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A nurse is caring for a client who has type 1 diabetes mellitus and a
capillary blood glucose reading of 48 mg/dL. Which of the following
findings should the nurse expect?
Diaphoresis
A client who has a blood glucose level below 70 mg/dL to exhibit
indications of hypoglycemia. Including weakness, hunger, diaphoresis,
nausea, shakiness, and confusion.
A nurse is caring for a client who is receiving continuous enteral
feedings. Which of the following actions should the nurse take?
Monitor the client's blood glucose level.
A nurse is preparing to care for a group of clients after receiving
change-of-shift report. From which of the following clients should the
nurse collect data first?
A client who has emphysema and reports dyspnea
, A nurse is reinforcing teaching with a client who has a new diagnosis
of multiple sclerosis (MS). The client asks the nurse about the usual
course of MS. Which of the following responses should the nurse
make?
"Acute episodes are usually followed by remissions, which can last
varying lengths of time."
A nurse is caring for a client who has continuous bladder irrigation
following a transurethral resection of the prostate (TURP). Which of
the following actions should the nurse take?
Report viscous drainage with clots to the provider.
A nurse is assisting with the care of a client who is to receive a
transfusion of packed red blood cells (RBCs).
Which of the following actions should the nurse take? (Select all that
apply.)
1) Check and document the client's vital signs is correct.
2) Verify that the blood type and Rh of the packed RBCs are checked
by two nurses is correct.
3) Provide the RN with IV tubing that has a filter is correct.
A nurse is caring for a client who has thrombocytopenia and develops
epistaxis. Which of the following actions should the nurse take?
Pinch the soft portion of the client's nose for 10 min.
A home health nurse enters a client's home and finds a used insulin
syringe, without a cap, on the table.
Which of the following actions should the nurse take?
Place the syringe in a puncture in a puncture-proof disposal container