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Extract:

The importance of monitoring blood sugar, activity level, and insulin doses is to


Question 1 of 5

adjust the activity level based on the blood sugar level.

Correct Answer: B

Rationale: If a patient injects too much insulin, exercises too much in relation to carbohydrate consumed, or does not eat enough or at the appropriate times, the blood glucose level can fall low enough to cause hypoglycemia. Adjusting diet and insulin doses based on activity level helps maintain balance.

Extract:


Question 2 of 5

A client on warfarin therapy following coronary artery stent placement calls the clinic to ask if he can take Alka-Seltzer for an upset stomach. What is the best response by the nurse?

Correct Answer: A

Rationale: Avoid Alka-Seltzer because it contains aspirin. Alka-Seltzer is an over-the-counter aspirin-antacid combination. Aspirin, an antiplatelet drug, will potentiate the anticoagulant effect of warfarin, which may result in excess bleeding.

Question 3 of 5

A woman has just started receiving external radiation therapy. When the nurse enters the client's room, she notes that the client is scrubbing the area vigorously with soap and water. When asked about her actions, the woman replies that she is trying to get rid of the ugly purple marks. What is the best action for the nurse at this time?

Correct Answer: A

Rationale: Radiation marks guide precise targeting; explaining their necessity prevents removal and ensures effective treatment.

Question 4 of 5

The nurse is caring for a client with a history of schizophrenia who is experiencing auditory hallucinations. Which of the following interventions is MOST appropriate?

Correct Answer: B

Rationale: Listening to music with headphones can distract from auditory hallucinations, reducing their intensity. Arguing (
A) increases agitation, ignoring voices (
C) is ineffective, and administering medication (
D) is appropriate but not the most immediate non-pharmacologic intervention.

Extract:

The incidence of spinal cord defects/ neural tube defects such as meningomyelocele


Question 5 of 5

The incidence of spinal cord defects/ neural tube defects such as meningomyelocele has decreased because

Correct Answer: B

Rationale: Folic acid supplementation reduces neural tube defects by supporting neural tube closure.

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