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:
- A. Sweating.
- B. Tachycardia.
- C. Polydipsia.
- D. Polyuria.
Correct Answer: D
Rationale: Polyuria is a symptom of hyperglycemia, and effective diabetes management aims to reduce such symptoms.
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A client who is taking nitrofurantoin for a urinary tract infection voices a concern to the clinic nurse about voiding brown-colored urine. Which of the following is an appropriate response by the nurse?
- A. Drinking more fluid will prevent your urine from becoming brown.
- B. Brown-colored urine is a harmless side effect of the medication.
- C. The provider will change your medication because your infection is not resolving with nitrofurantoin.
- D. An increase of RBC destruction in your blood can result in brown-colored urine.
Correct Answer: B
Rationale: Brown-colored urine is a harmless side effect of nitrofurantoin due to the medication itself, not indicating harm.
A nurse is admitting a client who reports recurrent flank pain and nausea for 24 hr. Which of the following actions should the nurse take first?
- A. Monitor intake and output.
- B. Administer pain medication.
- C. Ambulate in hall.
- D. Strain the urine.
Correct Answer: B
Rationale: Administering pain medication is the priority to alleviate discomfort, allowing for further assessment and treatment.
A nurse is preparing to administer levothyroxine 275 mcg PO to a client. The amount available is levothyroxine 137 mcg/tablet. How many tablets should the nurse administer?
- A. 2 tablets
- B. 1 tablet
- C. 3 tablets
- D. 4 tablets
Correct Answer: A
Rationale: 275 mcg ÷ 137 mcg/tablet = 2.007 tablets, rounded to 2 tablets.
A nurse is contributing to the plan of care for a client who is postoperative following a total hip arthroplasty. Which of the following information should the nurse include?
- A. Position the lower extremities so that they are touching.
- B. Ensure that the client's heels are touching the bed.
- C. Instruct the client to avoid movement of the affected leg.
- D. Prevent hip flexion of the affected extremity.
Correct Answer: D
Rationale: Preventing hip flexion of the affected extremity is correct because excessive hip flexion can increase the risk of dislocation after a total hip arthroplasty.
A nurse is reinforcing teaching with a client who is to self-administer regular insulin and NPH insulin from the same syringe. Which of the following instructions should the nurse provide?
- A. Discard regular insulin if it appears cloudy.
- B. Draw up the NPH insulin into the syringe first.
- C. Shake the NPH insulin until it is well-mixed.
- D. Inject air into the regular insulin first.
Correct Answer: A
Rationale: Regular insulin should be clear; if it appears cloudy, it may be contaminated or expired and should be discarded to ensure safe administration.
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