Format with Verified Questions and 100% Correct
Answer Keys
Intermediate-acting insulin - answer-:Insulin that has a delayed onset and lasts longer than
regular insulin, used to manage blood sugar levels in diabetes.
Primiparous client - answer-:A 16-year-old primiparous client has decided to place her baby for
adoption.
External fetal monitoring (EFM) - answer-:The nursing student asks the nurse if the student
nurse is allowed to perform this skill.
Schizoaffective disorder - answer-:Parents report that the client poses a threat to their safety.
Metabolic alkalosis - answer-:A client has been diagnosed with metabolic alkalosis.
Body dysmorphic disorder - answer-:A client on the adolescent psychiatric unit was admitted
with a diagnosis of body dysmorphic disorder.
Myocardial ischemia - answer-:An electrocardiogram (ECG) reveals myocardial ischemia and an
anterior-wall myocardial infarction (MI).
,Oxytocin induction - answer-:A nurse notices that a large number of clients who receive
oxytocin to induce labor vomit as the infusion is started.
Client's information source - answer-:The client hands the nurse a printout of what the client
found about headaches and dizziness.
Breast engorgement relief - answer-:A primiparous client tells the nurse that she has been
experiencing breast engorgement.
Voluntary admission to a mental health facility - answer-:Evaluate the client for voluntary
admission to a mental health facility.
Serum bicarbonate level - answer-:Anticipate serum bicarbonate of 28 mEq/L from the client's
arterial blood gases.
Suicide risk in therapy - answer-:The client is at high risk for suicide.
ECG characteristic of MI - answer-:Expect to see an elevated ST segment.
Teaching clients before labor induction - answer-:Initiate a unit policy involving staff nurses,
certified nurse-midwives, and physicians in teaching clients before labor induction.
Client's body image perception - answer-:The client's body image is real to the client.
Client's inquiry about brain tumor - answer-:The client thinks they might have a brain tumor
after looking it up on the Internet.
, Nursing student supervision - answer-:The nurse will demonstrate the procedure once and then
supervise the student nurse.
Client's safety concern - answer-:Parents tell a nurse that they have not met their goal of home
management of their child.
Postpartum client intervention - answer-:The nurse teaches the client to use an intervention
before nursing her baby.
Client's symptoms - answer-:The client reports having headaches and dizziness.
Nurse's response to client - answer-:The nurse asks the client to tell more about where they
found the information.
Apply an ice cube to the nipples. - answer-:Express a small amount of breast milk.
Hiatal hernia health maintenance. - answer-:I will avoid lying down after a meal.
Child's need for snacks. - answer-:The child should help with preparing the snacks.
Rheumatoid arthritis exercise advice. - answer-:Take a warm tub bath or shower before
exercising. This may help with your discomfort.
Low cardiac output findings. - answer-:Altered level of consciousness and thready pulse.
HIV confidentiality measures. - answer-:Use the hospital code for HIV when documenting care.