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Questions 160

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Question 1 of 5

Which instruction regarding rescue breathing is important to include in the parent-teaching plan when a newborn is at risk for sudden infant death syndrome (SIDS)?

Correct Answer: B

Rationale: For infant rescue breathing, covering the nose and mouth and blowing just enough air to make the chest rise ensures effective ventilation without overinflation.

Question 2 of 5

A client with a history of anxiety is prescribed lorazepam (Ativan). Which instruction should the nurse include?

Correct Answer: A

Rationale: Lorazepam causes drowsiness, making driving unsafe.

Question 3 of 5

Which culturally sensitive nursing technique is best for determining whether a male Jewish client follows the religious orthodox customs?

Correct Answer: B

Rationale: Inquiring about dietary preferences (e.g., kosher laws) is a sensitive way to assess adherence to Orthodox Jewish customs.

Question 4 of 5

A 6-year-old child has just had placement of bilateral myringotomy tubes. As the parents prepare for discharge, the nurse correctly includes which instruction in the child's discharge plan?

Correct Answer: C

Rationale: Earplugs prevent water entry during swimming or showering, reducing the risk of infection in ears with myringotomy tubes.

Question 5 of 5

The noon blood glucose level of a client with type 1 diabetes mellitus is 250 mg/dL. The physician orders a sliding-scale insulin regimen based on the client's blood glucose level. The order reads, 'Give regular insulin using the following scale: 0 to 140 mg/dL: None; 141 to 200 mg/dL: 2 units; 201 to 250 mg/dL: 4 units; 251 to 300 mg/dL: 6 units; 301 to 350 mg/dL: 8 units; 351 to 400 mg/dL: 10 units; Over 400 mg/dL: Notify physician.' How many units of insulin should the nurse plan to give?

Correct Answer: B

Rationale: A blood glucose of 250 mg/dL corresponds to 4 units of regular insulin per the sliding-scale order.

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