Nokea
The findings in the client's medical record indicate ___ and ___.
- A. Hyperglycemia
- B. Dehydration
Correct Answer: A,B
Rationale: Hyperglycemia: Symptoms of lethargy, thirst, and frequent urination with parenteral nutrition suggest elevated glucose levels. Dehydration: Thirst and frequent urination indicate fluid loss, a risk with parenteral nutrition if not balanced.
You may also like to solve these questions
A nurse is coordinating care of a group of clients with an assistive personnel (AP). Which of the following tasks should the nurse assign to the AP?
- A. Measure the intake and output of a client who has received furosemide.
- B. Assess the pain level of a client who has received acetaminophen.
- C. Reinforce teaching with a client about crutch-gait walking.
- D. Check a client's peripheral IV site for redness or swelling.
Correct Answer: A
Rationale: Measuring intake and output is within the AP’s scope and appropriate for delegation.
A nurse is collecting data from a client who is immobile and has a potential deep-vein thrombosis. Which of the following findings should the nurse report to the provider?
- A. Calf swelling
- B. Bradycardia
- C. Clammy skin
- D. Tortuous veins
Correct Answer: A
Rationale: Calf swelling is a common sign of deep-vein thrombosis (DVT) and requires immediate reporting due to risk of complications.
A nurse is preparing to perform a fecal occult blood test of stool specimens for a client. Which of the following actions should the nurse plan to take?
- A. Repeat the test three times using the same stool specimen.
- B. Wear sterile gloves when handling the stool specimen.
- C. Have the client defecate into a bedpan that contains a small amount of water.
- D. Ensure that the stool specimen does not contain urine.
Correct Answer: D
Rationale: Ensuring no urine contamination maintains specimen integrity for accurate testing.
A nurse is performing a wound irrigation for a client who has methicillin-resistant Staphylococcus aureus. When removing personal protective equipment, which of the following pieces should the nurse remove first?
- A. Gown
- B. Goggles
- C. Mask
- D. Gloves
Correct Answer: D
Rationale: Gloves are removed first as they are the most contaminated, reducing spread.
A nurse is preparing to reinforce teaching with a client who has expressive aphasia. Which of the following actions should the nurse plan to take?
- A. Provide the teaching without expecting the client to respond.
- B. Determine the client's ability to use a communication board
- C. Speak with a loud voice while providing the information.
- D. Avoid the use of facial gestures during the instructions.
Correct Answer: B
Rationale: A communication board aids clients with expressive aphasia in conveying needs, enhancing teaching effectiveness.