Chapter 21: Problem 72
The client has an order for administration of 10 units of regular insulin to be given at 7:00 a.m. The nurse should offer a snack at: A. 3:00 p.m. B. 1:00 p.m. C. 11:00 a.m. D. 9:00 a.m.
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The client returns from surgery following a thyroidectomy. Which action by the nurse indicates understanding of the needs of the client that has a thyroidectomy? A. The nurse checks the urinary output hourly. B. The nurse places a tracheostomy set at the bedside. C. The nurse offers pain medication every hour. D. The nurse checks the abdominal dressing.
Which breakfast cereal choice is the best choice for the client recovering from a myocardial infarction? A. Instant-cooked oat cereal B. Puffed rice C. Raisin Bran D. Cocoa Puffs
The client is admitted to the labor unit following spontaneous rupture of membranes. Upon assessment of the client’s condition, the nurse notes the fetal heart tones are 160–170 beats per minutes. There is a dark green vaginal discharge, and the client’s cervix is 50% effaced. The nurse’s initial action should be to do which of the following? ? A. Document the finding ? B. Apply oxygen via mask ? C. Insert a Foley catheter ? D. Begin an IV of normal saline
A screen test for detection of human immunodeficiency virus (HIV) reveals a positive ELISA test. Which test will be used to confirm the diagnosis of HIV? A. Radioimmunoprecipitation assay (RIPA) test B. p24 levels C. Lymphocyte count D. Indirect immunofluorescence assay (IFA)
The 30-year-old client is diagnosed with a molar pregnancy. The nurse should tell the client: ? A. To report any vaginal bleeding ? B. To refrain from having intercourse for several months ? C. To observe the baby’s fetal movement ? D. To avoid becoming pregnant again for at least one year
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