Predictor

A nurse is teaching the parent of a child who has type 1 diabetes mellitus how to manage the childs disorder during illness, such as colds. Which of the following statements by the parent indicates an understanding of the teaching? "I'll reduce my childs food intake" "I'll check his blood glucose more often" "I'll limit his fluid intake between meals" "I won't administer his long-acting insulin dose"

"I'll check his blood glucose more often" the parent should check the clients blood glucose every 3 hr during an illness because it tends to rise, even if the child eats less food

A nurse is assessing a 66 year old client during a routine physical examination at her first clinic visit and does not have her medical records. When the nurse asks if she has received the pneumococcal immunization, the client replies, "I am not sure, but its been at least 5 years since i had any immunizations". Which of the following responses should the nurse make? "just in case you had the immunization before, we cant give you another one" "youll need a series of three injections" "this immunization is unsafe for people over the age of 65 years old" "lets go ahead with giving you this immunization"

"lets go ahead with giving you this immunization" its recommended for people who are 65 years old and older. if this client did receive this immunization more than 5 years ago, the nurse should administer another one because the client is over 65

A client at a routine prenatal care visit asks the nurse if it is common to develop vaginal yeast infections during pregnancy. Which of the following responses should the nurse make? "have you discussed this with your doctor yet?" "the hormonal changes of pregnancy change the acidity of the vagina, making yeast infections more common" "women who are already prone to vaginal yeast infections get them during pregnancy" "why are you concerned about yeast infections during pregnancy?"

"the hormonal changes of pregnancy change the acidity of the vagina, making yeast infections more common"

A nurse is caring for a client who has a platelet count of 50,000/mm. After discontinuing the clients peripheral IV site, which of the following actions should the nurse take? Apply warm compresses Apply pressure to the catheter removal site for 5 min Place the affected arm in a dependent position Clean the insertion site with alcohol

Apply pressure to the catheter removal site for 5 min A platelet count below 100,000 indicates thrombocytopenia, a problem that puts the client at an increased risk for bleeding. By applying pressure, the nurse promotes coagulation and prevents additional blood loss.

a nurse is preparing an older adult client who had a transient ischemic attack (TIA) for discharge. The nurse should teach the client to monitor which of the following parameters at home? blood glucose daily weight sensation in the feet Blood pressure

Blood pressure

a nurse is caring for a client who has dehydration and has developed hypovolemic shock. which of the following laboratory values should the nurse expect for this client? Bun 18mg/dl cap refill 1.5 seconds Hct 55% Urine specific gravity 1.001

Hct 55% an elevated hematocrit indicates hypovolemia. Other indications are a weak pulse, tachycardia, hypotension, tachypnea, slow cap refill, elevated BUN, increased urine specific gravity, and decreased urine output

A nurse is reviewing the laboratory report for a client who has chronic kidney disease (CKD). The nurse finds the the following laboratory test results: potassium 6.8, calcium 7.4, hemoglobin 10.2, and phosphate 4.8. Which of the following findings is the priority for the nurse to report to the provider? Hypocalcemia Hyperkalemia Anemia Hypoalbuminemia

Hyperkalemia

a nurse is monitoring the electrocardiogram of a client who has hypocalcemia. Which of the following findings should the nurse expect? flattened T waves Prolonged Q-T intervals Shortened Q-T intervals Widened QRS complexes

Prolonged QT intervals manifestations of hypocalcemia include tingling, numbness, tetany, seizures, prolonged Q-T intervals and laryngospasm. Causes include hypoparathyroidism, chronic kidney disease and diarrhea.

A nurse is providing discharge teaching to a client who has had a transient ischemic attack (TIA). Which of the following instructions should the nurse include? Reduce dietary sodium Decrease dietary potassium Restrict intake of insoluble fiber Limit alcohol intake to three or fewer servings per day

Restrict dietary sodium A temporary disturbance of the blood supply to the brain causes TIA's, which are brief alterations in neurologic function. The most common causes are atherosclerotic plaque in the carotid arteries and hypertension; therefore, the client should limit sodium intake to help control hypertension and prevent future TIA's

A nurse is reinforcing teaching with a client who has a new prescription for sertraline. The client asked the nurse if we should continue to take St. John's wort for depression. Which of the following instructions should the nurse to give the client? Take the medication and herbal supplement together Stop taking the herbal supplement while taking the medication Take the herbal supplement and the medication at least 2 hr apart take an antacid with both the herbal supplement and the medication

Stop taking the herbal supplement while taking the medication

A nurse in the emergency department is caring for a client who reports pain in her left leg following a motor vehicle crash. The nurse notes that her left leg has bruising, swelling, and displacement of bones. Which of the following actions should the nurse take first? Obtain an x-ray of the injured leg apply ice packs to the affected area Check neurovascular status distal to the injury elevate the affected leg on two pillows

check neurovascular status distal to the injury

A nurse is collecting data from a school age child who has celiac disease. Which of the following findings should the nurse expect? Initiate bag-valve-mask ventilation provide the client with a communication board obtain a blood sample for ABG analysis Document the ventilator settings

initiate bag-valve-mask ventilation

A nurse is collecting data from a client who is taking varenicline for smoking cessation . Which of the following findings is nurses priority? mood changes nausea altered sense of taste skin rash

mood changes greatest risk to the client is the development of neuropsychiatric effects that can progress to depression and suicide

A nurse is collecting data from a school age child who has celiac disease. Which of the following findings should the nurse expect? elevated sweat chloride steatorrhea clubbing of the fingers jaundice

steatorrhea foul, fatty, frothy stools, known as steatorrhea, are a manifestation of celiac disease, a malabsorption syndrome