Hurst Mod 4

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The nurse recognizes which manifestation as a sign/symptom of Hodgkin's lymphoma?

1. Drenching night sweats 2. Small, red, itchy bumps 6. Enlarged spleen

Which client diagnosis would a prescription for an intravenous infusion of 1000 mL normal saline with 20 mEq (20 mmol) potassium chloride be appropriate?

3. Abdominal cramping with diarrhea 4. Diabetic Ketoacidosis (DKA) 5. Hypokalemia

The nurse is caring for a poorly controlled type 2 diabetic client. Lab results include a BUN of 22mg/dL (7.85 mmol/L) and a creatinine of 1.9 mg/dL (0.67 mmol/L). The nurse checks the client's blood sugar and it is 218mg/dL (12.09 mmol/L). Current medications include metformin and exenatide. What is the priority concern with this client taking metformin?

4. Renal function impairment

The nurse is providing foot care to the client who has diabetes. What should the nurse include in the teaching?

1. Inspect the feet daily for abrasions or pressure areas. 2. Check water temperature with the hands before getting into tub. 3. Do not use heating pads on the feet or lower legs. 4. Thoroughly dry the feet, especially between the toes.

What signs/symptoms would the nurse expect to find in a client admitted to the unit with a diagnosis of Cushing's disease?

2. Buffalo hump 3. Hirsutism 4. Acne 5. Moon face 6. Hypertension

A client diagnosed with cancer has been losing weight. What should the nurse teach the client regarding methods for improving nutritional needs to maintain weight?

1. Add butter to foods. 3. Add powdered creamer to milkshake. 4. Use biscuits to make sandwiches. 6. Put honey on top of hot cereal.

A client with type 2 diabetes, who is noncompliant, has a HbA1c of 8%. The finger stick blood sugar is 218 mg/dL (12.1 mmol/L) at 0900. The current medications prescribed are metformin and exenatide. Based on this data, what teaching should the nurse reinforce?

1. Nutritional counseling to help improve diet compliance 3. Blood glucose testing 5. Without glycemic control, eye complications can occur

A nurse is assigned a client who is one day post thyroidectomy. While taking the blood pressure, the client's hand starts to tremble. On auscultation of the heart, the nurse notes an arrhythmia. What actions should the nurse take?

1. Pad the side rails 4. Place trach set at bedside 5. Check for airway patency

Which interventions should a nurse discuss with a client for primary prevention of skin cancer from exposure to ultraviolet light?

1. Use sunscreen when outdoors. 2. Stay in the shade when outdoors. 3. Wear wide brimmed hats when outdoors.


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