Correct Answer: C

Rationale: In managing a client with Type 2 diabetes experiencing frequent hyperglycemic episodes and with a high A1C level, it is crucial to coordinate carbohydrate-controlled meals and subcutaneous injections. This approach helps regulate blood glucose levels effectively. Mixing glargine with aspart insulin (
Choice
A) is not a recommended practice as these insulins have different onset and peak times. Teaching foot care (
Choice
B) is important in diabetes management but is not the priority in this scenario. Reviewing site rotation for insulin injections (
Choice
D) is important to prevent lipodystrophy but is not the immediate action needed to address the client's hyperglycemia and high A1C level.

Correct Answer: A

Rationale: The correct answer is to prepare to administer protamine sulfate. Abdominal pain and tarry stools are indicative of gastrointestinal bleeding, a serious side effect of heparin therapy. Protamine sulfate is the antidote for heparin and is used to reverse its effects in cases of bleeding. Continuing the heparin infusion (
Choice
B) is not appropriate when the client is experiencing signs of bleeding. Monitoring vital signs and assessing abdominal pain (
Choice
C) is important but not the priority when immediate action is required to address potential bleeding. Administering morphine sulfate (
Choice
D) is not the priority in this situation; addressing the underlying cause of bleeding takes precedence.

Correct Answer: B

Rationale: The correct answer is B. Clients with duodenal ulcers should avoid spicy foods and alcohol as they can exacerbate symptoms and delay healing.
Choice A is incorrect because while antacids may help with symptoms, they are not the primary focus of medication teaching for duodenal ulcers.
Choice C is not directly related to medication teaching for duodenal ulcers unless antibiotics are specifically prescribed.
Choice D is incorrect as stopping all food intake is not recommended and can lead to other complications.

Correct Answer: A

Rationale: The correct answer is to evaluate the closest proximal pulse when assessing tissue perfusion post-above knee amputation (AK
A). Checking the closest proximal pulse provides the best indication of tissue perfusion in the extremities after an AKA procedure. Observing the color and amount of wound drainage (
Choice
B) is important for wound care but does not directly assess tissue perfusion. Observing for swelling around the stump (
Choice
C) may indicate inflammation or fluid accumulation but is not the most direct way to assess tissue perfusion. Assessing the skin elasticity of the stump (
Choice
D) is more related to skin integrity and wound healing rather than tissue perfusion.

Correct Answer: C

Rationale: When children are hospitalized, it is common for them to regress in toileting behaviors due to the unfamiliar environment and stress. It is important for the nurse to provide reassurance to the parents in such situations. Option A is incorrect because suggesting neurological complications without evidence could cause unnecessary alarm. Option B is not the most appropriate response as the focus should be on explaining the common regression in toileting. Option D may not address the underlying reasons for the regression and may not be practical during the hospital stay.