Nokea
The nurse is caring for a client on strict bed rest. Which intervention is the priority when caring for this client?
- A. Encourage the client to drink liquids
- B. Perform active range of motion exercises
- C. Elevate the head of the bed to 45 degrees
- D. Provide a high-fiber diet to the client
Correct Answer: B
Rationale: Performing active range of motion exercises is the priority intervention for a client on strict bed rest. These exercises help prevent complications such as thromboembolism and muscle atrophy by promoting circulation and maintaining muscle strength. Encouraging liquids, elevating the head of the bed, and providing a high-fiber diet are important interventions but not the priority when compared to preventing serious complications associated with immobility.
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Enteral feedings may be appropriate for patients with:
- A. Acute cholecystitis
- B. Hepatic encephalopathy
- C. Ulcerative colitis in remission
- D. Acute exacerbation of Crohn's disease
Correct Answer: D
Rationale: Enteral feedings are commonly used in patients with Crohn's disease during acute exacerbations to provide adequate nutrition while resting the bowel. Acute cholecystitis, hepatic encephalopathy, and ulcerative colitis in remission wouldn't typically require enteral feedings as the primary nutritional support. Acute cholecystitis may necessitate fasting and intravenous fluids, hepatic encephalopathy may require dietary modifications but not enteral feedings, and patients with ulcerative colitis in remission usually have their nutritional needs met through a regular diet.
Which signs/symptoms would the nurse expect to find in the client diagnosed with an insulinoma?
- A. Nervousness, jitteriness, and diaphoresis
- B. Flushed skin, dry mouth, and tented skin turgor
- C. Polyuria, polydipsia, polyphagia
- D. Hypertension, tachycardia, and feeling hot
Correct Answer: A
Rationale: Corrected Rationale: Insulinomas lead to excessive insulin production, causing hypoglycemia. Symptoms of hypoglycemia include nervousness, jitteriness, and diaphoresis. These symptoms result from the low blood sugar levels. Flushed skin, dry mouth, and tented skin turgor (choice B) are more indicative of dehydration. Polyuria, polydipsia, and polyphagia (choice C) are classic symptoms of diabetes mellitus, not insulinomas. Hypertension, tachycardia, and feeling hot (choice D) are not typical symptoms of insulinomas.
A client is at risk for excess fluid volume. Which nursing intervention ensures the most accurate monitoring of the client's fluid status?
- A. Measuring and recording fluid intake and output
- B. Weighing the client daily at the same time each day
- C. Assessing the client's vital signs every 4 hours
- D. Checking the client's lungs for crackles during every shift
Correct Answer: B
Rationale: The correct answer is B. Weighing the client daily at the same time each day is the most accurate method for monitoring fluid balance. Changes in body weight can indicate fluid retention or loss. Measuring and recording fluid intake and output (choice A) is important but may not reflect total body fluid status accurately. Assessing vital signs (choice C) and checking the client's lungs for crackles (choice D) are important assessments but do not directly provide the most accurate monitoring of fluid status.
A client with type 1 diabetes is diagnosed with diabetic ketoacidosis and initially treated with intravenous fluids followed by an IV bolus of regular insulin. The nurse anticipates that the practitioner will prescribe a continuous infusion of insulin of:
- A. Novolin L insulin
- B. Novolin R insulin
- C. Novolin N insulin
- D. Novolin U insulin
Correct Answer: B
Rationale: The correct answer is Novolin R (Regular insulin). Regular insulin is used for continuous infusion to treat diabetic ketoacidosis due to its rapid onset of action. Novolin L (Intermediate-acting insulin) (choice A), Novolin N (Intermediate-acting insulin) (choice C), and Novolin U (Ultra-Long-acting insulin) (choice D) are not suitable for continuous infusion in the treatment of diabetic ketoacidosis.
When a field medical element is not operational, it engages in training to achieve readiness for mobilization that involves all aspects of operation. Individuals must be proficient in their MOS/ASI and which of the following?
- A. Command and control procedures
- B. Computers and data processing
- C. Common soldier tasks
- D. Communications and automation
Correct Answer: C
Rationale: In the context of field medical training for mobilization, proficiency in common soldier tasks is essential. This includes skills like first aid, navigation, marksmanship, and other fundamental military tasks. While command and control procedures, communications, and automation are important, common soldier tasks are specifically mentioned in the scenario as critical for achieving readiness and mobilization.