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Questions 227

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Extract:


Question 1 of 5

A client comes to the clinic for assessment of his physical status and guidelines for starting a weight-reduction diet. The client's weight is 216 pounds and his height is 66 inches. The nurse identifies the BMI (body mass index) as:

Correct Answer: C

Rationale: BMI is calculated as weight (kg) / height (m)^2. For 216 lbs (98 kg) and 66 inches (1.68 m), BMI = 98 / (1.68)^2 ≈ 35, indicating obesity (BMI ≥ 30). Physiological Adaptation

Extract:

Which of the following lab finding is a strong indicator of DIC?


Question 2 of 5

Which of the following lab finding is a strong indicator of DIC?

Correct Answer: B

Rationale: Elevated D-dimer indicates fibrin degradation, a hallmark of DIC.

Extract:


Question 3 of 5

An agitated, confused client arrives in the emergency department. The client's history includes type 1 diabetes, hypertension, and angina pectoris. Assessment reveals pallor, diaphoresis, headache, and intense hunger. A stat blood glucose sample measures 42 mg/dl, and the client is treated for an acute hypoglycemic reaction. After recovery, the nurse teaches the client to treat hypoglycemia by ingesting:

Correct Answer: B

Rationale:
To reverse hypoglycemia, the American Diabetes Association recommends ingesting 10 to 15 g of a simple carbohydrate, such as three to five pieces of hard candy, two to three packets of sugar (4 to 6 tsp), or 4 oz of fruit juice. If necessary, this treatment can be repeated in 15 minutes. Ingesting only 2 to 5 g of a simple carbohydrate may not raise the blood glucose level sufficiently. Ingesting more than 15 g may raise it above normal, causing hyperglycemia.

Question 4 of 5

The nurse is caring for a client with a history of breast cancer who is receiving chemotherapy. Which of the following side effects should the nurse monitor for?

Correct Answer: C

Rationale: Nausea and vomiting are common chemotherapy side effects due to gastrointestinal irritation and require monitoring for dehydration or malnutrition. Increased appetite (
A) and energy (
D) are unlikely, and white blood cell count (
B) typically decreases (neutropenia).

Extract:

The client who's developing signs and symptoms indicate hyperglycemia?


Question 5 of 5

The client who's developing signs and symptoms indicate hyperglycemia?

Correct Answer: A

Rationale: Hyperglycemia causes polydipsia, polyuria, and weight loss due to osmotic diuresis.

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