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Question 1 of 5

A client who is a breast-feeding mother develops mastitis. The clinical signs and symptoms of mastitis include:

Correct Answer: A

Rationale: Mastitis is a bacterial inflammation of the breast tissue, characterized by marked engorgement, elevated temperature, chills, breast pain, and a red, hardened area.

Question 2 of 5

When the nurse is evaluating lab data for a client 18-24 hours after a major thermal burn, the expected physiological changes would include which of the following?

Correct Answer: D

Rationale: Hematocrit is elevated due to hemoconcentration from hypovolemia. Sodium, calcium, and protein levels are typically decreased due to losses into edema fluid or increased capillary permeability.

Question 3 of 5

The nurse is teaching a client with Parkinson's disease ways to prevent curvatures of the spine associated with the disease. To prevent spinal flexion, the nurse should tell the client to:

Correct Answer: A

Rationale: Lying prone without a pillow helps counteract the forward flexion posture common in Parkinson's disease, reducing spinal curvature. The other positions do not effectively prevent flexion.

Question 4 of 5

A client with metastatic cancer of the lung has just been told the prognosis by the oncologist. The nurse hears the client state, "I don't believe the doctor; I think he has me confused with another patient."

Correct Answer: A

Rationale: The client's statement reflects denial, the first stage of Kubler-Ross' model, where patients refuse to accept a terminal prognosis. Anger (
B), depression (
C), and bargaining (
D) involve different emotional responses.

Question 5 of 5

Pregnant women with diabetes often have problems related to the effectiveness of insulin in controlling their glucose levels during their second half of pregnancy. The nurse teaches the client that this is due to:

Correct Answer: D

Rationale: There is a rise in glomerular filtration rate in the kidneys in conjunction with decreased tubular glucose reabsorption, resulting in glycosuria. Insulin is inhibited by increased levels of estrogen. Insulin is inhibited by increased levels of progesterone. Human placental lactogen levels increase later in pregnancy. This hormonal antagonist reduces insulin's effectiveness, stimulates lipolysis, and increases the circulation of free fatty acids.

Similar Questions

A client with AIDS asks the nurse why he cannot have a pitcher of water left at his bedside. The nurse should tell the client that:
The physician has prescribed Coumadin (sodium warfarin) for a client having transient ischemic attacks. Which laboratory test measures the therapeutic level of Coumadin?
A 27-year-old primigravida stated that she got up from the chair to fix dinner and bright red blood was running down her legs. She denies any pain previously or currently. The client is very concerned about whether her baby will be all right. Her vital signs include P 120 bpm, respirations 26 breaths/min, BP 104/58 mm Hg, temperature 98.2_F, and fetal heart rate 146 bpm. Laboratory findings revealed hemoglobin 9.0 g/dL, hematocrit 26%, and coagulation studies within normal range. On admission, the peripad she wore was noted to be half saturated with bright red blood. A medical diagnosis of placenta previa is made. The priority nursing diagnosis for this client would be:
A client with chronic pain is being treated with opioid administration via epidural route. Which medication would it be most important to have available due to a possible complication of this pain relief procedure?
The nurse is caring for a client with pancreatitis. Which of the following IV medications would the nurse expect the physician to prescribe for control of pain in this client?

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