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Questions 157

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Question 1 of 5

The client with chronic pancreatitis is admitted with an acute exacerbation of the disease. Which laboratory result warrants immediate intervention by the nurse?

Correct Answer: C

Rationale: Elevated glucose in pancreatitis risks DKA or complications, requiring immediate insulin or HCP notification.

Question 2 of 5

The nurse observes the unlicensed assistive personnel (UAP) taking vital signs on an unconscious client. Which action by the UAP warrants intervention by the nurse?

Correct Answer: B

Rationale: Oral temperature in an unconscious client risks injury or inaccuracy; rectal or tympanic is preferred, warranting intervention.

Question 3 of 5

Which laboratory result warrants immediate intervention by the nurse for the female client diagnosed with systemic lupus erythematosus (SLE)?

Correct Answer: D

Rationale: Elevated WBC (15,000) suggests infection or flare in SLE, requiring immediate intervention due to immunosuppression.

Question 4 of 5

The unlicensed assistive personnel asked the wound care nurse why a client has cabbage leaves on the wound. Which statement would be the best response by the nurse?

Correct Answer: A

Rationale: Cabbage leaves have documented anti-inflammatory properties, used in folk medicine. Calling it ignorance, placebo, or only moisture is dismissive or inaccurate.

Question 5 of 5

The client in the long-term care facility has severe osteoarthritis. Which nursing task should the nurse delegate to the unlicensed assistive personnel (UAP)?

Correct Answer: D

Rationale: Assisting to the shower is within UAP scope, supporting mobility in osteoarthritis, unlike medication or lab monitoring.

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