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