What is the expected date of delivery for a woman whose last menstrual period was on April 20th?
- A. January 20th
- B. January 27th
- C. January 29th
- D. January 31st
Correct Answer: B
Rationale: The expected date of delivery is calculated by adding 9 months and 7 days to the last menstrual period. For April 20th, the expected date is January 27th. Therefore, the correct answer is B. Choice A, January 20th, is incorrect as it does not account for the additional 7 days. Choice C, January 29th, and Choice D, January 31st, are also incorrect as they do not consider the standard calculation method for estimating the due date.
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Which of the following methods of insulin administration would be used in the initial treatment of hyperglycemia in a client with diabetic ketoacidosis?
- A. Subcutaneous
- B. Intramuscular
- C. IV bolus only
- D. IV bolus, followed by continuous infusion
Correct Answer: D
Rationale: The correct answer is D: IV bolus, followed by continuous infusion. In the initial treatment of hyperglycemia in a client with diabetic ketoacidosis, insulin is administered via IV bolus to quickly reduce blood glucose levels, followed by a continuous infusion to maintain control. Subcutaneous and intramuscular routes are not used in this situation as they are not rapid or predictable enough to address the acute hyperglycemia seen in diabetic ketoacidosis. IV bolus alone without the continuous infusion may not provide sustained control of blood glucose levels, making choice C incorrect.
Your long-term care patient has chronic pain and at this point in time, the patient needs increasing dosages to adequately control this pain. What is this patient most likely affected by?
- A. Drug addiction
- B. Drug interactions
- C. Drug side effects
- D. Drug tolerance
Correct Answer: D
Rationale: The correct answer is D: Drug tolerance. When a patient needs increasing dosages to achieve the same pain relief, it indicates the development of drug tolerance. This means the body has adapted to the drug, requiring higher doses to produce the same effect. Choice A, drug addiction, is incorrect because drug addiction involves a psychological and physical dependence on the drug, which is not described in the scenario. Choice B, drug interactions, is incorrect as it refers to the effects when multiple drugs interact with each other, not the situation described. Choice C, drug side effects, is also incorrect as it pertains to the unintended effects of a drug, not the need for higher doses to control pain.
What does the mnemonic device ABCDE stand for?
- A. Allergy, bleeding, chemicals, dietary, environment
- B. Allergy, bleeding, cardio, diabetes, endocrine
- C. Allergy, bleeding, cardio, digestive, endocrine
- D. Allergy, bleeding, cortisone, diabetes, emboli
Correct Answer: D
Rationale: The correct answer is D: 'Allergy, bleeding, cortisone, diabetes, emboli.' The ABCDE mnemonic is used in healthcare to help remember key assessment points. Choice A is incorrect as 'chemicals' and 'dietary' are not part of the ABCDE assessment. Choice B is incorrect as 'cardio' is not part of the ABCDE mnemonic. Choice C is incorrect as 'cardio' and 'digestive' are not part of the ABCDE mnemonic.
The nurse is planning care for a patient with acute hypernatremia. What should the nurse include in this patient's plan of care? (select one that does not apply)
- A. Reduce IV access
- B. Limit length of visits
- C. Restrict fluids to 1500 mL per day
- D. Conduct frequent neurologic checks
Correct Answer: D
Rationale: For a patient with acute hypernatremia, the nurse should include interventions like reducing free water losses, correcting sodium levels slowly, monitoring neurologic status, and ensuring adequate fluid intake. Conducting frequent neurologic checks is essential in assessing the patient's neurological status and detecting any changes promptly. Therefore, this action should not be excluded from the plan of care. Choices A, B, and C are not directly related to managing acute hypernatremia and can be safely excluded from the plan of care. Reducing IV access, limiting length of visits, and restricting fluids to 1500 mL per day are not appropriate actions for managing acute hypernatremia.
Which of the following is something a new model for health care in the future should include?
- A. Community-centered care
- B. Care that encourages a healthy environment
- C. Accessible care that is affordable for most
- D. A focus on local health concerns
Correct Answer: B
Rationale: The correct answer is B because a new model for health care in the future should focus on promoting a healthy environment. This includes initiatives such as green buildings and reducing pollution to improve overall health outcomes. Choice A, community-centered care, is important but not the primary focus when considering the future of healthcare. Choice C, accessible and affordable care, is crucial but does not directly address the need for a healthy environment. Choice D, a focus on local health concerns, is relevant but not as comprehensive as promoting a healthy environment in shaping the future of healthcare.
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