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Questions 163

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Extract:

Laboratory reference ranges
Phosphate
3.0–4.5 mg/dL
(0.97–1.45 mmol/L)
Platelets
150,000–400,000/mm3
(150–400 × 109/L)
Magnesium
1.3–2.1 mEq/L
(0.65–1.05 mmol/L)
Hemoglobin A1c
4.0%–5.9%

Good diabetic control
<7%
Fair diabetic control
8%-9%
Poor diabetic control
>9%


Question 1 of 5

The nurse is preparing to administer scheduled medications to assigned clients. Which of the following medications should the nurse hold for clarification prior to administering?

Correct Answer: C

Rationale: Clopidogrel increases bleeding risk in a client with low platelets (70,000/mm³), requiring clarification. The other medications align with the clients' conditions.

Extract:


Question 2 of 5

The nurse is caring for a client who has type 2 diabetes mellitus and an elevated hemoglobin A1c. Which statement by the nurse will best address this result?

Correct Answer: B

Rationale: Elevated A1c reflects poor glycemic control over months, so reviewing diet, exercise, and medications is most relevant. Other options are less comprehensive.

Question 3 of 5

The nurse is talking by telephone with a parent of a 4 year-old child who has chickenpox. Which of the following demonstrates appropriate teaching by the nurse?

Correct Answer: C

Rationale: Supples, vesicles, and crusts will be present at one time. Chickenpox lesions appear in multiple stages simultaneously.

Question 4 of 5

The nurse is working to prevent falls in a restraint-free environment. Which of the following is inappropriate for the nurse to delegate to assistive personnel?

Correct Answer: C

Rationale: Assessing safety needs requires nursing judgment, inappropriate for delegation to assistive personnel, unlike routine tasks like bed positioning.

Question 5 of 5

The nurse is talking with a 74-year-old client with previously well-controlled hypertension. The client currently has a blood pressure of 190/88 mm Hg and has had a cold with nasal congestion for the past 3 days. Which of the following questions would be most important for the nurse to ask?

Correct Answer: B

Rationale: OTC cold medications (e.g., decongestants) can elevate blood pressure, explaining the sudden increase, making this the most important question.

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