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32.An emergency department nurse is assessing a 72-year-old patient with type 2 diabetes who presents with severe dehydration and altered mental status. Blood glucose is 780 mg/dL  (normal 70-110- mg/dL) with no ketones present. Which factor in the patient’s history most likely contributed to the development of hyperosmolar hyperglycemic state (HHS)?

50.Which patient should the charge nurse assign to the care of an LPN/LVN?  

38.A nurse administers 1 mg glucagon IM to an unconscious patient with hypoglycemia. Which complication should the nurse anticipate and prepare for?

33.A nurse is caring for a 68-year-old patient with a history of congestive heart failure and hyperosmolar hyperglycemic state (HHS) receiving IV fluid resuscitation. Which assessment finding requires immediate intervention?

15.A nurse is reviewing the pathophysiology of syndrome of inappropriate antidiuretic hormone (SIADH) with a group of nursing students. Which statement best describes the pathophysiology of SIADH?

39.The nurse is preparing to administer vancomycin 750 mg in 250 ml of Dextrose in water over 75 minutes. The secondary infusion pump should be programmed to administer how may ml.hr? (Enter numeric value and round to nearest whole number)

17.A 62-year-old patient with SIADH has a serum sodium of 128 mEq/L (normal 135-145 mEq/L). The healthcare provider orders fluid restriction to 1000 mL/day. The patient states, “I’m so thirsty. Why can’t I have more water?” Which nursing action best demonstrates interprofessional collaboration in managing this patient’s care?

49.A patient is hospitalized with adrenocortical insufficiency. Which nursing activity should the nurse delegate to unlicensed assistive personnel (UAP)?

45.A patient with mild iatrogenic Cushing syndrome is on an alternate-day regimen of corticosteroid therapy. What would the nurse explain to the patient about this regimen?

42.A patient returns to the critical care unit following adrenalectomy for Cushing syndrome. Which nursing intervention is the priority during the first 24-48 hours postoperatively?