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Amnurseminmanmemergencymdepartmentmismassessingmamclientmwhomreportsmseveremconstipation.mT
hemnursemshouldmidentifymwhichmofmthemfollowingmfindingsmasmanmindicationmthatmthemclientmmigh
tmhavemamsmall-bowelmobstruction?
Peripheralmedema
Minimalmvomiting
Intermittentmcrampingminmthemlowermabdomen
Visiblemperistalticmwavesminmthemuppermabdomenm-
mCORRECTmANSWERmVisiblemperistalticmwavesminmthemuppermabdomen
Themnursemshouldmidentifymthatmvisiblemperistalticmwavesminmthemuppermandmmiddlemabdomenmar
emammanifestationmofmamsmall-
bowelmobstruction.mThemclientmmightmalsomhavemabdominalmdiscomfortmormpain.
Amnursemismassessingmamclientmwhomhasmamcalciummlevelmofm6.3mmg/dL.mWhichmofmthemfollowingmfi
ndingsmshouldmthemnursemexpect?
,Circumoralmtingling
Hypoactivemreflexes
Fatigue
Anorexiam-mCORRECTmANSWERmCircumoralmtingling
Themnursemshouldmidentifymthatmhypocalcemiamcausesmparesthesias,mwhichmismcircumoralmnumbn
essmandmtinglingmofmthemfingers,mtoes,mandmaroundmthemmouth.
Amnursemismteachingmamclientmwhomhasmtypem1mdiabetesmmellitusmaboutmactionsmtomtakemwhenmha
vingmmanifestationsmofmhypoglycemiamwithmamglucometermreadingmbetweenm40mandm60mmg/dL.m
Whichmofmthemfollowingminstructionsmshouldmthemnurseminclude?
Self-administerm1mmgmofmglucagonmsubcutaneously.
Self-administerm20munitsmofmregularminsulin.
Drinkm120mmLm(4moz)mofmskimmmilk.
Drinkm120mmLm(4moz)mofmfruitmjuice.m-mCORRECTmANSWERmDrinkm120mmLm(4moz)mofmfruitmjuice.
Themnursemshouldminstructmthemclientmtomdrinkm120mmLm(4moz)mofmfruitmjuice,mwhichmwillmprovidem
10mtom15mgmofmcarbohydratesmtomtreatmthemhypoglycemia.
, Amnursemismteachingmamclientmwhomhasmasthmamhowmtomusemampeakmflowmmeter.mWhichmofmthemfol
lowingmstatementsmshouldmthemnursemidentifymasmanmindicationmthemclientmunderstandsmthemteac
hing?
"ImwillmblowmoutmasmhardmasmImcanmbeforemImusemthempeakmflowmmeter."
"Imwillmnotmtakemmymcontrollermmedicationmifmmympeakmflowmmetermscoresminmthemyellowmzone."
"Imwillmbasemmympeakmflowmmetermscoremonmthembestmofmthreemattempts."
"Imwillmgomtomthememergencymroommifmmympeakmflowmmetermisminmthemgreenmzone."m-
mCORRECTmANSWERm"Imwillmbasemmympeakmflowmmetermscoremonmthembestmofmthreemattempts."
Themclient'smpeakmflowmratemshouldmbembasedmonmthembestmofmthreemtrialsmofmthempeakmflowmmet
er.mThemclientmshouldmrecordmthismfindingmandmsharemitmwithmthemprovidermonmthemnextmvisit.
Amnursemismteachingmamclientmwhomismatmmoderatemriskmformosteoporosismaboutmwaysmtomhelpmpre
ventmthismchronicmdisease.mWhichmofmthemfollowingminstructionsmshouldmthemnurseminclude?m(Sele
ctmallmthatmapply.)
Avoidmsunmexposure.
Increasemdairymproductmintake.
Engageminmweight-bearingmexercisesmregularly.
Increasemphosphatemintake.