Question: The nurse just administered detemir to a client with diabetes mellitus type 1. In which time frame would the nurse evaluate the client’s condition?
Answer Options:
A) It does not matter since detemir has no true peak or trough, B) within 30 minutes of administering detemir, C) in 1 hour after administering detemir, D) approximately 3 hours after administering detemir.
Answer: A) It does not matter since detemir has no true peak or trough
Question: A client was admitted with acute pancreatitis. On assessment, the nurse inspects the abdomen and observes blue/purple discoloration of the abdomen near the umbilicus. Recognizing cues, the nurse documents which finding?
Answer Options:
A) Cullen’s sign, B) Turner’s sign, C) Trousseau’s sign, D) Chvostek’s sign.
Answer: A) Cullen’s sign
Question: A 20-year-old client is admitted to the emergency department presenting with acute confusion, decreased consciousness with deep, rapid breathing, and a history of type 1 diabetes mellitus. The initial blood glucose level is 480mg/dL. Complete the diagram by selecting from the choices the one potential complication the client was most likely experiencing, two assessment findings that best support the condition, and based on the 1330 Nurses’ Notes and Lab Values, select the next two priority interventions to treat the condition.
Answer Options:
Assessment Findings: Serum potassium 6.2 mEq/dL, Serum sodium 147 mEq/dL, Kussmaul’s respiration, Fever; Potential Condition: Metabolic alkalosis, Hyperosmolar hyperglycemic syndrome, Diabetes insipidus, Diabetic ketoacidosis; Priority Interventions: Obtain lipid panel, Administer 10 units of insulin regular intravenous push, Intravenous fluid with 5% dextrose in 0.9% sodium chloride (D5NS), Administer premixed potassium via piggyback intravenously.
Answer: Potential Condition: Diabetic ketoacidosis; Assessment Findings: Kussmaul’s respiration, Serum potassium 6.2 mEq/dL; Priority Interventions: Intravenous fluid with 5% dextrose in 0.9% sodium chloride (D5NS), Administer premixed potassium via piggyback intravenously.
Question: The nurse is providing discharge teaching to a client newly prescribed insulin injection. Which statement made by the client best describes understanding?
Answer Options:
A) “I take insulin before meals to try to act like my pancreas”, B) “My insulin will absorb faster in my arm than stomach”, C) “Using the same place to inject will increase absorption”, D) “My Lantus (glargine) insulin peaks in 4-6 hours”.
Answer: A) “I take insulin before meals to try to act like my pancreas”
Question: The nurse is caring for a 55-year-old female client being screened for type 2 DM. Recognizing cues, drag and drop the client’s risk factors associated with syndrome X.
Answer Options:
hypertension, elevated triglycerides, fasting blood glucose > 126, late onset of menopause, recent viral infection, abdominal obesity (circumference >35 inches).
Answer: hypertension, elevated triglycerides, fasting blood glucose > 126, abdominal obesity (circumference >35 inches).
Question: The nurse provides care for a client who was admitted with acute pancreatitis and vomiting pink, tinged stomach contents. Which two interventions would the nurse include in the client’s plan of care based on the current data?
Answer Options:
A) administer oral pain medications for reports of pain with small sips of water, B) monitor hemodynamics and obtain vital signs every shift, C) provide oral hygiene and offer sips of fluid, including water and clear juice, D) maintain hydration and start 0.9% sodium chloride at the prescribed rate, E) strict nothing by mouth (NPO) and insert nasogastric tube as prescribed.
Answer: D) maintain hydration and start 0.9% sodium chloride at the prescribed rate, E) strict nothing by mouth (NPO) and insert nasogastric tube as prescribed.
Question: Assumed care of 24-year-old client with history of Type 1 DM and recent motor vehicle collision resulting in complicated fracture of the tibia and fibula. Recognizing and analyzing cues, the nurse understands that the client is most likely experiencing which priority problem?
Answer Options:
A) Respiratory acidosis, B) Respiratory alkalosis, C) Metabolic alkalosis, D) Metabolic acidosis.
Answer: D) Metabolic acidosis
Question: During history taking of a client with diabetes mellitus, the client reports “It seems I am constantly snacking.” Which term would be correct for the nurse to document in the client’s chart?
Answer Options:
A) polyuria, B) polyphagia, C) polydipsia, D) polynesia.
Answer: B) polyphagia
Question: Both Krishna’s advice to Arjuna that he should do his duty and fight the battle he is confronted with and Kant’s ethics constructed around a notion of duty are examples of which type of ethical thought?
Answer Options:
Egoism
Virtue Ethics
Deontology
Consequentialism
Answer: Deontology
Question: In the Bhagavad-Gita, Arjuna is dejected and reluctant to fight because he is afraid of what?
Answer Options:
betraying the king
killing his own relatives
losing the impending battle
disappointing the gods
Answer: killing his own relatives
Question: In the Bhagavad-Gita, Krishna agrees with Arjuna that in deciding whether or not to fight the battle, one should consider the possible outcomes of doing so.
Answer Options:
True
False
Answer: False
Question: According to Krishna in the Bhagavad-Gita, the best state for a person is to be detached and unmotivated by the fruits of action.
Answer Options:
True
False
Answer: True
Question: According to Kant, the only thing that can be called good without qualification is what?
Answer Options:
A good will
Happiness
Peace
Love
Answer: A good will
Question: According to Kant, what makes a good will good is not the outcomes that result from its choices, but only the choices themselves.
Answer Options:
True
False
Answer: True
Question: In trying to elucidate “the concept of a will estimable in itself and good without any further end,” Kant turns to what idea that is commonly found in “the natural sound understanding”?
Answer Options:
Duty
Love
Virtue
Happiness
Answer: Duty
Question: Which of the following types of action supplies Kant with what, in the first section of the Grounding, he takes to supply the clearest examples of an action from duty, and thus action with moral worth?
Answer Options:
Actions in accordance with duty, towards which we also have an immediate inclination
Actions in accordance with duty, towards which we have no immediate inclination, but which we perform because of some other inclination
Actions in accordance with duty, but contrary to our inclinations
Actions that are contrary to duty
Answer: Actions in accordance with duty, but contrary to our inclinations
Question: Kant’s first proposition of morality says that only actions done from duty have moral worth.
Answer Options:
True
False
Answer: True
Question: A simplified way of understanding Kant’s second proposition of morality would be which of the following?
Answer Options:
The moral worth of an action lies in the maxim according to which we choose it, not the outcome of doing it
Morally worthy actions are those with the right outcomes
The best maxim proposes the right purpose
Actions with moral worth maximize their effectiveness
Answer: The moral worth of an action lies in the maxim according to which we choose it, not the outcome of doing it
Question: In Kant’s usage, the term ‘maxim’ refers to what?
Answer Options:
The desired outcome
The best action
A subjective principle of willing or choice
A law
Answer: A subjective principle of willing or choice
Question: In light of the first two principles, Kant’s third principle of morality basically tells us that morally worthy actions are those which we find necessary simply because we respect the law.
Answer Options:
True
False
Answer: True
Question: Kant states a version of the categorical imperative near the end of the first section of the Grounding. Which of the following formulas most closely corresponds to the one that Kant states there?
Answer Options:
The formula of the universal law
The formula of the law of nature
The formula of the end-in-itself
The formula of autonomy
Answer: The formula of the universal law
Question: Which of the following best defines hypothetical imperatives in general according to Kant?
Answer Options:
They say that an action is good for some purpose, either possible or actual
They tell us what to do.
They provide rules that help us get things done.
They are the kind of imperative that forms the basis of morality
Answer: They say that an action is good for some purpose, either possible or actual
Question: Kant’s discussion of the various types of imperatives in pages 25-30 (Ak 414-421) of the Grounding shows that he, like Aristotle, sees prudence as the basis of moral choice.
Answer Options:
True
False
Answer: False
Question: According to one formulation of Kant’s Categorical Imperative, to determine whether a maxim is moral, you must see whether it can be affirmed if you treat it as which of the following?
Answer Options:
Counsel of prudence
General preference
One time only exception
Universal law
Answer: Universal law
Question: One simple way of understanding Kant’s first formula of the categorical imperative is which of the following?
Answer Options:
do not act in such a way that you might make other people unhappy
love your neighbor
do not make an exception for yourself to a rule that you expect to hold for others
always act in the best interests of others
Answer: do not make an exception for yourself to a rule that you expect to hold for others
Question: A simple way of understanding the version of Kant’s categorical imperative known as the formula of humanity would be.
Answer Options:
Pursue the general welfare of humanity
Love everyone
Do not hurt people
Do not use people
Answer: Do not use people