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Questions 149

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Question 1 of 5

If a client has had repair of a right fractured hip and has an overhead trapeze on the bed to assist with movement, which of the following instructions should the client receive about use of the assistive device? Select all that apply.

Correct Answer: A,C

Rationale: Using both hands on the trapeze (
A) and flexing the left leg (
C) assist safe movement post-right hip repair. Using one hand (
B) or keeping the leg extended (
D) is less effective.

Question 2 of 5

The client is admitted to the postpartum unit with an order to continue the infusion of Pitocin. The nurse is aware that Pitocin is working if the fundus is:

Correct Answer: B

Rationale: A firm and midline fundus indicates effective uterine contraction, showing Pitocin is working to prevent postpartum hemorrhage.

Question 3 of 5

A patient is admitted to the surgical unit with a diagnosis of rule out intestinal obstruction. The nurse is preparing to insert a Salem sump NG tube as ordered. In which of the following positions would it be BEST for the nurse to place this patient during the procedure?

Correct Answer: B

Rationale: facilitates swallowing and movement of tube through GI tract

Question 4 of 5

The nurse is assessing a client with suspected dehydration. Which of the following findings would the nurse expect?

Correct Answer: B

Rationale: dry mucous membranes and tented skin are signs of dehydration due to fluid loss

Question 5 of 5

The home health care nurse is caring for a 30-year-old woman with type I diabetes mellitus. The client has been maintained on a regimen of NPH and regular insulin and a 1,800-calorie diabetic diet with normal blood sugar levels. Morning self-monitoring blood sugar (SMBG) readings the past two days were 205 mg/dL and 233 mg/dL. The nurse expects the physician to

Correct Answer: B

Rationale: dawn phenomena, treatment is to adjust evening diet, bedtime snack, insulin dose, and exercise to prevent early morning hyperglycemia

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