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Question 1 of 5

The nurse is infusing total parenteral nutrition (TPN). The primary purpose for closely monitoring the client's intake and output is:

Correct Answer: D

Rationale: Monitoring intake and output during TPN helps prevent fluid overload, a risk due to the high volume and osmolarity of the solution.

Question 2 of 5

A client is admitted to the unit 2 hours after an explosion causes burns to the face. The nurse would be most concerned with the client developing which of the following?

Correct Answer: B

Rationale: Facial burns increase the risk of laryngeal edema due to inhalation injury, which can compromise the airway and is the most immediate concern.

Question 3 of 5

A client is to be discharged with a tracheostomy. Which of the following should the nurse most stress when educating the client about home management? Select all that apply.

Correct Answer: B,D

Rationale: Pulmonary hygiene (
B) and tracheostomy care (
D) are critical to prevent infections and maintain airway patency. Bowel care (
A), supplements (
C), and exercise (E) are secondary.

Question 4 of 5

A client with diabetes mellitus has a prescription for Glucotrol XL (glipizide). The client should be instructed to take the medication:

Correct Answer: B

Rationale: Glucotrol XL (glipizide) is an oral hypoglycemic agent that works best when taken with breakfast to manage blood glucose levels throughout the day.

Question 5 of 5

A 23-year-old man is admitted with a subdural hematoma and cerebral edema after a motorcycle accident. Which of the following symptoms should the nurse expect to see INITIALLY?

Correct Answer: D

Rationale: may be confused and stuporous

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The nurse is preparing a middle-aged female for a total knee replacement (TKR) surgery on her left leg tomorrow. Which statement by the nurse is incorrect?
A client with pancreatic cancer has an infusion of TPN (Total Parenteral Nutrition). The doctor has ordered for sliding-scale insulin. The most likely explanation for this order is:
The nurse is administering afternoon medications, which include an antihypertensive med and aspirin for pain relief. Which of the following should the nurse do first before administering the medications?
The nurse is caring for a client who has verbalized the desire to commit suicide. He has a detailed, concrete plan in place. The nurse places the client on suicide precautions, which include assigning the client a 24-hour sitter. The client becomes angry and refuses the sitter. Which action by the nurse is the most appropriate?

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