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Questions 164

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Extract:

Laboratory results

Cholesterol
<200 mg/dL
(5.2 mmol/L)
220 mg/dL
(5.7 mmol/L)


Question 1 of 5

The nurse is collecting data from a client during a routine physical examination. Which of the following findings would be most important to report to the health care provider?

Correct Answer: B

Rationale: Brownish skin thickening on the neck may indicate acanthosis nigricans, associated with insulin resistance or diabetes, requiring prompt reporting.

Extract:


Question 2 of 5

The nurse is talking with the parent of a pediatric client with type 1 diabetes mellitus who has influenza. Which of the following statements by the parent would require follow-up?

Correct Answer: D

Rationale: Decreasing insulin during illness can lead to hyperglycemia or ketoacidosis, as insulin needs may increase.

Question 3 of 5

A 4-year old is scheduled for a routine tonsillectomy. Which of the following lab findings should be reported to the doctor?

Correct Answer: C

Rationale: A white cell count of 16,000 is elevated, suggesting infection, which must be reported before surgery. Hemoglobin , platelets , and urine specific gravity are normal.

Question 4 of 5

A woman who is 32 weeks gestation comes to her physician's office. Which finding is of most concern to the office nurse?

Correct Answer: C

Rationale: Periorbital swelling at 32 weeks suggests preeclampsia, a serious condition requiring immediate evaluation. Trace glucose, 4-lb weight gain, or ankle edema are less concerning.

Question 5 of 5

The nurse is reinforcing instructions to a client on collection of a sputum specimen for culture and sensitivity. Which of the following client statements indicate that teaching has been effective? Select all that apply.

Correct Answer: A,B,C,E

Rationale: Rinsing the mouth, avoiding contamination, deep coughing, and sitting upright ensure a quality specimen. Morning collection is preferred for higher yield.

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