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Question 1 of 5

A diabetic multigravida is scheduled for an amniocentesis at 32 weeks gestation to determine the L/S ratio and phosphatidyl glycerol level. The L/S ratio is 1:1 and the presence of phosphatidylglycerol is noted. The nurse's assessment of this data is:

Correct Answer: C

Rationale: An L/S ratio of 1:1 indicates immature fetal lungs, increasing the risk of respiratory distress syndrome, despite the presence of phosphatidylglycerol.

Question 2 of 5

The physician's notes state that a client with cocaine addiction has formication. The nurse recognizes that the client has:

Correct Answer: A

Rationale: Formication is a tactile hallucination, often described as feeling bugs crawling on the skin, commonly associated with cocaine use.

Question 3 of 5

An ICU nurse is caring for a client receiving total parenteral nutrition (TPN) via IV. The client's infusion ended 2 hours ago and the pharmacy has not yet sent another bag. The client is diaphoretic, tachycardic, and states he feels weak, dizzy, and fatigued. The nurse suspects

Correct Answer: D

Rationale: Abrupt cessation of TPN can cause hypoglycemia due to persistent insulin secretion, leading to diaphoresis, tachycardia, weakness, and dizziness.

Question 4 of 5

A 2-year-old is hospitalized with a diagnosis of Kawasaki's disease. A severe complication of Kawasaki's disease is:

Correct Answer: D

Rationale: Kawasaki's disease can lead to coronary artery aneurysms, a severe complication that may cause myocardial infarction or rupture.

Question 5 of 5

The nurse is working with mothers and newborns. When educating a new mother about security measures to protect her infant, which of the following should the nurse include?

Correct Answer: C

Rationale: Notifying the nurse about anyone removing the infant (
C) enhances security. Unattended time (
A), hospital attire (
B), or ID alone (
D) are not sufficient safeguards.

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A diabetic multigravida is scheduled for an amniocentesis at 32 weeks gestation to determine the L/S ratio and phosphatidyl glycerol level. The L/S ratio is 1:1 and the presence of phosphatidylglycerol is noted. The nurse's assessment of this data is:
The nurse is caring for a client with diabetes mellitus, type 1. Which of the following signs and symptoms are indicative of diabetic ketoacidosis? Select all that apply.

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