Nokea
Which of the following statement is TRUE about informed consent?
- A. A one time procedure
- B. The nurse can sign for the client
- C. The client needs to understand the procedure
- D. Not needed in emergency cases
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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When assessing a client with diabetes mellitus experiencing DKA, which of the following findings should the nurse expect?
- A. Tremors
- B. Urine retention
- C. Kussmaul respirations
- D. Bradypnea
Correct Answer: C
Rationale: Kussmaul respirations are a type of deep and labored breathing pattern associated with severe metabolic acidosis, commonly observed in diabetic ketoacidosis (DKA). In DKA, the body tries to compensate for the acidic environment by increasing the respiratory rate, resulting in Kussmaul respirations. This helps eliminate excess carbon dioxide and reduce the acidity of the blood.
A healthcare provider is planning care for a client who has a latex allergy. Which of the following actions should the healthcare provider include in the plan?
- A. Use latex gloves with powder.
- B. Place a sign on the client's door.
- C. Apply oil-based lotion before donning gloves.
- D. Avoid using plastic equipment.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Which of the following Nursing diagnosis is INCORRECT?
- A. Fluid volume deficit R/T Diarrhea
- B. High risk for injury R/T Absence of side rails
- C. Possible ineffective coping R/T Loss of loved one
- D. Self esteem disturbance R/T Effects of surgical removal of the leg
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The nurse is caring for a client with a spinal cord injury at T10. Which finding indicates that the client is experiencing spinal shock?
- A. Absence of reflexes below the injury
- B. Blood pressure of 180/100 mm Hg
- C. Spasticity of the lower extremities
- D. Sweating above the level of injury
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A healthcare professional is preparing to administer an intramuscular injection to a client. Which of the following actions should the healthcare professional take?
- A. Use a 1/2-inch needle.
- B. Pinch the skin at the injection site.
- C. Insert the needle at a 45-degree angle.
- D. Aspirate for blood return before injecting.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.