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Questions 149

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Extract:


Question 1 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

Question 2 of 5

The nurse is caring for a client with bipolar disorder. The client has been manipulating some of the staff and other clients in order to get her way. Which actions by the nurse are appropriate in managing this client? Select all that apply.

Correct Answer: A,B,C

Rationale: Appropriate actions include reinforcing positive behaviors (
A), setting clear limits (
B), and role-playing (
C) to promote appropriate interactions. Treating as a friend (
D) or giving gifts (E) blurs boundaries and encourages manipulation.

Question 3 of 5

The nurse arrives at a motorcycle accident and finds the client unresponsive, apneic, and pulseless. After calling for a spectator to help, what would be the nurse's next action?

Correct Answer: B

Rationale: Per ACLS guidelines, for an unresponsive, apneic, pulseless client, start chest compressions immediately after calling for help to restore circulation.

Question 4 of 5

Based on clinical findings, the physician suspects that a 65-year-old client has kidney disease and has ordered a blood-urea-nitrogen (BUN) test. Which of the following results is within normal limits?

Correct Answer: B

Rationale: Normal BUN is 7-20 mg/dL, so 15 mg/dL (
B) is within range. Other values (A, C,
D) are too low or high.

Question 5 of 5

Following a disaster with multiple victims and danger to those present, which group should have priority for protection from injury?

Correct Answer: B

Rationale: Firefighters and police officers (
B) have priority for protection as they are essential for managing the disaster and ensuring safety for others. Victims (
A), bystanders (
C), and healthcare providers (
D) follow in priority.

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