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- The nurse weighs the client who is on an infusion of lactated Ringer’s postoperatively and finds that there has been a weight gain of 1.5 kg since the previous day. What would be the nurse’s next highest priority? a. Check with the client to determine whether there have been any dietary changes in the last few days. b. Assess the client for signs of edema and BP for possible hypertension. c. Contact dietary to change the client’s diet to reduced sodium. d. Request a diuretic from the client’s provider. Explain the answer and why the remaining options are bot correctThe nurse is assessing a patient who had a thyroidectomy 12 hours ago. The patient appears anxious and reports tingling around the mouth and muscle twitching in the right hand. Which of the following actions would be a priority for the nurse to take? a. Evaluate the client's vocal quality and strength b. Check the client's most recent arterial blood gas results c. Obtain a blood specimen to check the serum calcium level d. Change the surgical dressing to assess for bleedingA nurse is caring for a 50-year-old client who has visited the health care facility for a routine checkup. The client has recently been diagnosed with diabetes mellitus. The blood work reveals a glucose level of 140 mg/dL. a. What questions should the nurse ask when assessing the client? b. What information regarding diabetes mellitus should the nurse provide to the client?
- The nurse assists the patient with Diabetes, with nutritional therapy with the knowledge that a healthy eating plan is designed to: Select one: a. For use during periods of high stress b. To be used only for Type 1 Diabetes Mellitus c. To normalise blood glucose levels by elimination of sugar d. To help normalise blood glucose levels through a balanced dietWhat statement by the nurse indicates understanding about the difference between paclitaxel and nab-paclitaxel? Nab- paclitaxel: A. requires careful administration consideration in the elderly B. uses the body's own albumin transport mechanisms. C. causes central nervous system toxicity. D. accumulates in the adipose tissue.A client is scheduled to receive phenytoin (Dilantin) 100 mg orally at 6 PM but is having difficulty swallowing capsules. What method should the nurse use to help the client take the medication? a. Sprinkle the powder from the capsule into a cup of water b. Administer 4 mL of phenytoin suspension containing 125 mg/5 mL c. Obtain a change in the administration route to allow an IM injection d. Insert a rectal suppository containing 100mg of phenytoin
- A 76-year-old patient states, “I have been experiencing com-plications of diabetes.” The nurse needs to direct the patient to gain more information. What is the most appropriate com-ment or question to elicit additional information? a. “Do you take two injections of insulin to decrease thecomplications?” b. “Most physicians recommend diet and exercise to regulateblood sugar.”c. “Most complications of diabetes are related to neuropathy.”d. “What specific complications have you experienced?”An older adult arrives at the emergency department with reports of severe nausea and vomiting large amounts of liquid brown emesis at home. The client's vital signs are a temperature of 96.4 'F, heart rate 124 beats/minute, respirations of 16 beats/minute, and blood pressure of 75/38 mmHg. Which intervention is the most important for the nurse to implement? A. Maintain strict intake and output B. Monitor blood glucose level C. Keep the head of the bed 45 degrees D. Assess warmth of extremetiesThe nurse is evaluation the effectiveness of metaproterenol for... how do you know it’s been effective? A. Increased heart rate and blood pressure B. Decreased white blood cell count C. Decreased wheezing upon auscultation D. Decreased respiratory rate
- A nurse is caring for a 50-year-old client who has visitied the heath care facility for a routine check up. the client has recently been diagnosed with diabete mellitus. The blood work reveals a glucose level of 140 mg/dL. a. What questions should the nurse ask when assessing the client? b. What information regarding diabetes mellitus should the nurse provide to the client?A client will be sent home on diuretic therapy and has a prescription for liquid potassium chloride (KCl). What teaching will the nurse provide before the client goes home? a. Do not dilute the solution with water or juice; drink the solution straight. b. Increase the use of salt substitutes; they also contain potassium. c. Report any weakness, fatigue, or lethargy immediately. d. Take the medication immediately before bed to prevent heartburn. Why letter c is the correct answer and explain why other options are incorrectA nurse is preparing to administer gentamicin to a client who weight 165 lb. The medication reference recommends administering 2mg/kg IM every 8 hr. How many mg should the nurse plan to administer per dose?