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Questions 164

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Extract:

Laboratory reference ranges
Glucose (fasting)

70-110 mg/dL
(3.9-6.1 mmol/L)


Question 1 of 5

Which of the following tasks can the nurse assign to an unlicensed assistive personnel (UAP)?

Correct Answer: D

Rationale: Taking vital signs is within UAP scope. First-time ambulation , hypoglycemia , and teaching require nursing judgment.

Extract:


Question 2 of 5

The nurse is caring for an adult who had a cerebrovascular accident. The nurse gives the client a washcloth and encourages the client to wash her face. The client looks at the washcloth as though she does not know what to do with it. The nurse knows that this indicates that the client has which of the following?

Correct Answer: C

Rationale: Agnosia is the inability to recognize objects, like a washcloth, despite intact sensory function, common post-CVA, unlike apraxia (motor planning), aphasia (language), or dysarthria (speech articulation).

Extract:

Laboratory reference ranges
Glucose (fasting)

70-110 mg/dL
(3.9-6.1 mmol/L)


Question 3 of 5

Which of the following tasks can the nurse assign to an unlicensed assistive personnel (UAP)?

Correct Answer: D

Rationale: Taking vital signs is within UAP scope. First-time ambulation , hypoglycemia , and teaching require nursing judgment.

Extract:


Question 4 of 5

Which oxygen delivery system would the nurse apply that would provide the highest concentrations of oxygen to the client?

Correct Answer: C

Rationale: Non-rebreather mask. The non-rebreather mask has a one-way valve that prevents exhaled air from entering the reservoir bag and one or more valves covering the air holes on the face mask itself to prevent inhalation of room air but to allow exhalation of air. When a tight seal is achieved around the mask up to 100% of the oxygen is available.

Question 5 of 5

The nurse is caring for a 10-year-old client with osteomyelitis. Which of the following actions should the nurse take to promote age-appropriate growth and development during hospitalization?

Correct Answer: A

Rationale: Schoolwork supports cognitive development for a 10-year-old. Imaginary play suits younger children, last-minute explanations increase anxiety, and independent play may not meet social needs.

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