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Questions 149

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Extract:


Question 1 of 5

The nurse is preparing to administer regular insulin by continuous IV infusion to a client with diabetic ketoacidosis. The nurse should:

Correct Answer: B

Rationale: Flushing the IV tubing with insulin and discarding the first 50 mL prevents insulin binding to the tubing, ensuring accurate dosing.

Question 2 of 5

The nurse is performing discharge teaching on a client at high risk for the development of skin cancer. Which instruction should be included in the client teaching?

Correct Answer: D

Rationale: Wearing sunscreen is a key preventive measure for skin cancer, reducing UV exposure, and should be emphasized in teaching.

Question 3 of 5

An elderly client is returned to her room after an open reduction and internal fixation of the left femoral head after a fracture. It is MOST important for the nursing care plan to include that the client

Correct Answer: D

Rationale: prevents respiratory complications due to immobility following surgery

Question 4 of 5

The physician has diagnosed a client with cirrhosis characterized by asterixis. If the nurse assesses the client with asterixis, he can expect to find:

Correct Answer: A

Rationale: Asterixis is characterized by irregular, flapping movements of the wrist due to hepatic encephalopathy, often seen in cirrhosis.

Question 5 of 5

The obstetrical client decides to have an epidural anesthetic to relieve pain during labor. Following administration of the anesthesia, the nurse should monitor the client for:

Correct Answer: C

Rationale: Epidural anesthesia can cause respiratory depression, requiring close monitoring to ensure patient safety.

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