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Questions 227

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Extract:


Question 1 of 5

The licensed practical nurse is caring for a client with congestive heart failure. The nurse should immediately report the presence of:

Correct Answer: A

Rationale: Pink, frothy sputum indicates pulmonary edema, a life-threatening complication of CHF requiring immediate reporting. Edema, shortness of breath, and weak pulses are expected but less urgent.

Extract:

Rosemarie is 24 years old, G1P0, admitted with a diagnosis of Multiple Sclerosis.


Question 2 of 5

The nurse observes indications of positive response from treatments and signs that the patient is recovering from the disease by which of the following assessment data?

Correct Answer: D

Rationale: Multiple Sclerosis temporarily affects both sensory and motor functions. Being able to walk with a stable gait is a sign that the motor function is returning to normal.

Extract:


Question 3 of 5

A client diagnosed with Borderline Personality Disorder frequently attempts to burn herself. The best intervention to facilitate behavior change is:

Correct Answer: B

Rationale: The challenge when intervening with clients who might harm themselves is to maintain client safety while facilitating behavior change. Enlisting the client to identify the triggers for self-harm makes the client an active participant in treatment.

Question 4 of 5

A nurse is administering insulin lispro (Humalog) to a patient with diabetes mellitus. Which of the following statements indicates the patient understands the medication?

Correct Answer: C

Rationale: Insulin lispro is a rapid-acting insulin administered immediately before meals to control postprandial glucose. Other timings disrupt glycemic control.

Extract:

Polyuria:


Question 5 of 5

Polyuria:

Correct Answer: B

Rationale: Polyuria is excessive or frequent urination, often seen in diabetes.

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