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Extract:


Question 1 of 5

Dual diagnosis indicates that there is a substance abuse problem as well as a

Correct Answer: B

Rationale: Dual diagnosis is the concurrent presence of a major psychiatric disorder and chemical dependence.

Extract:

A 35-year-old male has been an insulin-dependent diabetic for five years and now is unable to urinate.


Question 2 of 5

Which of the following would you most likely suspect?

Correct Answer: C

Rationale: Autonomic neuropathy can impair bladder function, causing urinary retention in long-term diabetes.

Extract:


Question 3 of 5

A client is being admitted with a diagnosis of possible pancreatitis. Which of the following is the best support for this diagnosis?

Correct Answer: C

Rationale: The client's amylase level is elevated above the normal level of 200 U/L. This measurement is the most accurate indicator of pancreatitis and the most objective and specific. The answers in A, B, and D are also clinical manifestations of pancreatitis, but are not as specific as the laboratory value, so they are incorrect choices.

Extract:

Priority nursing diagnosis on the patient who was admitted with acute renal failure


Question 4 of 5

Priority nursing diagnosis on the patient who was admitted with acute renal failure would be:

Correct Answer: C

Rationale: Fatigue due to altered nutrition is a priority in acute renal failure as it reflects metabolic imbalances and nutritional deficits.

Extract:


Question 5 of 5

The nurse is caring for a client receiving total parenteral nutrition (TPN). Which of the following findings would indicate a complication of TPN therapy?

Correct Answer: B

Rationale: A blood glucose level of 200 mg/dL indicates hyperglycemia, a common TPN complication due to high dextrose content, requiring insulin adjustment or rate change. Weight gain (
A) is expected, low-grade fever (
C) is nonspecific, and normal urine output (
D) is unremarkable.

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