comprehensive_module__with_rationale

comprehensive_module__with_rationaleQuestions 1. 1.ID: A nurse in a physician's office is reviewing the medical record of a child with a diagnosis of lactose intolerance. Which of the following findings does the nurse expect to see documented in the child's record? A. Fatty stools B. Episodes of foul-smelling ribbonlike stools C. Episodes of profuse watery diarrhea and vomiting D. Episodes of cramping abdominal pain and excessive flatus Correct Awarded 1.0 points out of 1.0 possible points. 2. 2.ID: Warfarin sodium (Coumadin) is prescribed for a hospitalized client. While transcribing the physician's prescription, the nurse notes that the client is taking levothyroxine (Synthroid) to treat hypothyroidism. The nurse calls the physician to confirm the prescription for warfarin sodium because: A. Warfarin sodium amplifies the effect of levothyroxine B. Levothyroxine amplifies the effect of warfarin sodium Correct C. Warfarin sodium is contraindicated with the use of levothyroxine D. A severe allergic reaction may occur if warfarin sodium is administered concurrently with levothyroxine Awarded 1.0 points out of 1.0 possible points. 3. 3.ID: A nurse is caring for a client who is immobilized in skeletal traction after sustaining a leg fracture in a motor vehicle crash. The nurse notes that the client is restless, and the client complains of being bored. Which problem does the nurse identify on the basis of this information? A. Lack of control B. Lack of physical mobility C. Lack of adequate diversional activity Correct D. Lack of energy to bathe and feed self Awarded 1.0 points out of 1.0 possible points. 4. 4.ID: A nurse in a physician's office is conducting a 2-week postpartum assessment of a client. During abdominal assessment, the nurse is unable to palpate the uterine fundus. This finding would prompt the nurse to: A. Document the findings Correct B. Ask the physician to see the client immediately C. Ask another nurse to check for the uterine fundus D. Place the client in the supine position for 5 minutes, then recheck the abdomen Awarded 1.0 points out of 1.0 possible points. 5. 5.ID: A nurse is providing instruction about insulin therapy and its administration to an adolescent client who has just been found to have diabetes mellitus. Which statement by the client indicates a need for further instruction? A. "It’s important to rotate injection sites." B. "I need to store the insulin in a cool, dry place." C. "I need to keep any unopened bottles of insulin in the freezer." Correct D. "I need to check the expiration date on the insulin before I use it." Awarded 1.0 points out of 1.0 possible points. 6. 6.ID: A client with myasthenia gravis is taking neostigmine bromide (Prostigmin). The nurse determines that the client is gaining a therapeutic effect from the medication after noting: A. Bradycardia B. Increased heart rate C. Decreased blood pressure D. Improved swallowing function C