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Questions 148

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Question 1 of 5

The nurse is caring for a client with a cerebrovascular accident (CVA) who is complaining of being nauseated and is requesting an emesis basin. Which action would the nurse take first?

Correct Answer: C

Rationale: Turning the client to one side prevents aspiration, a risk in CVA patients with nausea due to impaired swallowing or consciousness. This is the priority before other actions.

Question 2 of 5

If a group includes only members selected on a specific basis, such as women with a history of domestic or partner abuse, how is this type of group classified?

Correct Answer: A

Rationale: A group with members sharing a specific characteristic, like domestic abuse history, is homogeneous (
A). Closed (
B) refers to membership limits, heterogeneous (
C) to diversity, and task (
D) to purpose.

Question 3 of 5

A 60-year-old diabetic is taking glyburide (Diabeta) 1.25 mg daily to treat Type II diabetes mellitus. Which statement indicates the need for further teaching?

Correct Answer: C

Rationale: Skipping meals while on glyburide increases hypoglycemia risk, indicating a need for further teaching.

Question 4 of 5

A client with newly diagnosed type I diabetes mellitus is being seen by the home health nurse. The physician orders include: 1,200-calorie ADA diet, 15 units of NPH insulin before breakfast, and check blood sugar qid. When the nurse visits the client at 5 PM, the nurse observes the man performing a blood sugar analysis. The result is 50 mg/dL. The nurse would expect the client to be

Correct Answer: A

Rationale: symptoms of hypoglycemia, normal blood sugar 70-110 mg/dL

Question 5 of 5

The nurse administers 6 units of Humalog (lispro) insulin sub-q to a client at 8:30 a.m. The nurse knows to reassess the client and check for a possible hypoglycemic reaction at

Correct Answer: B

Rationale: Humalog (lispro) is rapid-acting insulin with a peak effect at 1-2 hours. Checking at 9:30 a.m. (1 hour post-administration) aligns with the onset of action to monitor for hypoglycemia.

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