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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.
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A nurse is caring for a client who has tuberculosis and is about to start taking pyrazinamide. The nurse should identify that the client needs which of the following tests while taking this medication therapy?
- A. Blood glucose levels.
- B. Gallbladder studies.
- C. Liver function tests.
- D. Thyroid function studies.
Correct Answer: C
Rationale: Liver function tests are required for pyrazinamide due to its potential for hepatotoxicity, necessitating regular monitoring.
A nurse is reinforcing teaching with a client who has type 2 diabetes mellitus. The nurse determines that teaching has been effective when the client identifies which of the following manifestations of hypoglycemia? (Select all that apply)
- A. Polyuria.
- B. Sweating.
- C. Blurry vision.
- D. Tachycardia.
- E. Polydipsia.
Correct Answer: B,C,D
Rationale: Sweating, blurry vision, and tachycardia are manifestations of hypoglycemia due to adrenaline release and glucose deficiency affecting bodily functions.
A nurse is collecting data for a client who has fluid volume deficit. Which of the following is an expected finding?
- A. Increased urine ketones.
- B. Increased urine specific gravity.
- C. Decreased hematocrit.
- D. Decreased urine output.
Correct Answer: B
Rationale: Increased urine specific gravity is expected in fluid volume deficit, indicating concentrated urine due to decreased fluid intake or excessive fluid loss.
A nurse is reinforcing teaching for a client about following a low-purine diet to manage gout. Which of the following statements should the nurse identify as an indication that the client understands the instructions?
- A. I'll drink white wine, not red.
- B. I'll limit the number of fruit servings I eat each day.
- C. I'll choose red meat instead of poultry.
- D. I'll eliminate liver from my diet.
Correct Answer: D
Rationale: Organ meats like liver are high in purines and should be eliminated to manage gout effectively, as purines increase uric acid levels.
A nurse is caring for a client who is postoperative following a right total hip arthroplasty. In which of the following positions should the nurse place the client's right leg?
- A. Abduction.
- B. Internal rotation.
- C. External rotation.
- D. Adduction.
Correct Answer: A
Rationale: Abduction prevents hip dislocation by keeping the leg away from the midline, maintaining joint stability post-arthroplasty.