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Questions and Answers

Which of the following symptoms is NOT commonly associated with Fat Embolism Syndrome (FES)?

  • Lethargy
  • Decreased respiratory rate (correct)
  • Hypoxemia
  • Petechiae

    • When should healthcare providers notify about an issue concerning a client with skeletal traction?

  • If the client develops a fever
  • When the client complains of severe pain
  • If a family member accidentally dislodges a weight (correct)
  • When the client is unable to move their toes

    • What is the primary cause of gout?

  • Deposits of calcium in joints
  • Genetic predisposition alone
  • Deposits of uric crystals in joints (correct)
  • Excessive intake of purine-rich foods

    • Which laboratory finding is a common indicator of chronic osteomyelitis?

    <p>Increased ESR</p> Signup and view all the answers

    Which patient is at the greatest risk for developing osteomyelitis?

    <p>A 78-year-old man with an infected pressure ulcer</p> Signup and view all the answers

    Which of the following dietary recommendations is crucial for older adults to help prevent osteoporosis?

    <p>Maintain regular walking exercises and enhance vitamin D intake</p> Signup and view all the answers

    In the late stages of rheumatoid arthritis, which of the following physical manifestations should the nurse expect to observe?

    <p>Ulnar deviation at the metacarpophalangeal joints</p> Signup and view all the answers

    After a client undergoes arthroplasty, which of the following complications is considered the highest priority for nursing monitoring?

    <p>DVT (Deep Vein Thrombosis)</p> Signup and view all the answers

    What contributes significantly to the risk factor of developing osteoporosis in older adults?

    <p>Long-term use of corticosteroids for other health issues</p> Signup and view all the answers

    Which statement accurately describes osteoporosis and its demographic impact?

    <p>It is mainly diagnosed in older adults, but can affect anyone.</p> Signup and view all the answers

    Which clinical manifestation signifies a need for further education regarding hypertensive crisis?

    <p>Dyspnea</p> Signup and view all the answers

    What is the recommended exercise frequency for managing hypertension in a middle-aged client?

    <p>3-4 days per week for 40 minutes each day</p> Signup and view all the answers

    What does an increase in potassium from 4.8 to 5.7 for a client on spironolactone indicate?

    <p>Common side effect of the medication</p> Signup and view all the answers

    What statement indicates that a client with chronic venous insufficiency requires further teaching?

    <p>Reducing smoking can help my circulation.</p> Signup and view all the answers

    How should a client with Reynaud's disease manage their beverage choices?

    <p>Opt for decaffeinated beverages as much as possible.</p> Signup and view all the answers

    Which EKG finding is indicative of a normal sinus rhythm?

    <p>QRS duration is less than 0.08 seconds</p> Signup and view all the answers

    What is the most crucial lifestyle change for a client diagnosed with Buerger's disease?

    <p>Eliminate tobacco use</p> Signup and view all the answers

    Which statement made by a client indicates effective understanding of atherosclerosis risk reduction?

    <p>I will begin exercising as a way to manage my modifiable risk factors.</p> Signup and view all the answers

    Which characteristic of pain in a client suspected to have intermittent claudication aligns with the diagnosis?

    <p>Pain that worsens during exercise</p> Signup and view all the answers

    Where is the location of a systolic murmur when auscultating the aortic area?

    <p>Right sternal border in the second intercostal space</p> Signup and view all the answers

    What is the first action the nurse should take when a client suddenly becomes unresponsive?

    <p>Assess the client's pulse.</p> Signup and view all the answers

    What intervention should the nurse anticipate for a client presenting with atrial fibrillation?

    <p>Administering diltiazem by IV push.</p> Signup and view all the answers

    Which statement reflects a correct understanding of the potential side effects of antiepileptic drugs (AEDs)?

    <p>AEDs can contribute to osteoporosis in post-menopausal women.</p> Signup and view all the answers

    After positioning a client experiencing a seizure on their side, what is the next action the nurse should take?

    <p>Record the start time and observations of the seizure.</p> Signup and view all the answers

    In assessing a client's neurological status, which finding is indicative of decerebration?

    <p>Arms and legs held straight out, toes pointed downwards.</p> Signup and view all the answers

    Which client is most appropriate for an interdisciplinary conference?

    <p>57-year-old recently diagnosed with advanced Parkinson's disease and lives at home with a partner.</p> Signup and view all the answers

    Which teaching should be included for a client with a below-the-knee amputation?

    <p>Routinely push the residual limb down toward the bed to prepare for a prosthesis.</p> Signup and view all the answers

    What is the most appropriate instruction for a client experiencing phantom pain after an above-the-knee amputation?

    <p>Take their prescribed Gabapentin.</p> Signup and view all the answers

    In a patient receiving continuous heparin for DVT, which lab value best indicates a therapeutic response?

    <p>Apt of 60 sec.</p> Signup and view all the answers

    Which prescription for a cardiac arrhythmia requires further assessment?

    <p>Atropine for a client who has A Fib with a pulse of 145 and reporting dizziness.</p> Signup and view all the answers

    What statement by a client post-cardiac cath indicates appropriate understanding of the procedure?

    <p>I will be on bed rest approximately 2 to 6 hours after this procedure.</p> Signup and view all the answers

    Which statement indicates that a client with a pacemaker needs further teaching?

    <p>If the client states, I will not be able to take a bath or shower till my follow-up appointment.</p> Signup and view all the answers

    What should a nurse include in discharge instructions for a client diagnosed with heart failure?

    <p>Gradually increase walking to at least 3 times a week.</p> Signup and view all the answers

    Which statement from a client taking a daily diuretic for heart failure suggests possible hypokalemia?

    <p>I feel so tired and weak lately.</p> Signup and view all the answers

    What should a client with Type 2 diabetes understand regarding insulin use during periods of surgery or illness?

    <p>Insulin injections may be required temporarily during surgery or illness.</p> Signup and view all the answers

    Why is it important for a nurse to assess a client's serum creatinine level before a CT scan with contrast?

    <p>It helps determine the possibility of contrast-induced nephropathy.</p> Signup and view all the answers

    What consequence might a client experience if they do not use insulin during surgery or when ill?

    <p>They may experience hyperglycemia due to inadequate insulin.</p> Signup and view all the answers

    What is an appropriate action for a nurse if a client has a serum creatinine level of 1.8 prior to a CT scan?

    <p>Notify the physician to reconsider the use of contrast.</p> Signup and view all the answers

    Which statement regarding client education for Type 2 diabetes management is incorrect?

    <p>Oral medications can always replace the need for insulin.</p> Signup and view all the answers

    Which client should the nurse identify as at risk for developing diabetes mellitus type 1?

    <p>25 yr. old Caucasian</p> Signup and view all the answers

    Which statement by a client learning to self-inject insulin indicates a need for additional teaching?

    <p>I will inject insulin within 2 inches of my umbilicus.</p> Signup and view all the answers

    What is the first action the nurse should take when preparing to administer regular and NPH insulin?

    <p>Inspect the bottles for expiration date.</p> Signup and view all the answers

    At what time should the nurse assess a client for potential problems related to NPH insulin after administration?

    <p>1600</p> Signup and view all the answers

    Which client statement shows correct understanding of nutritional counseling for managing diabetes?

    <p>I should adjust my carbohydrate intake with unplanned exercise.</p> Signup and view all the answers

    What risk factor requires follow-up for a client newly prescribed pioglitazone?

    <p>A history of symptomatic heart failure</p> Signup and view all the answers

    What is the normal glucose range that a nurse should maintain awareness of in diabetic clients?

    <p>70-110</p> Signup and view all the answers

    Which of the following is NOT a characteristic of type 1 diabetes mellitus?

    <p>Commonly managed with dietary changes alone</p> Signup and view all the answers

    What laboratory findings indicate normal results for a client with type 2 diabetes mellitus undergoing an intensified insulin regimen?

    <p>FBG 75, Postprandial reading of 160, and HbA1c of 5.5</p> Signup and view all the answers

    Which statement reflects the correct understanding of self-monitoring for a client with type 1 diabetes?

    <p>I will check my blood glucose frequently when I exercise.</p> Signup and view all the answers

    What should a nurse teach a client with type 2 diabetes who is experiencing numbness to prevent injury?

    <p>Remove excess lotion from between the toes.</p> Signup and view all the answers

    What is an important follow-up action for a nurse assessing a patient with diabetes who reports feeling cold and sweaty?

    <p>Check the client's blood glucose levels immediately.</p> Signup and view all the answers

    For a client with type 1 diabetes who is unarousable with a blood glucose of 19, what is the appropriate nursing intervention?

    <p>Administer prescribed PRN intramuscular glucagon.</p> Signup and view all the answers

    What should a nurse instruct a client with diabetes about handling illness?

    <p>Expect to experience signs of hyperglycemia.</p> Signup and view all the answers

    What is the likely explanation when a client with type 2 diabetes exhibits fluctuating blood glucose results such as 2100-85, 0200-60, and 0800-200?

    <p>Signs of Somogyi phenomenon due to nighttime hypoglycemia.</p> Signup and view all the answers

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