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A nurse is teaching an adolescent client who has type 1 diabetes mellitus about managing
hypoglycemia. Which of the following statements should the nurse include in the teaching?
A. "You should drink 8 oz of a regular soft drink if you experience hypoglycemia."
B. "You should drink 4 oz of orange juice if you experience hypoglycemia."
C. "You should take 2 glucose tablets if you experience hypoglycemia."
D. "You should take 3 tsp of sugar if you experience hypoglycemia." - (answer)Correct Answer:
B. "You should drink 4 oz of orange juice if you experience hypoglycemia."
The nurse should tell the client to drink 4 oz of orange juice if hypoglycemia occurs.
Incorrect Answers:
A. The nurse should tell the client to drink 6 oz (NOT 8 oz) of a regular soft drink if
hypoglycemia occurs.
C. The nurse should tell the client to take 4 glucose tablets (NOT 2) if hypoglycemia occurs.
D. The nurse should tell the client to take 2 tsp (NOT 3) of sugar if hypoglycemia occurs
A nurse is assessing a 6-year-old client at a well-child visit. Which of the following findings
requires further assessment by the nurse?
,A. Presence of sparse, fine pubic hair
B. Decreased head circumference compared to full height
C. Increased leg length in relation to height
D. Presence of a loose central incisor - (answer)Correct Answer: A. Presence of sparse, fine
pubic hair
The development of sexual characteristics prior to the age of 9 years in boys and 8 years in girls
is an indication of precocious puberty and requires further evaluation.
Incorrect Answers:
B. The head circumference of a school-age child decreases when compared to full height due to
skeletal lengthening.
C. Body proportion varies with a slimmer appearance and longer legs in a school-age child. Leg
length increases and waist circumference decreases related to height in this age group.
D. The deciduous teeth start shedding at this age, beginning with the lower central incisors
RBC Range: - (answer)Male: 4.3-5.9 million/mm3
Female 3.5 -5.5 million/mm3
A nurse is assessing an infant who develops respiratory distress, absence of breath sounds on one
side, and deviation of the trachea away from the affected side. Based on these manifestations,
which of the following conditions is the infant experiencing?
, A. Tension pneumothorax
B. Flail chest
C. Pulmonary contusion
D. Fractured rib - (answer)Correct Answer: A. Tension pneumothorax
The nurse should identify these manifestations as an indication the infant is developing a tension
pneumothorax. The infant might also become cyanotic and show asymmetry of the thorax.
Incorrect Answers:
B. Manifestations of flail chest include a pulling of the traumatized rib area inward during
inspiration and outward during expiration.
C. Manifestations of pulmonary contusion include decreased breath sounds, tachycardia,
tachypnea, and blood-tinged secretions.
D. Manifestations of a rib fracture include pain and ecchymosis in the area of trauma, swelling,
and muscle spasms.
TSH Range: - (answer)(0.5-5.0 µU/mL
A nurse is assessing a toddler who has measles (rubeola). Which of the following findings should
the nurse expect?
A. Koplik spots