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Question 1 of 5

A diabetic client self-administers insulin four times daily. Which of the following statements by the client indicates the need for further education?

Correct Answer: A

Rationale: Flushing needles down the toilet (
A) is unsafe and improper disposal; needles should be placed in a sharps container. Carrying glucose tablets (
B), occasional desserts (
C), and avoiding sandals (
D) are appropriate for diabetes management.

Question 2 of 5

A client has increasing pain in both hands. On examination, the nurse notes that the metacarpophalangeal and proximal interphalangeal joints are enlarged and swollen, swanneck deformity is evident, and the fingers on both hands show ulnar deviation. These findings are consistent with which of the following disorders?

Correct Answer: B

Rationale: Swanneck deformity, ulnar deviation, and swollen MCP/PIP joints are classic for rheumatoid arthritis (
B). Osteoarthritis (
A) affects distal joints, gout (
C) causes tophi, and psoriatic arthritis (
D) involves skin lesions.

Question 3 of 5

In order to ensure adequate protein intake during pregnancy, how many additional grams of protein should the woman ingest daily during the second half of the pregnancy? Report your answer using a whole number.

Correct Answer: 25

Rationale: Pregnant women need an additional 25 grams of protein daily in the second half of pregnancy to support fetal growth and maternal health.

Question 4 of 5

The nurse is preparing to administer a unit of red blood cells (RBCs) to an anemic client. From starting the infusion (puncturing the blood pack) to completion, infusion of the pack should occur within which time period?

Correct Answer: C

Rationale: RBC transfusions must be completed within 4 hours to minimize bacterial growth and ensure safety.

Question 5 of 5

Which early morning activity helps to reduce the symptoms associated with rheumatoid arthritis?

Correct Answer: C

Rationale: Holding a warm cup of coffee can reduce morning stiffness in rheumatoid arthritis by providing warmth and gentle joint movement.

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During the assessment of a laboring client, the nurse notes that the FHT are loudest in the upper-right quadrant. The infant is most likely in which position?
The nurse is assessing a client with suspected hyperthyroidism. Which of the following findings would the nurse expect?
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:

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