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Questions 158

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Extract:


Question 1 of 5

The nurse is caring for a client with a history of type 2 diabetes. The nurse should expect the client to have:

Correct Answer: A

Rationale: Type 2 diabetes causes hyperglycemia, leading to polyuria due to osmotic diuresis.

Question 2 of 5

Which of the following would the nurse expect to find following respiratory assessment of a client with advanced emphysema?

Correct Answer: A

Rationale: Distant breath sounds are characteristic of emphysema due to increased anteroposterior chest diameter, overdistention, and air trapping.

Question 3 of 5

Which client should be assigned to the nursing assistant?

Correct Answer: C

Rationale: The elderly client four days post-thyroidectomy is stable and suitable for a nursing assistant’s care (e.g., basic hygiene, ambulation). The other clients require skilled nursing due to critical conditions (cervical fracture, meningitis, recent thoracotomy).

Question 4 of 5

Which task should be delegated to the licensed practical nurse?

Question Image

Correct Answer: A, B, D, E

Rationale: LPNs can administer subcutaneous heparin (
A), feed via PEG tube (
B), monitor chest tubes (
D), and perform tracheostomy care (E). Removing a PICC line (
C) requires RN-level expertise due to potential complications.

Question 5 of 5

A client is having a pneumonectomy done today, and the nurse is planning her postoperative care. Nursing interventions for a postoperative left pneumonectomy would include:

Correct Answer: D

Rationale: Monitoring the right lung for an increase in rales is essential to detect early signs of fluid accumulation or infection in the remaining lung.

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