Nasal septum disruption is an indication for over usage of --

Questions 46

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Fundamentals of Nursing Vital Signs Practice Questions Questions

Question 1 of 5

Nasal septum disruption is an indication for over usage of --

Correct Answer: C

Rationale: Cocaine (C) overuse causes nasal septum perforation due to vasoconstriction and tissue necrosis. Other substances (A, B, D) don’t typically affect the septum.

Question 2 of 5

A client with diabetic ketoacidosis (DKA) is receiving an insulin infusion. Which laboratory value should the nurse monitor most closely?

Correct Answer: B

Rationale: Insulin in DKA shifts potassium into cells, risking hypokalemia; thus, serum potassium (B) is monitored closely. Sodium (A) and BUN (C) are less urgent, and A1c (D) reflects long-term control.

Question 3 of 5

The nurse is assessing a newborn 12 hours after birth. Which finding requires immediate intervention?

Correct Answer: C

Rationale: Yellowish skin (C) indicates jaundice, requiring urgent evaluation in a newborn under 24 hours. Heart rate (A), respiratory rate (B), and temperature (D) are within normal ranges.

Question 4 of 5

Which action for correction does the nurse expect to occur in the client who has a pH of 7.49?

Correct Answer: C

Rationale: A pH of 7.49 indicates alkalosis. The kidneys compensate by excreting H+ ions to lower pH. Reabsorbing bicarbonate (A) would worsen alkalosis. Increased respiratory rate (B) would increase CO2 loss worsening alkalosis. Decreased CO2 excretion (D) is a respiratory compensation not renal.

Question 5 of 5

Which action may the nurse safely delegate to an assistive personnel (AP) when caring for a client who has urinary incontinence?

Correct Answer: D

Rationale: Assisting to the bathroom (D) is within AP scope. Instructing (A) assessing skin (B) and monitoring electrolytes (C) require nursing judgment.

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