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A home health nurse is reviewing the laboratory results for several clients with heart failure. Which client finding would the nurse report to the health care provider immediately?
- A. total cholesterol 190
- B. glycosylated hemoglobin of 7%
- C. B-type natriuretic peptide 550 pg/ml (more than 100 is bad)
- D. potassium 3.7
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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The nurse is caring for a client with a nasogastric tube to continuous suction. Which electrolyte imbalance should the nurse monitor for?
- A. Hypercalcemia.
- B. Hypokalemia.
- C. Hyponatremia.
- D. Hypomagnesemia.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A public health nurse is working with a community to improve access to mental health services. Which intervention is most likely to be effective?
- A. setting up mental health clinics in accessible locations
- B. distributing flyers with information about mental health services
- C. offering transportation vouchers for mental health appointments
- D. partnering with local businesses to promote mental health
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A client with type 2 diabetes mellitus is admitted with hyperosmolar hyperglycemic state (HHS). Which laboratory result requires immediate intervention?
- A. Serum osmolality of 320 mOsm/kg.
- B. Serum glucose of 600 mg/dL.
- C. Serum potassium of 4.5 mEq/L.
- D. Serum sodium of 140 mEq/L.
Correct Answer: B
Rationale: A serum glucose level of 600 mg/dL is extremely high in a client with hyperosmolar hyperglycemic state (HHS) and poses a significant risk of serious complications such as dehydration, coma, and electrolyte imbalances. Rapid intervention is crucial to normalize the glucose level and prevent further deterioration. Serum osmolality of 320 mOsm/kg, serum potassium of 4.5 mEq/L, and serum sodium of 140 mEq/L, while important to monitor in HHS, do not represent an immediate life-threatening condition that requires urgent intervention compared to the critically high glucose level.
During a follow-up visit, a client with diabetes reports difficulty maintaining a healthy diet. What should the nurse do first?
- A. provide the client with meal planning resources
- B. explore the client's dietary habits and challenges
- C. refer the client to a nutritionist
- D. educate the client on the importance of a healthy diet
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
During a home visit, the nurse finds that an elderly client has multiple expired medications. What should the nurse do first?
- A. instruct the client to dispose of the expired medications
- B. review the client's current medication regimen
- C. contact the client's healthcare provider
- D. educate the client on the dangers of taking expired medications
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.