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Term 1 of 144
The nurse is preparing to care for a 5-year-old who has been placed in
traction following a fracture of the femur. The nurse plans care, knowing that
which is the most appropriate activity for this child?
A. A radio
B. A sports video
,C. Large picture books
D. Crayons and a coloring book
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A
Rationale:
Findings indicative of multiple myeloma are an increased number of plasma cells in the bone
marrow, anemia, hypercalcemia caused by the release of calcium from the deteriorating
bone tissue, and an elevated blood urea nitrogen level. An increased white blood cell count
may or may not be present and is not related specifically to multiple myeloma.
C
Rationale:
Tuberculosis is definitively diagnosed through culture and isolation of Mycobacterium
tuberculosis. A presumptive diagnosis is made based on a tuberculin skin test, a sputum
smear that is positive for acid-fast bacteria, a chest x-ray, and histological evidence of
granulomatous disease on biopsy.
D
In the preschooler, play is simple and imaginative and includes activities such as
crayons and coloring books, puppets, felt and magnetic boards, and Play-Doh. A radio
, or a sports video is most appropriate for the adolescent. Large picture books are most
appropriate for the infant.
B, D
Rationale:
Kussmaul's respirations are abnormally deep and increased in rate. These occur as a result of
the compensatory action by the lungs. In bradypnea, respirations are regular but abnormally
slow. Apnea is described as respirations that cease for several seconds.
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Definition 2 of 144
A, B, E, F
Rationale:
Cancer is a common cause of SIADH. In SIADH, excessive amounts of water
are reabsorbed by the kidney and put into the systemic circulation. The
increased water causes hyponatremia (decreased serum sodium levels) and
some degree of fluid retention. The syndrome is managed by treating the
condition and cause and usually includes fluid restriction, increased sodium
intake, and medication with a mechanism of action that is antagonistic to
antidiuretic hormone. Sodium levels are monitored closely because
, hypernatremia can develop suddenly as a result of treatment. The immediate
institution of appropriate cancer therapy, usually radiation or chemotherapy,
can cause tumor regression so that antidiuretic hormone synthesis and release
processes return to normal.
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A client with type 1 diabetes mellitus who takes NPH daily in the morning calls the nurse to
report recurrent episodes of hypoglycemia with exercising. Which statement by the client
indicates an adequate understanding of the peak action of NPH insulin and exercise?
A. "I should not exercise since I am taking insulin."
B. "The best time for me to exercise is after breakfast."
C. "The best time for me to exercise is mid- to late-afternoon."
D. "NPH is a basal insulin, so I should exercise in the evening."
A client is diagnosed with viral hepatitis, complaining of "no appetite" and "losing my taste for
food." What instruction should the nurse give the client to provide adequate nutrition?
A. Select foods high in fat.
B. Increase intake of fluids, including juices.
C. Eat a good supper when anorexia is not as severe.
D. Eat less often, preferably only 3 large meals daily.