Please provide the rationale along with the answers please. Thank you. The nurse assesses a ful. Question
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Please provide the rationale along with the answers please. Thank you.
The nurse assesses a full-term infant whose mother has type 1 diabetes mellitus. The infant’s blood glucose level at one hour of age is 45 mg/dl. And at 2 hours of age is 25 mg/dl. What is the cause of the change in blood glucose?
a. A reaction to the stress of labor and the period of increased activity following delivery
b. An increase in urine production that results when the kidneys are ridding the body of excess glucose
c. A normal, physical response of the body that occurs during transition from intrauterine to extrauterine line
d. An interruption in the source of glucose and continued high insulin production be the infant
The nurse telephones a healthcare provider to report that a client is in labor. When the healthcare provider comes to the phone the nurse notes that there is a great deal of noise in the background and that the provider is slurring words and sounds intoxicated. What action should the nurse take?
a- Complete unusual occurrence report
b- Notify the medical director of the incident.
c- Document notification of the healthcare provider.
d- Offer to call the healthcare provider’s associate
Handwashing is the most important intervention aimed at reducing the spread infection in the hospitalized population. What mechanical describes the effect that handwashing has upon the chain of infection?
a. Reduces victim’s susceptibility
b. Destroys non- human reservoir
c. Blocks a portal of entry
d. Blocks pathogen transmission
A client with a newly diagnosed type 2 diabetes mellitus, awakens in the morning with a temperature of 101.6 F (38.7C). The client calls the clinic nurse and reports taking the morning dose of metformin after obtaining a morning fasting blood glucose of 325mg/dl (18mmol/L). Which instruction should the nurse provide to the client?
a. Watch closely for clinical manifestations of hypoglycemia
b. Begin a routine sliding scale for lispro insulin
c. Increase the daily dose of metformin.
d. Monitor blood glucose levels more frequently
A client who is admitted to the medical unit with fluid volume overload has 2+ dependent edema in the lower extremities and a serum sodium level of 115 mEq/L (115MMOl/L). Which assessment should the nurse complete next?
a. Mental status.
b. Skin turgor.
c. Bowel sounds.
d. Urinary output
While cleaning a client’s postoperative wound that is healing by granulation, the nurse observes a 3 cm area of eschar. What information should the nurse tell the client about the wound?
a) Wound healing will begin once the drainage is stopped
b) Bleeding areas interfere with tissues regrowth
c) The sealed wound surface indicated healing
d) Removal of the leathery tissue promotes wound healing
The nurse and client are discussing strategies to manage the client`s acute pain following an injury. When setting goals, which information is most important for the nurse to obtain from the client?
A a-Desired level of physical mobility
b-Acceptable level of pain intensity
c-Past experience with acute pain
d-Cultural values related to pain
A client is preparing for discharge following subtotal gastrectomy. Which content should the nurse include in this client’s discharge teaching plan?
A) Supplemental oral iron should be included in a diel rich in green vegetables.
B) Complete blood counts should be monitored to detect the need for transfusions
C) Folic acid and a multivitamin supplement should be taken every day
D) Subcutaneous vitamin B12 injections will be required for the rest of the client’s life
When obtaining a fecal specimen for occult blood testing, which action should the nurse include in the procedure?
a. Obtain the client’s first bowel movement of the day.
b. Ensure that the client was NPO during the night prior to specimen collection
c. Use clean gloves and toilet paper to transfer the specimen from the commode
d. Use a wooden applicator to apply the sample to a slide
SCIENCE
HEALTH SCIENCE
NURSING
Please provide the rationale along with the answers please. Thank you. The nurse assesses a ful
