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Questions 158

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Question 1 of 5

A client with hypothyroidism frequently complains of feeling cold. The nurse should tell the client that she will be more comfortable if she:

Correct Answer: B

Rationale: Dressing in extra layers is a safe, effective way to manage cold intolerance in hypothyroidism by conserving body heat. Electric blankets and heating pads pose burn risks, and baths are temporary.

Question 2 of 5

Which client should be assigned to the nursing assistant?

Correct Answer: C

Rationale: The elderly client four days post-thyroidectomy is stable and suitable for a nursing assistant’s care (e.g., basic hygiene, ambulation). The other clients require skilled nursing due to critical conditions (cervical fracture, meningitis, recent thoracotomy).

Question 3 of 5

Place in sequence from 1-5 the proper order for introducing items to the infant's diet.

Order the Items

Source Container

Strained meats
Whole milk
Rice cereal
Fruits
Vegetables

Correct Answer: C, D, E, A, B

Rationale: Infant diet sequence: rice cereal (
C) at 6 months, then fruits (
D) and vegetables (E), strained meats (
A) around 7-8 months, and whole milk (
B) after 12 months.

Question 4 of 5

Which of the following blood values would require further nursing action in a newborn who is 4 hours old?

Correct Answer: C

Rationale: A serum glucose of 30 mg/dL in the first 72 hours of life is indicative of hypoglycemia and warrants further intervention.

Question 5 of 5

The nurse is caring for a client with a history of type 2 diabetes. The nurse should expect the client to have:

Correct Answer: A

Rationale: Type 2 diabetes causes hyperglycemia, leading to polyuria due to osmotic diuresis.

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