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Questions 164

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Extract:

Laboratory results
Glucose (fasting)
70–110 mg/dL
(3.9–6.1 mmol/L) 126 mg/dL
(7.0 mmol/L)


Question 1 of 5

The nurse in the outpatient clinic is caring for a 40-year-old client with acromegaly. Which of the following findings would be most important to report to the health care provider?

Correct Answer: C

Rationale: S3 and S4 heart sounds indicate heart failure, a serious complication of acromegaly due to cardiac hypertrophy, requiring urgent reporting. Skin changes, glucose levels, and knee pain are expected but less critical.

Extract:


Question 2 of 5

The nurse in the outpatient care facility is caring for a client with metastatic lung cancer who received chemotherapy 3 days ago. The client states, 'I have decided that I do not want to continue treatment.' Which of the following responses would be appropriate for the nurse to make?

Correct Answer: A

Rationale: Acknowledging the decision’s difficulty and notifying the provider respects autonomy and ensures follow-up. Other responses judge, guilt, or deflect the client’s choice.

Question 3 of 5

The nurse reinforces teaching for a client taking atorvastatin to call the health care provider if experiencing which symptom associated with a serious adverse effect of the medication?

Correct Answer: C

Rationale: Muscle aches may indicate myopathy or rhabdomyolysis, serious atorvastatin side effects requiring immediate attention. Diarrhea, headaches, and numbness are less specific or unrelated.

Question 4 of 5

A client is admitted to the coronary care unit with an acute myocardial infarction. The pain associated with acute myocardial infarction results from:

Correct Answer: B

Rationale: Myocardial infarction pain is caused by ischemia of the myocardium due to reduced blood flow, leading to tissue hypoxia.

Question 5 of 5

Which components are used in determining the standards of professional nursing practice? Select all that apply.

Correct Answer: B,C,D

Rationale: Standards are set by professional organizations, institutional policies, and state Nurse Practice Acts. Good intentions and personal customs do not define professional standards.

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