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Questions 148

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Question 1 of 5

The physician has prescribed Novalog insulin for a client with diabetes mellitus. Which statement indicates that the client knows when the peak action of the insulin occurs?

Correct Answer: C

Rationale: Novolog insulin peaks around 1-3 hours after administration, so a snack around 3 PM aligns with the peak to prevent hypoglycemia.

Question 2 of 5

The nurse is teaching the mother of a child with attention deficit disorder regarding the use of Ritalin (methylphenidate). The nurse recognizes that the mother understands her teaching when she states the importance of:

Correct Answer: C

Rationale: Ritalin, a stimulant, can cause side effects like insomnia or agitation, not oversedation. The mother's mention of oversedation indicates a misunderstanding, but the question implies correct teaching, so observing for side effects like overstimulation is key.

Question 3 of 5

The nurse has just received a report from the previous shift. Which of the following clients should the nurse visit first?

Correct Answer: B

Rationale: Shortness of breath post-MVA suggests potential trauma (e.g., pneumothorax), requiring immediate assessment. The other clients' conditions are less acute.

Question 4 of 5

As serum calcium levels rise, which hormone is excreted?

Correct Answer: E

Rationale: Calcitonin (not listed) is secreted by the thyroid to lower high serum calcium. Parathyroid hormone (
D) increases calcium. None of the options are correct.

Question 5 of 5

All of the following are examples of secondary disease prevention EXCEPT

Correct Answer: A

Rationale: Secondary prevention detects/treats disease early (mammograms, syphilis testing, exercise post-MI). Support groups (
A) are tertiary, aiding coping with existing disease.

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