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Extract:

Ms. Wilson has undergone total thyroidectomy.


Question 1 of 5

Following surgery, the patient should be observed for signs and symptoms of thyroid storm. Which of the following is consistent with thyroid storm?

Correct Answer: A

Rationale: Tachycardia, such as a heart rate of 180 bpm, is one of the manifestations of thyroid storm, a life-threatening condition.

Extract:


Question 2 of 5

A patient is prescribed prednisone for an inflammatory condition. Which of the following side effects should the nurse monitor for?

Correct Answer: C

Rationale: Prednisone, a corticosteroid, increases blood glucose, causing hyperglycemia, especially in diabetics. Hypoglycemia, weight loss, and hypotension are not typical side effects.

Extract:

When teaching a multigravid client diagnosed with mild preeclampsia about nutritional needs, which of the following types of diet would the nurse discuss?


Question 3 of 5

High-residue diet.

Correct Answer: D

Rationale: A high-protein diet will replace the protein lost in the urine in a patient with pregnancy-induced hypertension (PIH).

Extract:


Question 4 of 5

The nurse is assigned to a client with a radical mastectomy. Which intervention by the nurse demonstrates the concept of caring?

Correct Answer: C

Rationale: Arranging a Reach for Recovery visit offers peer support, addressing emotional and psychological needs, demonstrating caring. Other options are educational but less focused on emotional support.

Question 5 of 5

An 8-year-old admitted with an upper respiratory infection has an order for O2 saturation via pulse oximeter. To ensure an accurate reading, the nurse should:

Correct Answer: D

Rationale: Placing the probe on the finger or earlobe ensures accurate measurement of oxygen saturation, as these areas have good peripheral blood flow. The abdomen is not suitable, recalibration is not routinely required, and waiting 15 minutes is unnecessary.

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