GCC 126 - 150

A mother of a 3-year-old hospitalized with lead poisoning asks the nurse to explain the treatment for her daughter. The nurse's explanation is based on the knowledge that lead poisoning is treated with:

• Gastric lavage
• Chelating agents
• Antiemetics
• Activated charcoal
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Objectives for treating diabetic ketoacidosis (DKA) include administering which of the following?

• Glucagon
• Blood products
• Glucocorticoids
• Insulin and I.V. fluids
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A client with diabetes has an order for ultrasonography. Preparation for an ultrasound includes:

• Increasing fluid intake
• Limiting ambulation
• Administering an enema
• Withholding food for 8 hours
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When developing a teaching plan for a client who is 8 weeks pregnant, which of the following foods would the nurse suggest to meet the client's need for increased folic acid?

• Spinach.
• Bananas.
• Seafood.
• Yogurt.
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A woman who has delivered a healthy newborn is being discharged. As a part of the discharge teaching, the nurse should instruct the client to observe vaginal discharge for postpartum hemorrhage and notify the healthcare provider about?

• Bleeding that becomes lighter each day
• Clots the size of golf balls
• Saturating a pad in an hour
• Lochia that last longer than 1 week
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A client is admitted to the hospital after being bitten by a bat. Rabies immune globulin, human (BayRab) is ordered as an injection. The drug leaflet instructs to administer 20 IU/kg. This medication comes in vials of 150 IU/mL. The client weighs 220 pounds. How many milliliters should the nurse administer?

• 4.6 mL.
• 9.2 mL.
• 13.3 mL.
• 29.3 mL.
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The nurse is discussing pain from cholecystitis with a client. Which statement made by the client most accurately describes the typical pain of this disorder?

• The pain is usually below my sternum.
• Eating food makes the pain better.
• The pain gets worse after I eat fatty foods.
• The pain is usually related to constipation.
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In planning care for the patient with ulcerative colitis, the nurse identifies which nursing diagnoses as a priority?

• Anxiety
• Impaired skin integrity
• Fluid volume deficit
• Nutrition altered, less than body requirements
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The nurse is teaching a client with a history of obesity and hypertension regarding dietary requirements during pregnancy. Which statement indicates that the client needs further teaching?

• I need to reduce my daily intake to 1,200 calories a day.
• I need to drink at least a quart of milk a day.
• I shouldn't add salt when I am cooking.
• I need to eat more protein and fiber each day.
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A client has just been admitted to the intensive care unit (ICU) and is chemically sedated and paralyzed. What is the best description of the precautions that need to be taken to prevent skin breakdown in this client?

• No precautions are needed. This client is too critically ill to be moved. Keep the client supine to promote circulation to all areas of the body.
• The client needs to be turned at least every 2 hours and should be placed in a 30-degree lateral position if the client becomes too unstable to be turned for more than two hours.
• No precautions are needed. The client is in the ICU and is not at risk for skin breakdown.
• The client needs to be turned at least every 2 hours.
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