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Question 1 of 5

The nurse is teaching a newly diagnosed asthma client on how to use a peak flow meter. The nurse explains that this should be used to

Correct Answer: B

Rationale: The peak flow meter is used to measure peak expiratory flow volume. It provides useful information about the presence and/or severity of airway obstruction.

Question 2 of 5

A woman is admitted with Hodgkin's disease. Which does the nurse expect the client to report?

Correct Answer: A

Rationale: Hodgkin's disease typically presents with painless swollen lymph nodes, a hallmark symptom the nurse should expect.

Question 3 of 5

A postoperative client is having difficulty voiding. Palpation of the bladder indicates that the bladder is full. What should the nurse do initially?

Correct Answer: B

Rationale: Pouring water over the perineum stimulates the micturition reflex, aiding voiding non-invasively. Catheterization, breathing, or pain medication are secondary.

Question 4 of 5

Which of the following behaviors is characteristic of the client with schizoid personality disorder?

Correct Answer: C

Rationale: Social detachment is a key characteristic of schizoid personality disorder, with individuals preferring solitude and showing little interest in relationships.

Question 5 of 5

The nurse is reinforcing teaching about hypoglycemia with a group of clients who have type 1 diabetes mellitus. Which of the following should the nurse include as signs or symptoms of hypoglycemia? Select all that apply.

Correct Answer: A, C, E

Rationale: Diaphoresis (
A), pallor (
C), and trembling (E) are signs of hypoglycemia due to sympathetic activation. Flushing (
B) and polyuria (
D) are not typical.

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The nurse caring for a 2-year-old client should expect the child to be able to perform which of the following actions? Select all that apply.
Postoperative orders for a client undergoing a mitral valve replacement include monitoring pulmonary artery pressure together with pulmonary capillary wedge pressure with a pulmonary artery catheter. The purpose of these actions by the nurse is to assess
The nurse administers subcutaneous insulin lispro at 0730 to a client as prescribed and the client consumes breakfast 30 minutes later. At what time is the client at highest risk for experiencing insulin-related hypoglycemia?

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