Nokea
Which techniques are correct when using an electronic and the patient's capillary blood glucose level? Select all that apply.
- A. Clean the client's finger with povidone-iodine (Betadine).
- B. Take a set of vital signs before the test.
- C. Pierce the central pad of the client's finger.
- D. Apply a large drop of blood to a test strip or area.
- E. Don gloves before piercing the client's finger.
- F. Perform a quality control before the test.
Correct Answer: C,E,F
Rationale: Correct techniques include piercing the finger pad, wearing gloves, and performing quality control for accurate glucometer readings.
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The nurse is caring for the client with elevated growth hormone (GH) levels. Which problem should the nurse exclude from the plan of care?
- A. Fluid volume deficit due to polyuria
- B. Insomnia due to soft tissue swelling
- C. Impaired communication due to speech difficulties
- D. Altered body image due to undersized hands, feet, and jaw
Correct Answer: D
Rationale: GH excess causes overgrowth of bones and soft tissues, not undersizing, so altered body image due to undersized features is excluded.
Which action is the best indication that the client needs more practice in combining two insulins in one syringe?
- A. The client rolls the vial of intermediate-acting insulin to mix it with its additive.
- B. The client still have a little or less the fast-acting and intermediate-acting insulin vials.
- C. The client instills the intermediate-acting insulin into the vial of rapid-acting insulin.
- D. The client inverts each vial before withdrawing the specified amount of insulin.
Correct Answer: C
Rationale: Instilling insulin into another vial contaminates the medication and is incorrect.
As the nurse provides care for the client newly diagnosed with a large goiter, which interventions should be implemented? Select all that apply.
- A. Observe the client's respiratory status
- B. Elevate the head of the client's bed
- C. Provide a diet high in food used.
- D. Obtain an order for a soft diet
- E. Assess for high fever
- F. Administer prescribed antibiotics
Correct Answer: A,B,D
Rationale: A large goiter can compress the trachea, necessitating respiratory monitoring, head elevation, and a soft diet to ease swallowing.
Which laboratory finding is most indicative of Addison's disease in this client?
- A. Elevated cortisol levels
- B. Decreased serum sodium
- C. Increased blood glucose
- D. Elevated potassium levels
Correct Answer: B,D
Rationale: Addison's disease causes decreased aldosterone, leading to low serum sodium and high potassium levels due to impaired electrolyte regulation.
Which risk factor should the nurse expect to find in the client diagnosed with pancreatic cancer?
- A. Chewing tobacco.
- B. Low-fat diet.
- C. Chronic alcoholism.
- D. Exposure to industrial chemicals.
Correct Answer: C
Rationale: Chronic alcoholism is a well-established risk factor for pancreatic cancer, often linked to chronic pancreatitis, which predisposes to malignancy. Chewing tobacco is more associated with oral cancers, a low-fat diet is not a risk factor, and while industrial chemical exposure is a possible risk, it is less specific than alcoholism.