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Questions 158

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Question 1 of 5

A client is now pregnant for the second time. Her first child weighed 4536 g at delivery. The client's glucose tolerance test shows elevated blood sugar levels. Because she only shows signs of diabetes when she is pregnant, she is classified as having:

Correct Answer: D

Rationale: Gestational diabetes mellitus has its onset of symptoms during pregnancy and usually disappears after delivery.

Question 2 of 5

The nurse is caring for a client with a history of a fractured tibia who is in a cast. The client complains of pain unrelieved by medication. The nurse should:

Correct Answer: C

Rationale: Unrelieved pain in a casted tibia may indicate compartment syndrome or infection, requiring immediate physician notification. Ice and elevation are insufficient, and massage is contraindicated.

Question 3 of 5

A 3-year-old child is in the burn unit following a home accident. The first sign of sepsis in burned children is:

Correct Answer: A

Rationale: Disorientation is the first sign of sepsis in burn children. Low-grade fever is not indicative of sepsis. Diarrhea is not indicative of sepsis. Hypertension is not indicative of sepsis.

Question 4 of 5

A client is 2 hours post ventriculoperitoneal shunt placement. How should the nurse position the client?

Correct Answer: D

Rationale: Flat position on nonoperative side in the immediate postoperative period prevents pressure on shunt valve and rapid reduction in cerebrospinal fluid.

Question 5 of 5

The nurse is assessing a client with suspected Cushing’s syndrome. Which finding is most consistent with this diagnosis?

Correct Answer: B

Rationale: Cushing’s syndrome causes cortisol excess, leading to a moon-shaped face due to fat redistribution. Weight gain, hypertension, and tachycardia are more common than weight loss, hypotension, or bradycardia.

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