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Questions 149

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Question 1 of 5

A 19-year-old male with type 1 diabetes has the flu. The nurse expects what insulin changes may be required during the illness?

Correct Answer: B

Rationale: Illness increases insulin resistance due to stress hormones, often requiring more insulin to manage hyperglycemia in type 1 diabetes.

Question 2 of 5

While terminating the therapeutic nurse-client relationship, which action should be avoided?

Correct Answer: A

Rationale: Raising a new issue at termination can disrupt closure and hinder the client’s ability to process the end of the relationship.

Question 3 of 5

The nurse is precepting a student nurse on an orthopedic floor. The student nurse needs to insert an indwelling catheter into a male client. Which of the following statements by the student nurse are correct regarding insertion of the catheter? Select all that apply.

Correct Answer: A,B,C

Rationale: Aseptic technique, supine positioning, and sterile lubrication are correct for catheter insertion. Inflating the balloon with 5 cc is incorrect, as most catheters require 10 cc of sterile water for balloon inflation.

Question 4 of 5

A client who is admitted with an above-the-knee amputation tells the nurse that his foot hurts and itches. Which response by the nurse indicates understanding of phantom limb pain?

Correct Answer: B

Rationale: Phantom limb pain results from peripheral nervous system interruptions, and offering pain medication addresses the client's discomfort appropriately.

Question 5 of 5

The nurse has inserted an NG tube for enteral feedings. Which assessment result is the best indicator of the tube's stomach placement?

Correct Answer: B

Rationale: A green aspirate with a pH of 3 confirms gastric placement, as stomach contents are acidic and often green due to bile, providing the most reliable indicator.

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