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Question 1 of 5

Pregnant women with diabetes often have problems related to the effectiveness of insulin in controlling their glucose levels during their second half of pregnancy. The nurse teaches the client that this is due to:

Correct Answer: D

Rationale: There is a rise in glomerular filtration rate in the kidneys in conjunction with decreased tubular glucose reabsorption, resulting in glycosuria. Insulin is inhibited by increased levels of estrogen. Insulin is inhibited by increased levels of progesterone. Human placental lactogen levels increase later in pregnancy. This hormonal antagonist reduces insulin's effectiveness, stimulates lipolysis, and increases the circulation of free fatty acids.

Question 2 of 5

The nurse is caring for a client with a history of Parkinson’s disease. The nurse should give priority to:

Correct Answer: A

Rationale: Parkinson’s disease causes bradykinesia and rigidity, increasing fall risk, so monitoring for falls is the priority.

Question 3 of 5

Assuming that all have achieved normal cognitive and emotional development, which of the following children is at greatest risk for accidental poisoning?

Correct Answer: B

Rationale: Four-year-olds are at greatest risk for accidental poisoning due to their curiosity, increased mobility, and ability to access household items, combined with limited understanding of danger. One-year-olds have less mobility, while eight- and twelve-year-olds have better cognitive awareness to avoid hazards.

Question 4 of 5

The nurse is caring for an eight-year-old following a routine tonsillectomy. Which finding should be reported immediately?

Correct Answer: D

Rationale: Respiratory stridor post-tonsillectomy suggests airway obstruction, a life-threatening complication requiring immediate reporting. The other findings are normal or less urgent.

Question 5 of 5

The nurse is caring for a client with a diagnosis of hepatitis who is experiencing pruritis. Which would be the most appropriate nursing intervention?

Correct Answer: B

Rationale: Adding baby oil to bath water moisturizes skin, relieving pruritus in hepatitis. Warm showers (
A) and hot rinses (
D) may worsen itching, and powder (
C) can dry skin further.

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