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Question 1 of 5

Which nursing action is most appropriate when a chest tube is inadvertently pulled from its insertion site?

Correct Answer: A

Rationale: Covering the opening prevents air entry, reducing the risk of pneumothorax until medical intervention is available.

Question 2 of 5

The nurse reviews the laboratory results exhibited of the client hospitalized with testicular cancer. Which conclusion by the nurse is most accurate?

Question Image

Correct Answer: D

Rationale: A. The WBCS are WNL; there is no indication of a developing infection. B. There is no information in the stem about nutritional intake and the serum albumin or prealbumin is not reported in the laboratory results to make a judgment about Whether the client's nutrient intake is inadequate. C. The elevated glucose level is likely related to the body's physiological response to stress. D. The decreased Hgb indicates anemia, and the liver enzymes are elevated (AST, ALT). These changes occur when testicular cancer has metastasized.

Question 3 of 5

Which nursing action is most appropriate when a chest tube is inadvertently pulled from its insertion site?

Correct Answer: A

Rationale: Covering the opening prevents air entry, reducing the risk of pneumothorax until medical intervention is available.

Question 4 of 5

A client with a fractured femur is in skeletal traction. Which nursing action is essential to prevent complications?

Correct Answer: A

Rationale: Weights must hang freely to maintain proper traction and alignment of the fracture.

Question 5 of 5

The nurse is caring for a client with a history of diverticulitis. Which dietary instruction is most appropriate?

Correct Answer: B

Rationale: Foods with seeds or nuts can irritate diverticula, increasing the risk of flare-ups.

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The nurse is assessing a postmenopausal woman for evidence of heart disease- Which factor contributes to the client's increased risk for heart disease after menopause?
A client is brought to the emergency department by a friend who states that the client has attempted suicide. When assessing a client who has attempted suicide by taking an overdose of medication, which question is most appropriate?
Which assessment finding provides the best evidence that a client with a long history of smoking is experiencing respiratory difficulty?
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?

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