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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

A client diagnosed with stable angina is being discharged home on the cholesterol-lowering drug rosuvastatin. The nurse should reinforce the need to report which symptom?

Correct Answer: D

Rationale: Muscle aches or weakness may indicate myopathy or rhabdomyolysis, serious rosuvastatin side effects. Abdominal discomfort, insomnia, and headaches are less specific.

Question 3 of 5

A client who has Mycoplasma pneumonia needs to go to the radiology department for a chest x-ray. What should the client wear?

Correct Answer: B

Rationale: A surgical mask prevents droplet transmission of Mycoplasma pneumonia during transport, protecting others.

Question 4 of 5

The nurse is administering a tap water enema when the client begins to complain of abdominal cramping. The nurse should:

Correct Answer: B

Rationale: Lowering the enema container slows the flow, reducing cramping. Stopping or withdrawing the tubing is premature, and advancing may worsen discomfort.

Question 5 of 5

The nurse is caring for a client with a fiberglass cast applied to a distal fracture of the right tibia. The client should be able to bear weight on the cast within:

Correct Answer: D

Rationale: Fiberglass casts typically require 24 hours to fully dry and harden before weight-bearing.

Choices A, B, and C are too short for the cast to achieve sufficient strength.

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