institution
NUR 325
A nurse is preparing a teaching session about reducing the risk of complications of diabetes mellitus. Which of the following information should the nurse plan to include in the teaching? (select all that apply)
a. reduce cholesterol and saturated fat intake b. increase physical activity and daily...
NUR 325 Exam 3 Practice Exam
Questions and Solutions
A nurse is preparing a teaching session about reducing the risk of complications of
diabetes mellitus. Which of the following information should the nurse plan to include in
the teaching? (select all that apply)
a. reduce cholesterol and saturated fat intake
b. increase physical activity and daily exercise
c enroll in a smoking-cessation program
d. sustain hyperglycemia to reduce deterioration of nerve cells
e. maintain optimal blood pressure to prevent kidney damage ✅A B C E (Nephropaty
is a pathologic change in the kidney that reduces kidney function and leads to kidney
failure. Diabetes is the leading cause of end-stage kidney disease. Risk factors for
nephropathy include a 10 to 15 year history of diabetes mellitus, poor glucose control,
and uncontrolled hypertension.)
It's recommended to keep LDL below 100mg/dL
Smoking causes vasoconstriction of vessels, further increasing a diabetics risk for
coronary artery disease and increased BP and MI and stroke
A nurse is admitting an older adult client who had diabetic neuropathy with painful,
burning feet. Which of the following interventions should the nurse anticipate the health
care provider to prescribe?
a. place a bed cradle on the client's bed
b. inspect the client's feet once weekly
c. apply graduated compression stockings to the client's lower extremities
d. put a heating pad on the client's feet ✅A (bed cradle reduces pain by preventing
sheets from touching the hypersensitive skin)
-feet should be inspected daily
-heating pads can cause burns for people with diabetic neuropathy
A nurse is assessing a client who has COPD. The nurse should expect the client's chest
to be which of the following shapes?
a. Pigeon
b. Funnel
c. Kyphotic
d. Barrel ✅D (Ppl with COPD use accessory muscles causing chest wall to increase)
A home health nurse visits a client who has COPD and recieves oxygen at 2 L/min via
nasal cannula. The client reports difficulty breathing. Which of the following actions is
the nurse's priority?
, a. increase the oxygen flow to 3 L/min
b. assess the client's respiratory status
c. call the emergency services for the client
d. have the client cough and expectorate secretions ✅B (first action includes collecting
data from client. Nurse should assess respirations before determining appropriate
interventions)
A nurse is giving a presentation at a community center about chronic bronchitis. Which
of the following information should the nurse include as effective for preventing this
disorder?
a. maintenance of ideal weight
b. annual influenza immunization
c. smoking cessation
d. regular moderate exercise ✅C
A nurse is developing a plan of care for a client who has COPD. The nurse should
include which of the following interventions in the plan?
a. restrict the client's fluid intake to less than 2 L/day
b. provide the client with a low-protein diet
c. have the client use the early-morning hours to exercise and activity
d. instruct the client to use pursed-lip breathing ✅D (pursed-lip breathing decreases
trapped air for COPD clients)
-clients with COPD should consume high-caloric/high protein diet to prevent weight loss
-never restrict fluids unless you have fluid overload
-COPD clients have poor exercise tolerance in morning because secretion accumulation
at night
A nurse is teaching a client who has type 1 diabetes mellitus about foot care. Which of
the following statements by the client indicates an understanding of the teaching?
a. "I'll wear sandals in warm weather"
b. "I'll put lotion between my toes after drying my feet"
c. "I'll check my feet every day for sores and bruises"
d. "I'll soak my feet in cool water every night before I go to bed" ✅C (DM feet should be
checked daily)
-DM patients shouldn't wear shoes with open toes or straps that rest between toes to
decrease risk of foot injury
-lotion appropriate for dry areas but not between toes b/c moist environment=bacteria
growth
-hands/feet shouldn't be soaked long periods b/c increases infection risk. When
cleaning water should be warm/soapy
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