Nokea
A nurse is checking the laboratory results of a client who is at risk for diabetes mellitus. Which of the following laboratory results indicates to the nurse that the client is at risk for diabetes mellitus?
- A. 2-hr blood glucose 132 mg/dL.
- B. HbA1c 5.2%.
- C. Casual blood glucose 178 mg/dL.
- D. Fasting blood glucose 155 mg/dL.
Correct Answer: D
Rationale: Fasting blood glucose of 155 mg/dL exceeds the diabetes diagnostic threshold of 126 mg/dL, indicating risk.
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A nurse is reinforcing teaching with a client who has type 1 diabetes mellitus. Which of the following statements from the client indicates to the nurse the teaching is effective?
- A. I will freeze unopened insulin vials.
- B. I should increase my insulin when I exercise.
- C. I should inject the insulin into my abdominal area.
- D. I will shake the insulin vial vigorously to mix.
Correct Answer: C
Rationale: Injecting insulin into the abdominal area ensures consistent absorption, a recommended site for effective insulin administration.
A nurse is preparing to administer hydrochlorothiazide 25 mg PO. The amount available is hydrochlorothiazide 50 mg/tablet. How many tablets should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. (Do not use a trailing zero))
Correct Answer: 1 tablet
Rationale: 25 mg ÷ 50 mg/tablet = 0.5 tablets, but since tablets cannot be split without specific instructions, the nurse should administer 1 tablet as per standard practice.
A nurse is preparing to administer potassium chloride 30 mEq PO daily. The amount available is potassium chloride 20 mEq/15mL. How many mL should the nurse administer? (Round the answer to the nearest tenth/whole number. Use a leading zero if it applies. (Do not use a trailing zero))
Correct Answer: 22.6 mL
Rationale: 30 mEq ÷ (20 mEq/15 mL) = 22.56 mL, rounded to 22.6 mL.
A nurse is reinforcing discharge instructions to a client who is postoperative from a hip arthroplasty. Which of the following statements by the client indicates a correct understanding of the teaching?
- A. I will avoid wearing socks on my feet.
- B. I will avoid performing leg exercises.
- C. I will avoid crossing my legs for the first 3 months after surgery.
- D. I will avoid lying on the side of my surgery when I get home.
Correct Answer: C
Rationale: Avoiding crossing the legs for the first 3 months after surgery helps prevent dislocation of the hip joint and promotes proper healing.
A nurse is caring for a client who has COPD. Which of the following actions should the nurse take?
- A. Provide the client with a low protein diet.
- B. Instruct the client to cough every 4 hr.
- C. Advise the client to lie down after eating.
- D. Encourage the client to drink 8 glasses of water a day.
Correct Answer: D
Rationale: Encouraging 8 glasses of water daily helps thin mucus secretions, improving airway clearance and reducing infection risk in COPD clients.