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Question 1 of 5

The telemetry nurse is monitoring the following clients. Which client should the telemetry nurse instruct the primary nurse to assess first?

Correct Answer: C

Rationale: Multifocal PVCs post-MI indicate higher arrhythmia risk, requiring urgent assessment, per ACLS guidelines.

Question 2 of 5

The client with type 1 diabetes asks the nurse, 'What causes me to get dehydrated when my glucose level is elevated?' Which statement would be the nurse's best response?

Correct Answer: B

Rationale: Hyperglycemia causes osmotic diuresis, pulling fluid from tissues, leading to dehydration.

Question 3 of 5

The nurse is preparing the plan of care for the client diagnosed with migraine headaches. Which information regarding complementary therapies should the nurse include in this plan?

Correct Answer: D

Rationale: Aromatic oils may trigger migraines; avoiding them is key in complementary therapy for migraine management. Therapeutic touch, autogenic therapy, and massage are less specific.

Question 4 of 5

Which signs/symptoms should the nurse expect to assess in the client diagnosed with Addison's disease?

Correct Answer: A

Rationale: Addison’s causes cortisol deficiency, leading to hypotension and bronze pigmentation, classic symptoms.

Question 5 of 5

Which expected outcome should be included in the plan of care for a postoperative client practicing guided imagery?

Correct Answer: B

Rationale: Guided imagery reduces pain perception, so a decreased pain score is the expected outcome. WBC count, urine output, and dressing drainage are unrelated.

Similar Questions

The nurse and the unlicensed assistive personnel (UAP) are caring for a client who is anxious. Which task should the nurse delegate to the UAP?
Which medical client problem should the nurse include in the plan of care for a client diagnosed with cardiomyopathy?
When interviewing the client of Hindu heritage, which information should the nurse obtain to plan culturally sensitive care?
The nurse is assisting the client diagnosed with chronic pain to identify methods of complementary and alternative medicine (CAM). Which would indicate an expected outcome was achieved?
The nurse assessing an elderly client diagnosed with chronic obstructive pulmonary disease notes purple, round, nontender areas on the client's back. Which question should the nurse ask the client?

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