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Which of these clients should the nurse consider at greatest risk for developing
type 2 diabetes mellitus?
1
48-year-old African-American male who is obese and father and mother have type
2 DM.
2
50-year-old male hemoglobin A1C of 5.5% during a routine physical examination.
3
A 30-year-old female who delivered a 9-pound baby.
4
A 62-year-old male with an elevated triglyceride level. - CORRECT ANSWER-48-
year-old African-American male who is obese and father and mother have type 2
DM.
,The nurse is assessing a client with Parkinson's disease who has been admitted to
the hospital because of significant weight loss. Assessment data reveals a
masklike facial expression and slurred speech. A swallowing evaluation reveals
some difficulty swallowing. The client's daughter asks the nurse, "How am I
supposed to feed him at home?" What is an appropriate response by the nurse?
1
"He will be scheduled for surgery to have a feeding tube placed".
2
"It's best to feed him only three meals a day to reduce the chance of choking."
3
"Make sure he drinks all liquids through a straw and recline in chair while eating."
4
"You should add a thickener all liquids and make sure he sits upright while
eating." - CORRECT ANSWER-"You should add a thickener all liquids and make
sure he sits upright while eating."
The nurse is caring for a client who has been admitted to the psychiatric in-client
unit with schizophrenia. While talking with the nurse alone, the client suddenly
stops midsentence, turns to stare at the wall and states, "I told you I can't do
that!" What is an appropriate response by the nurse?
1
"I will talk to you later when you can pay attention."
2
,"I will leave the room if you continue to not pay attention"
3
"Is your mother talking to you again? I wish she would leave you alone."
4
"It appears you are hearing voices again. Tell me what you are hearing." -
CORRECT ANSWER-"It appears you are hearing voices again. Tell me what you
are hearing."
The nurse is caring for a client with tuberculosis who is receiving isoniazid and
rifampin for tuberculosis. Which adverse effect should the nurse be most
concerned with?
1
Blurred vision.
2
Yellowish sclera.
3
Nausea and vomiting.
4
Decreased urine output. - CORRECT ANSWER-Yellowish sclera.
Possible side effect related to liver damage
, What would the nurse expect to find in the care of an 80-year-old client who is
experiencing a complication after a right knee replacement? The patient is post-
op day 1.
1
Dry cough
2
Acute confusion
3
Increased temperature
4
Purulent drainage from incision - CORRECT ANSWER-Acute confusion
Dry cough - Vague sign
Acute confusion - Correct - sign of infection in an older adult
Increased temperature - Older adult may not exhibit normal signs of infection
Purulent drainage from incision - Older adult may not exhibit normal signs of
infection
The nurse is participating in the discharge plans for a client with hypertension.
Which statement by the client would cause concern?
1