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Extract:


Question 1 of 5

A couple trying to conceive asks the nurse when ovulation occurs. The woman reports a regular 32 day cycle. Which response by the nurse is correct?

Correct Answer: D

Rationale: Days 17-19. Ovulation occurs 14 days prior to menses. Considering that the woman's cycle is 32 days, subtracting 14 from 32 suggests ovulation is at about the 18th day.

Question 2 of 5

An infant has just returned from surgery for placement of a gastrostomy tube as an initial treatment for tracheoesophageal fistula. The mother asks: 'When can the tube can be used for feeding?' The nurse's best response would be which of these comments?

Correct Answer: C

Rationale: The stomach contents and air must be drained first.' After surgery for gastrostomy tube placement, the catheter is left open and attached to gravity drainage for 24 hours or more.

Extract:

Glucocorticoids:


Question 3 of 5

Glucocorticoids:

Correct Answer: A

Rationale: Cortisol is the primary glucocorticoid, regulating metabolism and stress response.

Extract:


Question 4 of 5

The home health care nurse is caring for a 30-year-old woman with type I diabetes mellitus. The client has been maintained on a regimen of NPH and regular insulin and a 1,800-calorie diabetic diet with normal blood sugar levels. Morning self-monitoring blood sugar (SMBG) readings the past two days were 205 mg/dL and 233 mg/dL. The nurse expects the physician to

Correct Answer: B

Rationale: Elevated morning blood sugar levels (205 and 233 mg/dL) suggest the dawn phenomenon, where early morning hyperglycemia occurs due to hormonal changes. Adjusting the evening NPH insulin dose (e.g., adding 3 units at 10 PM) helps control this. Reducing the diet (
A) is unnecessary, regular insulin (
C) peaks too early, and eliminating the snack (
D) may worsen control.

Extract:

A new mother has some questions about PKU.


Question 5 of 5

Which of the following statements made by the nurse is not correct regarding PKU?

Correct Answer: D

Rationale: PKU effects are irreversible if untreated, making this statement incorrect.

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