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Questions 227

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Question 1 of 5

A primary belief of psychiatric mental health nursing is:

Correct Answer: B

Rationale: The belief that every person is worthy of dignity and respect is foundational to psychiatric mental health nursing, emphasizing client-centered care. The other options are also relevant but not the primary belief highlighted here. Psychosocial Integrity

Question 2 of 5

A nurse is caring for a patient with diabetes mellitus who is experiencing hyperglycemia. Which of the following interventions should the nurse implement? (Select all that apply)

Correct Answer: A,B,D,E

Rationale: Insulin corrects hyperglycemia, sugar-free fluids prevent dehydration, monitoring tracks progress, and DKA assessment detects complications. Carbohydrate snacks worsen hyperglycemia.

Question 3 of 5

The nurse is administering terbutaline (Brethine) to a client in labor. Prior to administration of the medication, the nurse assesses the client's pulse to be 144. The nurse's priority action should be to

Correct Answer: A

Rationale: Terbutaline, a tocolytic, can cause maternal tachycardia. A pulse of 144 indicates significant tachycardia, a side effect requiring the medication to be withheld to prevent further cardiovascular strain. Decreasing the dose (
B) is not within nursing scope, administering (
C) ignores the risk, and waiting (
D) delays intervention.

Question 4 of 5

The client is receiving chemotherapy for cancer. Which statement, if made by the client, would indicate that she has accepted the diagnosis and treatment?

Correct Answer: C

Rationale: Wearing scarves suggests acceptance of chemotherapy-induced hair loss, indicating adaptation to treatment and diagnosis.

Question 5 of 5

A client has returned to his room following an esophagoscopy. Before offering fluids, the nurse should give priority to assessing the client's:

Correct Answer: B

Rationale: Assessing the gag reflex is critical post-esophagoscopy to ensure the client can swallow safely, as local anesthesia may impair this reflex.

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