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Questions 227

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Extract:


Question 1 of 5

The nurse observes bilateral bruises on the arms of an elderly client in a long-term care facility. Which of the following questions should the nurse ask this client?

Correct Answer: B

Rationale: Directly asking about potential abuse (e.g., grabbing) is appropriate to investigate suspected elder abuse, as bilateral arm bruises suggest gripping. Less specific questions may not elicit critical information. Psychosocial Integrity

Extract:

While retrieving her voice messages, the public health nurse received a call from the patient who is receiving short acting insulin for her diabetes. The patient states, 'I know I have a severely low sugar since the regular insulin was given 3 hours ago and it peaks in 2 hours.'


Question 2 of 5

When the nurse returns the call, the first question she will ask the patient would be?

Correct Answer: B

Rationale: Hypoglycemia is likely if the patient has not eaten post-insulin, making this the priority question to assess the cause.

Extract:


Question 3 of 5

Which medication is more helpful in treating bulimia than anorexia?

Correct Answer: C

Rationale: In contrast to anorexics, individuals with bulimia are troubled by their behavioral characteristics and become depressed. The person feels compelled to binge, purge, and fast. Feeling helpless to stop the behavior, feelings of self-disgust occur.

Question 4 of 5

A client with a peptic ulcer had a partial gastrectomy and vagotomy (Billroth I). In planning the discharge teaching, the client should be cautioned by the nurse about which of the following?

Correct Answer: D

Rationale:
To prevent dumping syndrome post-gastrectomy, clients should avoid large meals high in simple sugars and liquids, which can cause rapid gastric emptying. Clients should recline for 30 minutes after eating (not sit up,
A), drink fluids between meals (not avoid,
B), and reduce carbohydrate intake (not increase,
C).

Extract:

If Larissa, an IDDM, is in acute ketoacidosis


Question 5 of 5

The nurse would expect to see which of the following group of symptoms?

Correct Answer: A

Rationale: Ketoacidosis presents with vomiting, thirst, diuresis, and risk of coma due to metabolic acidosis.

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