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THE NEWEST NR 328 2025 UPDATE WITH Q&A VERIFIED ANSWERS GRADED A+ 100% GUARANTEED

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THE NEWEST NR 328 2025 UPDATE WITH Q&A VERIFIED ANSWERS GRADED A+ 100% GUARANTEED Causes of growth hormone deficiency - CORRECT ANSWER-Tumors Pituitary gland abnormalities Head trauma Genetic abnormalities The pituitary gland is part of the endocrine system and is controlled by signals from the_________. The anterior gland secretes growth hormones. - CORRECT ANSWER-hypothalamus Children with insufficient growth hormone may present with: - CORRECT ANSWER-short stature low growth velocity for age increased abdominal fat delayed tooth development delayed onset of puberty elevated LDL cholesterol levels Children with growth hormone deficiency often have normal growth during the first year of life. As they age, they present as short in stature and are often __________ for their height. - CORRECT ANSWER-overweight The nurse is caring for a pediatric client who was diagnosed with growth hormone deficiency and is beginning growth hormone therapy. Which statement by the parent indicates further education is needed? - CORRECT ANSWER-"Growth hormone treatment will help my child reach an adult height." Children receiving growth hormone therapy will likely experience the most growth during the ______ year of treatment, but they will still grow at a slower rate than other children. - CORRECT ANSWER-first Growth hormone is administered subcutaneously in the arm, thigh, or abdomen at _________ because that aligns with the physiological release of growth hormone within 45-90 minutes after the onset of sleep. - CORRECT ANSWER-bedtime Which is the best statement by the nurse when explaining an MRI procedure to a child? - CORRECT ANSWER-"You will have a special drink that makes you tired and then we will take some pictures." *special drink=medicine* *makes you tired= puts you to sleep* findings that are consistent with familial short stature and hypothyroidism - CORRECT ANSWER-height at 2nd percentile delayed growth findings consistent with growth hormone deficiency - CORRECT ANSWER-Delayed loss of baby teeth Height at 2nd percentile High low-density lipoprotein (LDL) cholesterol Delayed growth Clients with diabetes mellitus type __ have decreased or lack insulin secretions and require insulin to lower their blood glucose levels to the normal range - CORRECT ANSWER-1 Clients with diabetes mellitus type __ have defective insulin receptors and may be able to manage their blood glucose levels by diet, exercise, or oral hypoglycemic agents. - CORRECT ANSWER-2 The nurse is providing education for the family of a pediatric client recently diagnosed with diabetes mellitus type 1. Which are important teaching points for the nurse to include? - CORRECT ANSWER-Medication management Signs/symptoms of hypoglycemia Diet management Blood glucose monitoring Signs/symptoms of hyperglycemia CM of type 1 diabetes - CORRECT ANSWER-Fruity Smelling Breath Fatigue Frequent Urination (polyuria) Extreme Hunger (polyphagia) Increased Thirst (polydipsia) CM of type 2 diabetes - CORRECT ANSWER-Darkened areas of skin Fatigue Increased Thirst (polydipsia) Frequent Urination (polyuria) Normal Hemoglobin A1C level - CORRECT ANSWER-less than 6.5% *anything higher indicates diabetes* symptoms of hypoglycemia - CORRECT ANSWER-tachycardia/tremors sweating pallor irritability hunger sleepiness lack of coordination symptoms of hyperglycemia - CORRECT ANSWER-dry mouth increased thirst weakness headache blurred vision frequent urination The nurse is caring for an adolescent client who is newly diagnosed with diabetes mellitus type 1. Which statement by the client indicates the need for further education? - CORRECT ANSWER-"I can eat anything I want since the insulin will lower my blood glucose." he nurse is caring for a pediatric client with diabetes mellitus. The client reports feeling sleepy, weak, and having heart palpitations. The nurse checks the blood glucose level and it is 55 mg/dL. Which is the priority action by the nurse? - CORRECT ANSWER-provide a carbohydrate snack CM of Wilms tumor - CORRECT ANSWER-abdominal mass hematuria hypertension The nurse is caring for a 4-year-old who is receiving chemotherapy and is experiencing nausea and vomiting. Which is the best nursing action to address the problem? - CORRECT ANSWER-Allow the child to choose what to eat for meals CM of acute lymphoblastic leukemia - CORRECT ANSWER-minor infection that will not completely disappear

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Geüpload op
10 april 2025
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Geschreven in
2024/2025
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‭ OP 2025-2026 PSYCH HESI NR 328‬
T
‭NEW EXAM WITH Q&A UPDATED‬
‭ANSWERS 100% GUARANTEED A+‬

‭ he emergency department nurse is providing care for a rape victim. Which action‬
T
‭represents an essential element of care for this client?‬

‭Providing nonjudgmental care.‬

‭Conveying outrage that this occurred.‬

‭Sympathizing with the client's sense of shame.‬

‭ ncouraging the client to divulge all the details - CORRECT ANSWER-Providing‬
E
‭nonjudgmental care.‬

‭ he nurse is reviewing labs for a client who is taking clozapine, 25mg QD for treatment‬
T
‭of disorganized schizophrenia. The labs are documented as follows: RBC 4.5‬
‭million/mcL, WBC 1000/mcL, TSH 1.2 mc-IU. Based on these results, which order‬
‭should the nurse anticipate the health care provider to write?‬


‭Discontinue clozapine.‬

‭Administer levothyroxine sodium 25 mcg QD.‬

‭Administer ferrous sulfate 100mg QD.‬

‭ ecrease clozapine to 12.5 mg QD, start levothyroxine sodium 50 mcg QD. -‬
D
‭CORRECT ANSWER-Discontinue clozapine.‬

‭ ationale‬
R
‭Agranulocytosis is an adverse side effect of clozapine that can cause lethal infections.‬
‭Based on the client's results, clozapine should be discontinued; the thyroid and RBC‬
‭results are normal and do not need to be treated.‬

,‭ he visiting nurse is assessing a client with early-stage dementia who has recently been‬
T
‭prescribed donepezil (Aricept). Which information obtained from the client's family‬
‭member demonstrates that the medication is effective?‬


‭The client is showering and getting dressed with minimal assistance.‬

‭The client uses confabulation to cover up memory loss.‬

‭The client did not attend the family reunion last weekend.‬

‭ he client arranges to have groceries delivered. - CORRECT ANSWER-The client is‬
T
‭showering and getting dressed with minimal assistance.‬

‭ client with stage 2 Alzheimer's disease is being cared for at home by the spouse. The‬
A
‭client's spouse tells the nurse about the emotional difficulties involved in providing‬
‭fulltime care at home. Which self-care activity is most important for the nurse to‬
‭recommend to the spouse?‬


‭Periodic times of respite from caregiving.‬

‭Regular attendance at church services.‬

‭Participation in reminiscence therapy.‬

‭ stablishment of a predictable daily schedule. - CORRECT ANSWER-Periodic times of‬
E
‭respite from caregiving.‬


‭ ationale‬
R
‭Caregiver role strain may be attributed to many different factors. The nurse must‬
‭become familiar with this diagnosis in order to accurately assess the caregiver and offer‬
‭effective interventions. One important recommendation is to have the caregiver‬
‭incorporate periodic breaks as part of the daily routine to relieve stress. The nurse‬
‭should contact the client's manager and provide the client's caregiver a list of agencies‬
‭offering "Respite Care".‬

‭ client with delirium keeps attempting to get out of bed and has fallen twice, despite‬
A
‭being under close-observation. The charge nurse calls the health care provider to obtain‬

,‭ n order for mechanical restraints. Which statement is correct regarding the mechanical‬
a
‭restraint policy?‬


‭ he client will need to remain on close-observation with a documentation note every 15‬
T
‭minutes.‬

‭The client no longer require close-observation, but must be checked at regular intervals.‬

‭The client may be sedated and left alone as long as the restraints remain in place.‬

‭ estraints may be applied based on verbal orders received over the phone. -‬
R
‭CORRECT ANSWER-The client will need to remain on close-observation with a‬
‭documentation note every 15 minutes.‬

‭ client with long-term alcohol addiction is admitted to the emergency department.‬
A
‭Which medications should the nurse anticipate the healthcare provider will prescribe for‬
‭this client?‬


‭Diazepam.‬

‭Methadone.‬

‭Multivitamins.‬

‭Thiamine (vitamin B1).‬

‭Monoamine oxidase inhibitors. - CORRECT ANSWER-Diazepam.‬

‭Multivitamins.‬

‭Thiamine (vitamin B1).‬

‭ he nurse is caring for a victim of severe emotional violence inflicted by her husband.‬
T
‭The client states that the abuse occurs most often when her husband is intoxicated, and‬
‭that he is always remorseful afterwards. She also tells the nurse that her husband's‬
‭father was an alcoholic who beat him and his mother. What evidence exists that the‬
‭husband is at risk of becoming a perpetrator of physical abuse?‬

, ‭Past childhood abuse.‬

‭Feelings of remorse.‬

‭Temporary behavioral changes.‬

‭Excessive alcohol consumption. - CORRECT ANSWER-Past childhood abuse.‬

‭ he nurse is interviewing a newly admitted client with major depression. Which‬
T
‭statement by the client is evidence of a genetic etiology of this mood disorder?‬


‭My mother was diagnosed with bipolar affective disorder.‬

‭My uncle was diagnosed with schizophrenia.‬

‭My cousin was hospitalized with suicidal ideation last year.‬

‭ y niece is being evaluated for borderline personality disorder. - CORRECT‬
M
‭ANSWER-My mother was diagnosed with bipolar affective disorder.‬

‭ hat are some of the family risk factors the nurse should look for when interviewing a‬
W
‭client who is suspected of being in an abusive relationship?‬

‭Mental health problems in the nuclear family..‬

‭Substance abuse by household members.‬

‭Family relationships that appear dysfunctional.‬

‭The ethnic and cultural background of the family.‬

‭ ducational background of client and family members. - CORRECT ANSWER-Mental‬
E
‭health problems in the nuclear family..‬

‭Substance abuse by household members.‬

‭Family relationships that appear dysfunctional.‬
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