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NEW QUESTION 22
After the fetal activity test (nonstress test) is completed, the RN is looking at the test results on the monitor strip. The RN observes that the fetal heart accelerated 5 beats/min with each fetal movement. The accelerations lasted 15 seconds and occurred 3 times during the 20- minute test. The RN knows that these test results will be interpreted as:

A. A nonreactive testB. A reactive testC. A negative testD. An unsatisfactory test

Answer: B

Explanation:
(A) A nonstress test that shows at least two accelerations of the fetal heart rate of 15 bpm with fetal activity, lasting 15 seconds over a 20-minute period. (B) Reactive criteria are not met. The accelerations of the fetal heart rate are not at least 15 bpm and do not last 15 seconds. This could mean fetal well-being is compromised. Usually a contraction stress test is ordered if the nonstress test results are negative. (C) An unsatisfactory test means the data cannot be interpreted, or there was inadequate fetal activity. If this happens, usually the test is ordered to be done at a later date. (D) A negative test is a term used to describe the results of a contraction stress test.

 

NEW QUESTION 23
A 44-year-old female client is receiving external radiation to her scapula for metastasis of breast cancer.
Teaching related to skin care for the client would include which of the following?

A. Teach her to cover broken skin in the treated area with a medicated ointment.B. Teach her to completely clean the skin to remove all ointments and markings after each treatment.C. Encourage her to avoid direct sunlight on the area being treated.D. Encourage her to wear a tight-fitting vest to support her scapula.

Answer: C

Explanation:
(A) The skin in a treatment area should be rinsed with water and patted dry. Markings should be left intact, and the skin should not be scrubbed. (B) Clients should avoid putting any creams or lotions on the treated area. This could interfere with treatment. (C) Radiation therapy clients should wear loose-fitting clothes and avoid tight, irritating fabrics. (D) The area of skin being treated is sensitive to sunlight, and the client should take care to prevent sun damage by avoiding direct sunlight and covering the area when she is in the sun.

 

NEW QUESTION 24
A 54-year-old client is admitted to the hospital with a possible gastric ulcer. He is a heavy smoker. When discussing his smoking habits with him, the nurse should advise him to:

A. Smoke cigars insteadB. Chew gum insteadC. Smoke low-tar, filtered cigarettesD. Smoke only right after meals

Answer: D

Explanation:
Explanation
(A, B, D) Cigarettes, cigars, and chewing gum would stimulate gastric acid secretion. (C) Smoking on a full stomach minimizes effect of nicotine on gastric acid.

 

NEW QUESTION 25
The nurse observes that a client has difficulty chewing and swallowing her food. A nursing response designed to reduce this problem would include:

A. Ordering a full liquid diet for herB. Ordering five small meals for herC. Ordering a pureed diet for herD. Ordering a mechanical soft diet for her

Answer: D

Explanation:
(A) Full liquids would be difficult to swallow if the muscle control of the swallowing act is affected; this is a probable reason for her difficulties, given her medical diagnosis of multiple sclerosis. (B) Five small meals would do little if anything to decrease her swallowing difficulties, other than assure that she tires less easily. (C) A mechanical soft diet should be easier to chew and swallow, because foods would be more evenly consistent. (D) A pureed diet would cause her to regress more than might be needed; the mechanical soft diet should be tried first.

 

NEW QUESTION 26
A 27-year-old man was diagnosed with type I diabetes 3 months ago. Two weeks ago he complained of pain, redness, and tenderness in his right lower leg. He is admitted to the hospital with a slight elevation of temperature and vague complaints of "not feeling well." At 4:30 PM on the day of his admission, his blood glucose level is 50 mg; dinner will be served at 5:00 PM. The best nursing action would be to:

A. Give him 3 tbsp of sugar dissolved in 4 oz of grape juice to drinkB. Ask him to dissolve three pieces of hard candy in his mouthC. Monitor him closely until dinner arrivesD. Have him drink 4 oz of orange juice

Answer: D

Explanation:
Section: Questions Set A
Explanation:
(A) The combination of sugar and juice will increase the blood sugar beyond the normal range. (B) Concentrated sweets are not absorbed as fast as juice; consequently, they elevate the blood sugar beyond the normal limit. (C) Four ounces of orange juice will act immediately to raise the blood sugar to a normal level and sustain it for 30 minutes until supper is served. (D) There is an increased potential for the client's blood sugar to decrease even further, resulting in diabetic coma.

 

NEW QUESTION 27
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