FALL 2021- LECTURE FINAL

Which situations qualify under the fourth level of Maslow's hierarchy of needs? (SATA)

A client laments that he or she is the ugliest person in the whole world (2) a client tells the nurse that he or she is the only member in the family who does not work (3) a client feels that he or she has not been able to live up to his or her partner's expectations

Which trigger would the nurse instruct a client to avoid to decrease the incidence of asthma attacks? Select all that apply. A. Mold B. Cold air C. Pet dander D. Air pollution E. Cigarette smoke

A. Mold B. Cold air C. Pet dander D. Air pollution E. Cigarette smoke

The nurse is preparing to teach a client about self-injection of insulin. Which action by the nurse will increase the effectiveness of the teaching session?

Assess the client's barriers to learning self-injection techniques

Which instructions would the nurse share with the client being discharged after rhinoplasty? a. avoid items that may trigger sneezing b. consume fluids at a tepid temperature c. brush the teeth thoroughly after each food intake d. sleep on the back using one pillow under the head

Avoid items that may trigger sneezing

A child with type 1 diabetes has difficulty measuring the required insulin dose. The child frequently draws up 42 units of insulin instead of the prescribed 24 units. Which is the most appropriate intervention to ensure dosage safety?

Providing the child with a preset syringe that was developed for the visually impaired

Which is the best nursing intervention to support a hospitalized child's nutrition who is apathetic toward eating? a. asking the parents to visit at mealtimes b. having a nursing assistant feed the child c. providing diversional activity at mealtimes d. eliminating the child's between-meal snacks

asking the parents to visit at mealtimes

A client with type 1 diabetes receives Humulin R insulin in the morning. Shortly before lunch, the nurse identifies that the client is diaphoretic and trembling. Which intervention is appropriate? a. administer insulin to the client b. give the client lunch immediately c. encourage the client to drink fluids d. assess the client's blood glucose level

assess the client's blood glucose level

The nurse is assessing several clients. Which client will require parenteral nutrition? a. a client with brain neoplasm b. a client with anorexia nervosa c. a client with inflammatory bowel disease d. a client with severe malabsorption disorder

a client with severe malabsorption disorder

A client who is receiving peritoneal dialysis reports severe respiratory difficulty. Which immediate action would the nurse implement? a. auscultate the lungs b. obtain arterial blood gases c. notify the health care provider d. apply pressure to the abdomen

auscultate the lungs

A client with malabsorption syndrome is started on TPN via subclavian catheter. Which instruction will the nurse teach the client to prevent the most common complication of TPN?

avoid disturbing the dressing or getting it wet

Which rationale would the nurse use when explaining the purpose of pursed-lip breathing to a client with emphysema?

decreases air trapping in lung

Which intervention would the nurse implement for a client who has type 1 diabetes and has an elevated blood glucose? a. administer an oral hypoglycemic b. institute urine glucose monitoring c. give supplemental doses of regular insulin d. decrease the rate of the intravenous infusion

give supplemental doses of regular insulin

A client with diabetes presents to the emergency department with a 3-hour history of profound weakness and nervousness. According to the spouse, the client became confused shortly after self-administering the morning dose of 10 units of regular insulin and 25 units of NPH insulin. The client had a light breakfast and no additional intake since that time. Which condition would the nurse identify as the likely cause of the client's signs and symptoms? a. hyperglycemia b. hyperinsulinemia c. hypoglycemia d. hypoinsulinemia

hypoglycemia

Within the first hour, a client has 50 mL of sanguineous drainage in the portable wound drainage system. Which initial action would the nurse take?

inspect the dressing

The laboratory findings of an obese hypertensive adolescent reveal hyperinsulinemia and dyslipidemia. Which condition is the adolescent likely to have? a. pulmonary disease b. musculoskeletal disease c. insulin resistance syndrome d. nonalcoholic fatty liver disease

insulin resistance syndrome

The nurse is discussing insulin needs with an adolescent with recently diagnosed type 1 diabetes. Which information is important for the nurse to include concerning insulin administration? a. insulin will be required throughout life b. insulin may be taken orally until adulthood c. insulin needs increase with strenuous exercise d. insulin needs decrease in the presence of an infection

insulin will be required throughout life

The nurse educator is providing information about different insulin types. Which type of insulin can be safely mixed with regular human insulin in the same syringe?

isophane insulin neutral protamin hagedorn (NPH)

Which mechanism of action explains how glyburide decreases serum glucose levels? a. stimulate the pancreas to produce insulin b. accelerates the liver's release of stored glycogen c. increases glucose transport across the cell membrane d. decreases absorption of glucose from the gastrointestinal system

stimulate the pancreas to produce insulin

Which substance will the home care nurse instruct a client to use after laryngectomy to cleanse the stoma site? a. sterile saline b. steroid cream c. oil-based lubricant d. mild soap and water

mild soap and water

Which lung sound would the nurse expect to hear in a client who experiences laryngeal swelling after extubation?

stridor

Which nurse is using complex critical thinking skills when caring for a client? a. talks to the client to identify reasons for their behavior b. seeks assistance of a senior nurse to set up an insulin pump c. follows the agency's manual to insert a Foley catheter in a client d. acts without involving others and accepts accountability

talks to the client to identify reasons for their behavior

An adolescent with diabetes had a 0630 fasting blood glucose level of 180 mg/dL. Which nursing action is a priority? a. encourage the adolescent to start exercising b. ask the adolescent to obtain an immediate glucometer reading c. inform the adolescent that a complex carbohydrate such as cheese should be eaten d. tell the adolescent that the prescribed dose of rapid-acting insulin should be administered

tell the adolescent that the prescribed dose of rapid-acting insulin should be administered

The nurse obtains a laboratory report that shows acid-fast rods in a client's sputum. Which disorder would the nurse consider may be related to these results? a. Influenza virus b. diphtheria bacillus c. Bordetella pertussis d. mycobacterium tuberculosis

mycobacterium tuberculosis

A hospitalized child with type 1 diabetes becomes pale, diaphoretic, and shaky 2 hours after eating breakfast. Which action should the nurse take? a. notify the health care provider b. administer supplemental insulin c. obtain a BG level d. giving orange juice with a slice of bread

obtain a BG level

The nurse is caring for a client with a tracheostomy. Which action would the nurse implement when performing tracheal suctioning?

preoxygenate the client before suctioning

The nurse provides education to a group of student nurses about pursed-lip breathing. The nurse would include which primary purpose of the respiratory exercise? a. decreases chest pain b. conserves energy c. increases O2 saturation d. promotes elimination of CO2

promotes elimination of CO2

A client arrives in the emergency department with multiple crushing wounds of the chest, abdomen, and legs. What are the priority nursing assessments? a. LOC and pupil size b. characteristics of pain and BP c. quality of respirations and presence of pulses d. observation of abdominal contusions and other wounds

quality of respirations and presence of pulses

After percussing a client's posterior chest and hearing low-pitched hollow sounds over the whole chest, how will the nurse document the finding? a. dull b. flat c. tympanic d. resonance

resonance

A client with the diagnosis of inhalation anthrax is admitted to the intensive care unit. It is most important for the nurse to make a focused assessment of which body system?

respiratory

A client with COPD has a blood pH of 7.25 and a partial pressure of carbon dioxide of 60 mmHg. Which complication would the nurse suspect the client is experiencing?

respiratory acidosis

A client is extubated in the postanesthesia care unit after surgery. For which common response would the nurse be alert when monitoring the client for acute respiratory distress?

restlessness

A client who takes daily megadoses of vitamins is hospitalized with joint pain, loss of hair, yellow pigmentation of the skin, and an enlarged liver due to vitamin toxicity. Which type of toxicity would the nurse suspect? a. retinol (vitamin A) b. Thiamine (vitamin B1) c. pyridoxine (vitamin B6) d. ascorbic acid (vitamin C)

retinol (vitamin A)

Which eye problem is the leading cause of blindness in clients with diabetes? a. cataracts b. glaucoma c. retinopathy d. astigmatism

retinopathy

Which intervention would the nurse offer the client to help relieve symptoms of sinusitis?

saline irrigation

Which treatment would the nurse suggest to an adolescent with type 1 diabetes if an insulin reaction is experienced while the adolescent is at a basketball game? a. "Call your parents immediately." b. "Buy a soda and hamburger to eat." c. "Administer insulin as soon as possible." d. "Leave the arena and rest until the symptoms subside."

"Buy a soda and hamburger to eat."

A client newly diagnosed with type 1 diabetes asks why it is necessary to exercise on a regular basis. Which response is accurate? a. "Exercise decreases insulin sensitivity." b. "It stimulates glucagon production." c. "Exercise improves the cellular uptake of glucose." d. "It reduces metabolic requirements for glucose."

"Exercise improves the cellular uptake of glucose."

An adolescent who has just been found to have type 1 diabetes asks the nurse about exercise. Which is the best response by the nurse? a. "exercise should be restricted." b. "Exercise will increase blood glucose." c. "Extra snacks are needed before exercise." d. "Extra insulin is required during exercise."

"Extra snacks are needed before exercise."

The nurse is performing a weight assessment for different people in a community. Which question would the nurse ask a client to determine a disease-related change in the weight? a. "Do you follow a strict calorie intake?" b. "Have you noticed any changes in the social aspects of eating?" c. "Are you taking diuretics or insulin?" d. "Have you noticed any unintentional weight loss in the past 6 months?"

"Have you noticed any unintentional weight loss in the past 6 months?"

The nurse is teaching a client about safe insulin administration. Which statement made by the client indicates the need for further education? a. "I should see whether the insulin is expired." b. "I should keep a daily logbook of times of insulin injection." c. "I should keep my medication in its original labeled container." d. "I should administer insulin only if there are any symptoms."

"I should administer insulin only if there are any symptoms."

A child is receiving 45 unites of intermediate-acting insulin at 0700 and 1900. Which statement by the nurse is most appropriate when discussing bedtime snacks with the parents? a. "Offer a snack at bedtime if there are signs of hyperglycemia." b. "Provide a bedtime snack to prevent hypoglycemia during the night." c. "Withhold the snack after dinner to prevent hyperglycemia during sleep." d. "Leave a snack at the bedside in case the child becomes hungry during the night."

"Offer a snack at bedtime if there are signs of hyperglycemia."

A child is prescribed insulin glargine before breakfast. Which instruction is most appropriate for the nurse to give the parents regarding a bedtime snack? a. "Offer a snack to prevent hypoglycemia during the night." b. "Give the child a snack if signs of hyperglycemia are present." c. "Avoid a snack because the child is being treated with long-acting insulin." d. "Keep a snack at the bedside in care the child gets hungry during the night."

"Offer a snack to prevent hypoglycemia during the night."

Which statement made by a client recently diagnosed with type 1 diabetes indicates that further education is necessary regarding the teaching plan? a. "I will need to have my eyes and vision examined once a year." b. "I will need to check my blood sugar at home to evaluate my response to my treatment plan." c. "I can improve metabolic and cardiac risk factors of this disease if I follow a healthy diet and exercise routine." d. "Once I get my glucose levels under control, there is a good chance that I will be able to switch from insulin to an oral medication."

"Once I get my glucose levels under control, there is a good chance that I will be able to switch from insulin to an oral medication."

The nurse is caring for a client who is receiving total parenteral nutrition (TPN) after extensive colon surgery. The nurse concludes that the client understands teaching about the purpose of TPN when the client makes which statement? a. "TPN provides supplemental nutrition." b. "TPN provides short-term nutrition after surgery." c. "TPN provides total nutrition when gastrointestinal function is questionable." d. "TPN assists people who are unable to eat but have active gastrointestinal funciton."

"TPN provides total nutrition when gastrointestinal function is questionable."

When a client with a health care-acquired respiratory tract infection asks the nurse what this means, which response will the nurse give? a. "You developed an infection that requires antibiotics." b. "This is a highly contagious infection requiring isolation. c. "An infection you had before beginning treatment has flared up." d. "Your infection occurred because of exposure to a health care facility."

"Your infection occurred because of exposure to a health care facility."

At which interval are humidified oxygen systems replaced to prevent infection? a. 1 day b. 3 days c. 5 days d. 7 days

1 day

Which examples mentioned by the nurse belong to the third level of needs according to Maslow's hierarchy? (SATA) 1. "A client is depressed because his or her spouse has passed away." 2. "A client is constipated due to excess loss of fluids from the body." 3. "A client wants to reconnect with old friends after being diagnosed with cancer." 4. "A client has to live in a rat-infested apartment due to lack of financial resources." 5. "A client never goes to family gatherings because he or she is not accepted by family members."

1. "A client is depressed because his or her spouse has passed away." 3. "A client wants to reconnect with old friends after being diagnosed with cancer." 5. "A client never goes to family gatherings because he or she is not accepted by family members."

Which hospitalized client is likely to have the anteroposterior chest diameter equal to the lateral chest and the slope of the ribs more horizontal to the spine? 1. Cystic fibrosis 2. Bronchiectasis 3. Metabolic acidosis 4. pulmonary edema

1. Cystic fibrosis

A client with type 1 diabetes for 25 years states, "I have been really bad for the past 15 years. I have not paid attention to my diet and have done little to control my diabetes." Which common complications of diabetes might the nurse expect to identify when assessing this client? SATA 1. Leg ulcers 2. loss of visual acuity 3. thick, yellow toenails 4. increased growth of body hair 5. decreased sensation in the feet

1. Leg ulcers 2. loss of visual acuity 3. thick, yellow toenails 5. decreased sensation in the feet

The regulation of type 1 diabetes in an 8-year-old child is best attained with a combination of therapeutic modalities in addition to the administration of insulin. Which modalities should be included in the teaching plan? (Select all that apply.) 1. dietary control 2. regular exercise 3. urine testing for glucose 4. blood glucose monitoring 5. use of oral hypoglycemic agents

1. dietary control 2. regular exercise 4. blood glucose monitoring

The nurse is formulating a teaching plan for a client recently diagnosed with type 2 diabetes. Which interventions would the nurse include to decrease the risk of complications? (Select all that apply) 1. examine feet daily 2. wear well-fitting shoes 3. perform regular exercise 4. powder the feet after showering 5. visit the primary health care provider weekly 6. test the bathwater with the toes before bathing

1. examine feet daily 2. wear well-fitting shoes 3. perform regular exercise

The nurse plans to teach a 7-year-old child with recently diagnosed type 1 diabetes how to give insulin injections. Which would be including in the first lesson? (select all that apply) 1. explaining why insulin is needed 2. offering a booklet to read at home 3. inviting the child's friends to participate in the lesson 4. providing a syringe for the child to practice manipulating 5. Seeking a return demonstration of how to give an injection to a doll

1. explaining why insulin is needed 4. providing a syringe for the child to practice manipulating 5. Seeking a return demonstration of how to give an injection to a doll

Which assessment finding of a client being treated in the emergency department after a motor vehicle collision indicates the need for immediate health care provider intervention? (select all that apply) 1. facial edema 2. septal deviation 3. clear nasal drainage 4. oxygen saturation 5. bilateral periorbital bruising

1. facial edema 2. septal deviation 3. clear nasal drainage 4. oxygen saturation 5. bilateral periorbital bruising

The nurse is caring for a client who is receiving total parenteral nutrition (TPN). Which client complications may be caused by the TPN? SATA 1. hyperglycemia 2. infection 3. hepatitis 4. anorexia 5. dysrhythmias

1. hyperglycemia 2. infection

An adolescent is found to have type 1 diabetes. The nurse plans to teach the adolescent that dietary control and exercise can help regulate the disorder. Which additional information would the nurse include in the teaching plan? SATA 1. Insulin therapy 2. prophylactic antibiotics 3. blood glucose monitoring 4. oral hypoglycemic agents 5. adherence to the treatment regiment

1. insulin therapy 2. blood glucose monitoring 4. adherence to the treatment regimen

Which clinical findings are commonly associated with hyperglycemia? SATA 1. polyuria 2. polydipsia 3. polyphagia 4. polyphrasia 5. polydysplasia

1. polyuria 2. polydipsia 3. polyphagia

Which risk factor for head and neck cancer would the nurse assess for in a client with a persistent, nagging cough? (select all that apply) 1. type of employment 2. presence of ear pain 3. history of tobacco use 4. oral hygiene practices 5. amount of alcohol intake

1. type of employment 2. presence of ear pain 3. history of tobacco use 4. oral hygiene practices 5. amount of alcohol intake

Which amount is the normal value of a client's inspiratory reserve volume? a. 0.5L b. 1.0L c. 1.5L d. 3.0L

3.0L

Which action would the nurse take to prevent complications when caring for a client with a chest tube to water seal drainage system for a pneumothorax? (Select all that apply) 1. emptying the drainage system when full 2. keeping the drainage system at heart level 3. notifying the health care provider of drainage greater than 50 mL/h 4. marking the time on the drainage unit every shift 5. laying the drainage system on its side during transport

4. marking the time on the drainage unit every shift

An obese client must self-administer insulin at home. The nurse will teach the client to inject insulin at which angle?

90-degree angle

Which action would the nurse implement when a client is receiving TPN? SATA 1. monitoring hydration 2. monitoring weight daily 3. monitoring vital signs every 4 hours 4. discarding any solution after 24 hours 5. checking the expiration date of the solution before administration

ALL 5 1. monitoring hydration 2. monitoring weight daily 3. monitoring vital signs every 4 hours 4. discarding any solution after 24 hours 5. checking the expiration date of the solution before administration

Which intervention would the nurse implement to relieve the symptoms associated with a hypoglycemic reaction? a. Give 4oz of fruit juice b. administer 5% dextrose solution intravenously (IV) c. withhold a subsequent dose of insulin d. provide a snack of cheese and dry crackers

Give 4oz of fruit juice

While in the postanesthesia care unit, a client reports shortness of breath and chest pain. Which is the most appropriate initial response by the nurse? a. Initiate oxygen via a nasal cannula b. Administer the prescribed morphine c. Prepare the client for endotracheal intubation d. Place a nitroglycerin tablet under the client's tongue

Initiate oxygen via a nasal cannula

The nurse is caring for several clients with type 1 diabetes, and they each have a prescription for a specific type of insulin. Which insulin would the nurse conclude has the fastest onset of action? a. NPH insulin b. Insulin lispro c. Regular insulin d. Insulin glargine

Insulin lispro

Which definition of assault would the nurse include in teaching a group of parents about child abuse? a. Threat to do bodily harm to another person b. An unintentional act committed by one person against another person c. A legal wrong committed against the public that is punishable by federal law d. The application of force to another person without lawful justification

Threat to do bodily harm to another person

Which statement describes a client's tidal volume? a. tidal volume is the volume of air inhaled and exhaled with each breathe b. tidal volume is the amount of air remaining in the lungs after forced expiration c. tidal volume is the additional air forcefully inhaled after normal inhalation d. tidal volume is the additional air forcefully exhaled after normal exhalation

a. Tidal volume is the volume of air inhaled and exhaled with each breathe

Which assessment finding is consistent with bronchospasm? a. wheezing b. rhonchi c. pleural friction rub d. low-pitched crackles

a. Wheezing

Which action will the nurse take to check for subcutaneous emphysema in a client with a chest tube? a. palpate around the tube insertion sites for crepitus b. auscultate the breath sounds for crackles and atelectasis c. observe the client for the presence of a barrel-shaped chest d. compare the length of inspiration with the length of expiration

a. palpate around the tube insertion sites for crepitus

A client reports left-sided chest pain after playing racquetball. The client is hospitalized and diagnosed with left pneumothorax. When assessing the client's left chest area, the nurse expects to identify which finding? a. dull sound on percussion b. vocal fremitus on palpation c. rales to rhonchi on auscultation d. absence of breath sounds on auscultation

absence of breath sounds on auscultation

A client with type 1 diabetes mellitus has a finger-stick glucose level of 258 mg/dL at bedtime. A prescription for sliding-scale regular insulin exists. Which would the nurse do? a. call the health care provider b. encourage intake of fluids c. administer the insulin as prescribed d. give the client 4oz of orange juice

administer the insulin as prescribed

The nurse described a client's abnormal breath sounds and included crackles, rhonchi, wheezes, and pleural friction rubs. Which breath sounds did the nurse hear? a. vesicular b. bronchial c. adventitious d. bronchovesicular

adventitious

A 9-year-old child with type 1 diabetes is prone to having hypoglycemic episodes in the morning. Which intervention would be included in the school nurse's plan of care for this child? a. limiting fluid intake during school hours b. asking the child each day what was eaten for breakfast c. considering the presence of diabetes but treating the child the same as other children d. checking several times a day for injuries because of participation in the physical education program

asking the child each day what was eaten for breakfast

When a client is scheduled for a mediastinoscopy, which action will the nurse plan to take?

check that the informed consent is signed

While obtaining a client's health history, which factor would the nurse identify that predisposes the client to type 2 diabetes? a. having diabetes insipidus b. eating low-cholesterol foods c. being 20 pounds (9kg) overweight d. drinking a daily alcoholic beverage

being 20 pounds (9kg) overweight

Which action would the nurse taken when administering total parenteral nutrition (TPN)? a. change the TPN solution bag every 24 hours, even if there is solution left in the bag b. monitor the client's blood glucose level every 2 hours at the bedside with a glucometer c. instruct the client to breathe shallowly when changing the TPN tubing using sterile techniques

change the TPN solution bag every 24 hours, even if there is solution left in the bag

A client with type 2 diabetes has been receiving insulin in the hospital while being treated for sepsis. The client's infection is resolving and the primary health care provider writes a prescription to discontinue the 0700 dose of insulin and to administer glyburide 5mg twice daily. After administering the glyburide at 0830, the nurse sees that the insulin had already been administered at 0700. Which initial action would the nurse take? a. measure vital signs b. notify the primary health care provider c. administer 15 G of fast acting carbohydrates d. check blood glucose for hypoglycemia

check blood glucose for hypoglycemia

A client with type 1 diabetes has an above-the-knee amputation because of severe lower extremity arterial disease. Two days after surgery, which intervention is appropriate when preparing the client to eat dinner? a. checking the client's serum glucose level b. assisting the client out of bed into a chair c. placing the client in the high-Fowler position d. ensuring the client's residual limb is elevated

checking the client's serum glucose level

When determining the main difference between type 1 and type 2 diabetes, the nurse recognizes which clinical presentation about type 1? a. onset of the disease is slow b. excessive weight is a contributing factor c. complications are not present at time of diagnosis d. treatment involves diet, exercise, and oral medications

complications are not present at time of diagnosis

When a client has a superficial tumor involving only 1 vocal cord, which surgery would the nurse anticipate? a. cordectomy b. tracheotomy c. total laryngectomy d. oropharyngeal resections

cordectomy

Thick mucous gland secretions, elevated sweat electrolytes, meconium ileus, and difficulty maintaining and gaining weight are associated with which autosomal recessive disorder? a. cerebral palsy b. cystic fibrosis c. muscular dystrophy d. multiple sclerosis

cystic fibrosis

Which action would the nurse take when a client with type 1 diabetes reports hunger, thirst, tiredness, and frequent urination? a. notify the health care provider immediately about the client's symptoms b. determine the client's blood glucose level c. administer the client's prescribed insulin d. give the client a peanut butter and graham cracker snack

determine the client's blood glucose level

One principle to be followed for children with type 1 diabetes is to provide for the variability of the child's activity. Which would the nurse teach the child about how to compensate for increased physical activity? a. eat more food when planning to exercise more than usual b. take insulin in the morning when extra exercise is anticipated c. consume foods that contain sugar to compensate for the extra exercise d. an oral hypoglycemic, not injectable insulin, is necessary on days of heavy exercise

eat more food when planning to exercise more than usual

When a client who has had a thoracotomy develops respiratory acidosis, which action would the nurse take?

encourage deep breathing

Which part of the upper respiratory system is involved in equalizing the pressure within the middle ear while swallowing? a. glottis b. paranasal sinus c. palatine tonsils d. eustachian tubes

eustachian tubes

Which intervention would the nurse prioritize when planning a teaching program for a child who was recently diagnosed with type 1 diabetes? a. exploring the child's feelings about diabetes b. explaining how to calculate carbohydrate intake c. ensuring that the child learns to monitor blood glucose d. helping the child practice administering insulin injections

exploring the child's feelings about diabetes

A 15-year-old adolescent is found to have type 1 diabetes. Which would the nurse include when teaching the adolescent about type 1 diabetes? a. it does not always require insulin b. it involves early vascular changes c. it occurs more often in obese adolescents d. it has a more rapid onset than does type 2 diabetes

it has a more rapid onset than does type 2 diabetes

The nurse plans to teach a 5th grader with type 1 diabetes how to self-administer lispro and glargine insulin. Which action would the nurse include in the teaching plan? a. alternate the sites until the best one to use is found b. self-administer the injections after being taught the technique c. draw up the insulin glargine and then draw up the insulin lispro d. learn to use the needle and syringe by practicing on an insulin pad first

learn to use the needle and syringe by practicing on an insulin pad first

The nurse is teaching an adolescent newly diagnosed with type 1 diabetes about self-care. Which is the primary long-term goal? a. maintaining normoglycemia b. complying with the diabetic diet c. adhering to an exercise program d. developing a nonstressful lifestyle

maintaining normoglycemia

A client is admitted to the postanesthesia care unit after a segmental resection of the right lower lobe of the lung. A chest tube drainage system is in place. When caring for this tube, what would the nurse do?

mark the time and fluid level on the side of the drainage chamber

Which would the nurse conclude about a client when planning teaching strategies based on the results of a glycosylated hemoglobin measurement of 6%? a. the client is experiencing a rebound hyperglycemia b. the client needs the insulin changed to a different type c. the client has followed the treatment plan as prescribed d. the client requires further teaching regarding nutritional guidelines

the client has followed the treatment plan as prescribed

A client is hospitalized with a diagnosis of emphysema. The nurse provides teaching and would begin with which aspect of care? a. the disease process and breathing exercises b. how to control or prevent respiratory infections c. using aerosol therapy, especially nebulizers d. priorities when performing everyday activities

the disease process and breathing exercises

Which would the nurse emphasize when teaching insulin self-administration to a child with recently diagnosed diabetes? a. the need to was the hands before preparing the insulin injection b. the need to shake the bottle of insulin thoroughly before drawing up the dose c. the need to alternate the site of the insulin injections among the four extremities d. the need to rub the injection site briskly for half a minute after giving the injection

the need to was the hands before preparing the insulin injection

Which parameter describes the maximum volume of air a client's lungs may contain? a. vital capacity b. total lung capacity c. inspiratory capacity d. functional residual capacity

total lung capacity

A client presents with hemoptysis. The nurse recalls that the clinical manifestation is associated with which disease?

tuberculosis

How would the nurse position a client to practice supraglottic swallowing after tracheostomy? a. in bed b. upright c. lying down d. position of comfort

upright

How would the nurse position a client with epistaxis? a. supine b. side-lying c. upright leaning forward d. sitting with the head tipped backward

upright leaning forward

Soft swishing sounds of breathing are heard when the nurse auscultates a client's chest. Which term would be used when documenting this assessment finding? a. fine crackles b. adventitious sounds c. vesicular breath sounds d. diminished breath sounds

vesicular breath sounds

After auscultating the chest, how will the nurse document findings of bilateral, high-pitched, continuous whistling sounds heard during each expiration? a. crackles b. wheezes c. rhonchus d. pleural friction rub

wheezes