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Questions 158

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Question 1 of 5

Before completing a nursing diagnosis, the nurse must first:

Correct Answer: B

Rationale: Assessment is the first step of nursing process.

Question 2 of 5

In assessing the nature of the stool of a client who has cystic fibrosis, what would the nurse expect to see?

Correct Answer: B

Rationale: Clay-colored stools indicate dysfunction of the liver or biliary tract. In the early stages of cystic fibrosis, fat absorption is primarily affected resulting in fat, foul, frothy, bulky stools. Dark brown stools indicate normal passage through the colon. Blood-tinged stools indicate dysfunction of the gastrointestinal (GI) tract.

Question 3 of 5

The nurse is preparing to administer oral potassium chloride to an elderly client. Which action should the nurse take before administering the medication?

Correct Answer: D

Rationale: Potassium chloride can worsen renal function in elderly clients. Checking the creatinine level assesses kidney function to ensure safe administration. Glucose hypocalcemia and withholding food are not directly related to potassium administration.

Question 4 of 5

The nurse is caring for a client with a diagnosis of postpartum depression. Which intervention is most appropriate?

Correct Answer: A

Rationale: Postpartum depression requires mental health intervention such as referral to a psychiatrist for therapy or medication. Antibiotics fetal monitoring and tocolytics are irrelevant to this condition.

Question 5 of 5

The nurse is preparing to administer regular insulin by continuous IV infusion to a client with diabetic ketoacidosis. The nurse should:

Correct Answer: D

Rationale: Regular insulin for IV infusion should be diluted in normal saline to ensure compatibility and prevent adsorption to IV tubing. Dextrose is inappropriate during DKA, and flushing with insulin wastes medication.

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