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Which of these symptoms should a nurse expect to assess in a client whod
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evelops hypoglycemia?
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a. Fruity breath odor. g g
b. Polyuria.
c. Diaphoresis.
d. Flushed skin. - answer>>c. Diaphoresis.
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A nurse should assess a child who has diabetes mellitus (type 1) for symptoms ofh
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yperglycemia, which include: g g
a. flushed skin and thirst. g g g
b. irritability and hunger. g g
c. sweating and jitteriness. g g
d. lethargy and tremors. - answer>>a. flushed skin and thirst.
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A client has shortness of breath when lying down and usually assumes an uprighto
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r sitting position in order to breathe more comfortably. A nurse should document t
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his observation as:
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a. dyspnea.
b. bradypnea.
c. orthopnea.
,d. apnea. - answer>>c. orthopnea.
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Which of these menus, if chosen by a parent of a child who has celiac disease,w
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ould indicate to a nurse that the parent understands the teaching about a glute
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n-free diet? g
a. Broiled steak, baked potato, and spinach.
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b. Pork chop, egg noodles, and green peas.
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c. Fried chicken, white roll, and mixed vegetables.
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d. Baked macaroni with cheddar cheese and corn. -
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answer>>a. Broiled steak,baked potato, and spinach.
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Which of these nursing measures is the priority for a child who has hemophiliaa
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nd who sustains a leg injury?
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a. Ensuring adequate hydration for the child.
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b. Soaking the child's injured leg in warm water.
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c. Administering the missing factor VIII to the child. g g g g g g g
d. Transfusing one unit of whole blood to the child. -
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answer>>c. Administeringthe missing factor VIII to the child.
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Which of these laboratory test results is more important for a nurse to assess fora
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client who reports chest pain?
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a. WBC count. g
b. PTT level. g
c. Troponin level. g
,d. Hemoglobin. - answer>>c. Troponin level. g g g g
A nurse should explain to a primigravida that urine tests will be done at eachpr
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enatal visit throughout the pregnancy to measure:
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a. specific gravity and pregnancy hormones.
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b. culture and white blood cell count.
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c. glucose and protein.
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d. bacteria and red blood cell count. - answer>>c. glucose and protein.
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Which of these manifestations should a nurse expect to observe in a client who isdi
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agnosed with paranoid schizophrenia?
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a. Regression.
b. Suspiciousness.
c. Catatonia.
d. Hyperactivity. - answer>>b. Suspiciousness. g g g
Which of these assessments is the priority for a client who is admitted withr
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ecurrent depression?
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a. Previous episodes of depression.
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b. Compliance with prescribed medications. g g g
c. Presence of a suicide plan.g g g g
d. Problems with communication. - answer>>c. Presence of a suicide plan.
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, Which of these changes in the assessment data of a child who has congestive hea
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rt failure should a nurse recognize as indicative of a therapeutic response topresc
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ribed medication therapy?
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a. Increased weight. g
b. Increased urine output. g g
c. Increased respiratory rate. g g
d. Increased heart size. - answer>>b. Increased urine output.
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A client who has a history of asthma develops an acute asthma attack. Which of
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these questions should a nurse ask when assessing the etiology of this attack?
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a. "Have you eaten any new foods recently?"
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b. "How many hours did you sleep last night?"
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c. "Are you exercising every day?"
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d. "Have you reduced your fluid intake recently?" -
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answer>>a. "Have you eatenany new foods recently?"
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Which of these foods should a nurse suggest that a client who is diagnosed withir
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on-deficiency anemia choose for dinner? g g g g
a. Cooked dry beans, green leafy vegetables, and dried fruits.
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