Nokea
The client diagnosed with acute pancreatitis is being discharged home. Which statement by the client indicates the teaching has been effective?
- A. I should decrease my intake of coffee, tea, and cola.
- B. I will eat a low-fat diet and avoid spicy foods.
- C. I will check my amylase and lipase levels daily.
- D. I will return to work tomorrow but take it easy.
Correct Answer: B
Rationale: A low-fat, non-spicy diet prevents pancreatitis exacerbation, indicating effective teaching. Caffeine reduction is secondary, amylase/lipase are not self-monitored, and early work return is risky.
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After the test, the nurse provides the client with instructions. Which statement of the nurse is most accurate?
- A. You must remain isolated until the radiation level decreases sufficiently.
- B. You're free to go without further precautionary instructions.
- C. You must follow special precautions for a short period of time.
- D. You'll be given an antidote to reduce the radioactivity level.
Correct Answer: C
Rationale: A radioactive iodine uptake test involves low levels of radiation, requiring short-term precautions such as avoiding close contact with others.
The nurse is caring for clients on a medical floor. Which client should be assessed first?
- A. The client diagnosed with syndrome of inappropriate antidiuretic hormone (SIADH) who has a weight gain of 1.5 pounds since yesterday.
- B. The client diagnosed with a pituitary tumor who has developed diabetes insipidus (DI) and has an intake of 1,500 mL and an output of 1,600 mL in the last 8 hours.
- C. The client diagnosed with syndrome of inappropriate antidiuretic hormone (SIADH) who is having muscle twitching.
- D. The client diagnosed with diabetes insipidus (DI) who is complaining of feeling tired after having to get up at night.
Correct Answer: C
Rationale: Muscle twitching in SIADH suggests hyponatremia-induced neurological symptoms, requiring immediate assessment. Weight gain, slight DI output imbalance, and tiredness are less urgent.
Which techniques are correct when using an electronic and the patient's capillary blood glucose level? Select all that apply.
- A. Clean the client's finger with povidone-iodine (Betadine).
- B. Take a set of vital signs before the test.
- C. Pierce the central pad of the client's finger.
- D. Apply a large drop of blood to a test strip or area.
- E. Don gloves before piercing the client's finger.
- F. Perform a quality control before the test.
Correct Answer: C,E,F
Rationale: Correct techniques include piercing the finger pad, wearing gloves, and performing quality control for accurate glucometer readings.
The nurse at a freestanding health-care clinic is caring for a 56-year-old male client who is homeless and is a type 2 diabetic controlled with insulin. Which action is an example of client advocacy?
- A. Ask the client if he has somewhere he can go and live.
- B. Arrange for someone to give him insulin at a local homeless shelter.
- C. Notify Adult Protective Services about the client's situation.
- D. Ask the HCP to take the client off insulin because he is homeless.
Correct Answer: B
Rationale: Arranging insulin administration at a shelter ensures the client’s medical needs are met, advocating for his health. Housing questions, APS notification, and stopping insulin are less supportive.
The nurse is providing teaching to multiple clients. Which client should the nurse determine would benefit if the following illustration were utilized when teaching?
- A. The client with hyperthyroidism
- B. The client with diabetes mellitus
- C. The client with Addison's disease
- D. The client with Cushing's syndrome
Correct Answer: D
Rationale: Clinical manifestations of Cushing's syndrome, such as moon face and fat pads, match the illustration.