Nokea
The nurse is assisting with the care of four clients with diabetes mellitus. Which of the following prescriptions should the nurse clarify with the health care provider?
- A. 10 units regular insulin IV push for serum glucose level >250 mg/dL (13.9 mmol/L)
- B. 14 units glargine insulin subcutaneous injection every night at 2000
- C. 18 units aspart insulin subcutaneous injection 15 minutes before breakfast
- D. 20 units NPH insulin IV push administered every morning at 700
Correct Answer: D
Rationale: NPH insulin is not administered IV, as it is a suspension and can cause embolism or erratic absorption. This prescription requires clarification.
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The nurse is reinforcing teaching to an overweight 54-year-old client about ways to decrease symptoms of obstructive sleep apnea. Which interventions would be most effective? Select all that apply.
- A. Eating a high-protein snack at bedtime
- B. Limiting alcohol intake
- C. Losing weight
- D. Taking a mild sedative at bedtime
- E. Taking a nap during the day
- F. Taking modafinil at bedtime
Correct Answer: B,C
Rationale: Limiting alcohol (B) reduces airway relaxation, and losing weight (C) decreases airway obstruction, both directly alleviating sleep apnea symptoms.
A victim of domestic violence tells the batterer she needs a little time away. How would the nurse expect that the batterer might respond?
- A. With acceptance and views the victim's comment as an indication that their marriage is in trouble
- B. With fear of rejection causing increased rage toward the victim
- C. With a new commitment to seek counseling to assist with their marital problems
- D. With relief, and welcomes the separation as a means to have some personal time
Correct Answer: B
Rationale: With fear of rejection causing increased rage toward the victim. Fear of abandonment often escalates abusive behavior.
A client with acquired immunodeficiency syndrome has a T cell count of 180 . The medication frequently used for the client with T cell counts less than 200 is:
- A. Garamycin (gentamicin)
- B. Zovirax (acyclovir)
- C. Pentam (pentamidine)
- D. Immune globulin
Correct Answer: C
Rationale: Pentamidine is used for Pneumocystis prophylaxis in AIDS patients with T-cell counts <200. Gentamicin is an antibiotic, acyclovir treats herpes, and immune globulin is not specific.
What is the major developmental task that the mother must accomplish during the first trimester of pregnancy?
- A. Acceptance of the pregnancy
- B. Acceptance of the termination of the pregnancy
- C. Acceptance of the fetus as a separate and unique being
- D. Satisfactory resolution of fears related to giving birth
Correct Answer: A
Rationale: Acceptance of the pregnancy. During the first trimester the maternal focus is directed toward acceptance of the pregnancy and adjustment to the minor discomforts.
The nurse is caring for an older client who had a cerebrovascular accident (CVA) several days ago. She is having trouble speaking. How should the nurse relate to this client?
- A. Encourage the client to speak and wait patiently while she tries
- B. Speak louder to the client
- C. Finish the client's sentences when she is having difficulty
- D. Tell the client to rest her voice for the next few days
Correct Answer: A
Rationale: Encouraging speech with patience supports recovery in aphasia post-CVA, unlike loud speech, finishing sentences, or voice rest, which hinder communication progress.