Comprehensive Practice B W/Rationales Exam Questions And Answers All Verified By An Expert

Comprehensive Practice B W/Rationales Exam Questions And Answers All Verified By An Expert A nurse is reinforcing teaching with a client who has type 2 diabetes mellitus and reports waking during the night with tremors and anxiety. Which of the following information should the nurse include? A. Limit carbohydrates early in the day. B. Practice relaxation techniques. C. Eat a bedtime snack. D. Increase daily exercise. Eat a bedtime snack *The symptoms described by the client indicate hypoglycemia. Eating a snack at bedtime will help prevent hypoglycemic episodes during the night. A nurse is assisting with the admission of a client who has a latex allergy. The nurse should identify that which of the following supplies has the potential to contain latex? A. Indwelling urinary catheter B. Paper tape C. Nitrile gloves D. Gauze dressings Indwelling urinary catheter *The nurse should identify that most indwelling urinary catheters are made of rubber, which is a form of latex. A rubber indwelling urinary catheter should not be used for a client who has a latex allergy. The nurse should obtain an indwelling urinary catheter made of silicone for a client who has a latex allergy. Brainpower Read More A nurse is caring for a client who has an altered mental status and has become aggressive. Which of the following prescriptions should the nurse clarify with the provider prior to administration? A. Haloperidol B. Lorazepam C. Zolpidem D. Alprazolam Zolpidem *Zolpidem is a sedative-hypnotic medication used to treat insomnia. It is not indicated for treatment of confusion and aggressive behavior. Zolpidem can cause agitation and should be used with caution for clients who have a history of mental illness. Therefore, the nurse should clarify this prescription with the provider prior to administration. A nurse is reviewing the laboratory results for a client who is at 29 weeks of gestation. For which of the following results should the nurse notify the provider? A. Platelet count 95,000 mm3 B. BUN 15 mg/dL C. Hgb 11.3 g/dL D. WBC count 10,000/mm3 Platelet count 95,000 mm3 *The nurse should recognize that this platelet count is below the expected reference range for a client who is pregnant and might be indicative of HELLP syndrome. Other manifestations of HELLP syndrome include malaise and epigastric pain. The nurse should immediately notify the provider of this result. A nurse notices an assistive personnel (AP) taking a nap in the break during meal time. The nurse also notes that the AP is drowsy while performing routine tasks. Which of the following actions should the nurse take? A. Keep a record of the AP's behavior over a period of time. B. Report the observations about the AP to the unit's nurse manager. C. Ask another unit staff member if they have observed the same behavior. D. Determine if the AP is having problems at home. Report the observations about the AP to the unit's nurse manager. *The nurse should report their observations to the unit's nurse manager because they have a duty to report any behavior that poses a risk to client safety. A nurse in a long-term care facility is assisting with an inservice for newly hired assistive personnel about legal issues within the facility. Which of the following should the nurse include as an example of assault? A. Telling another nurse rumors about a client newly admitted to the unit B. Informing a client that the nurse is going to administer an injection even though the client refuses C. Telling a clergy member that one of their church members has been admitted to the facility without the client's permission D. Placing a restraint on a client to keep them in bed before trying alternative measures Informing a client that the nurse is going to administer an injection even though the client refuses *This is an example of assault, which is the threat of unlawful touching of an individual. The nurse should respect the client's right to refuse treatment and not administer an injection against the client's wishes. A nurse is collecting data from a client who has type 2 diabetes mellitus and is concerned about weight gain during pregnancy. Which of the following responses should the nurse make? A. "Your weight gain should be the same as for someone without diabetes." B. "Weight gain should be 2 pounds during the first trimester and 2 pounds per week thereafter." C. "Weight reduction during pregnancy is often necessary for clients who have diabetes." D. "Your weight gain should average between 10 and 15 pounds." "Your weight gain should be the same as for someone without diabetes." *A client who is pregnant and has diabetes mellitus should gain the same amount of weight as a client without diabetes mellitus.