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Question 23
When assessing the patient experiencing the onset of symptoms of type 1 diabetes, which question is most appropriate for the nurse to ask?
Question 23 options:
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"Do you crave fluids containing sugar?" |
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"Have you lost any weight lately?" |
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"How long have you felt anorexic?" |
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"Is your urine usually dark coloured"? |
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- Question 9 The nurse is caring for a 16 year old male client who attempted suicide, upon entering the room the nurse notices the client is tearful and silent. What is the nurse's best initial response? Question 9 options: Sit quietly beside the client and wait for the client to start speaking. Say, “I see you are tearful. Tell me about what is going on in your life, and we see how we can help you." Say, “You are crying. That means you feel badly about attempting suicide, so many people are worried about you" Observe the behavior, record it, and notify the health care provider.Question 15 An older adult client has been taking new antidepressants and going to therapy for a week. The client is getting frustrated as he does not feel better. What is the nurse's best response to his concern? Question 15 options: Suggest he talk to the physician about an alternative medication Tell the client not to worry as others are seeing improvements Explain that is can take a few weeks for therapy to be take effect Clarify the client's expectations about the improvements he is hoping to seeQuestion 10 The RN is working with a recently admitted client to understand the impact their mental illness has on their interpersonal relationships and daily functioning. Using the Tidal Model approach, how would the nurse document their findings? Question 10 options: Document your interpretation of the interview in a narrative style including as much detail as possible Document the interview using the patient's words, but only include what you feel is important Document the interview using the patient's words including all aspects of the patient's story Document your interpretation of the interview using point form notes
- Question 89 The nurse is assessing a client with asthma who has recorded daily peak flows that are 85% of their baseline. Which of the following actions should the nurse take? Question 89 options: Administer a bronchodilator and recheck the peak flow Instruct the client to continue to use their current medications Evaluate whether the peak flow meter is being used correctly Teach the client how to use oral corticosteroidsQuestion 86 The nurse is evaluating the effectiveness of therapy for a client who has received treatment during an asthma attack. Which of the following findings is the best indicator that the therapy has been effective? Question 86 options: No wheezes are audible Oxygen saturation is >92% Accessory muscle use has decreased Respiratory rate is 16 breaths / minuteQuestion 24 The nurse is providing discharge teaching for a client with a new colostomy. Which of the following client actions indicates that the teaching has been effective? Question 24 options: Takes acetaminophen when a temperature of 38.3°C Contacts the health care provider if there is pain or erythema Drinks at least 500 mL of fluid a day Empties the colostomy bag once it is 2/3 full
- Question 76 Which assessment is of highest priority for the nurse to complete before administration of morphine? Question 76 options: Pain rating Blood pressure Respiratory rate Level of consciousnessQuestion 35 What is most appropriate for a nurse to say when interviewing a newly admitted depressed client whose thoughts focus on feelings of worthlessness and failure? Question 35 options: “What can we do to help you while you are here?” “Tell me what has been bothering you.” “Tell me how you feel about yourself." “Why do you feel so bad about yourself?”Question 4 A nurse is assessing a patient with Cushing's syndrome. Which observation should the nurse report to the physician immediately? O An irregular apical pulse O Pitting edema of the legs O Frequent urination O Dry mucous membranes
- Question 43 The nurse is caring for a client with COPD who is receiving oxygen. Which of the following is the best action for the nurse to determine the appropriate oxygen flow rate? Question 43 options: Minimize oxygen use to avoid oxygen dependency Administer oxygen according to the client’s level of dyspnea Maintain the pulse oximetry at 90% or greater Avoid administration of oxygen at a rate of more than 2L/minuteQuestion 27 When assessing the quality of life in a person who has an ostomy, the nurse should focus on the client’s: Question 27 options: Ability to provide self care Body image and sexuality Understanding of potential complications Ability to pay for ostomy suppliesQuestion 10 A client with a diagnosis of depression who has attempted suicide says to the nurse, “I should have died. I've always been a failure. Nothing ever goes right for me.” Which therapeutic response should the nurse use with the client? Question 10 options: "You are not a failure, it is a blessing your attempt was not successful." "Have you been feeling like a failure for a long time?" "It is common for client's with depression to feel this way." "You have so much to live for, I am not too sure why you want to die."