题目内容

A client tells the nurse that she has been working hard for the last 3 months to control her type 2 (non-insulin-dependent) diabetes mellitus with diet and exercise. To determine the effectiveness of the client's efforts, the nurse should check

A. urine glucose level.
B. fasting blood glucose level.
C. serum fructosamine level.
D. glycosylated hemoglobin (Hb) level.

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Before administering a tube feeding to a toddler, which of the following methods should the nurse use to check the placement of a nasogastric (NG) tube

Abdominal X-rays.
B. Injection of a small amount of air while listening with a stethoscope over the abdominal area.
C. A check of the pH of fluid aspirated from the tube.
D. Visualization of the measurement mark on the tube made at the time of insertion.

The nurse is caring for a neonate 12 hours after birth. Which clinical manifestation would be the earliest indication that the neonate may have cystic fibrosis

A. Steatorrhea.
B. Meconium ileus.
C. Decreased sodium levels.
D. Rhinorrhea.

While performing rounds, a nurse finds that a client is receiving the wrong IV solution. The nurse's initial response should be to

A. remove the IV catheter and call the physician.
B. write up an incident report describing the mistake.
C. slow the IV flow rate and hang the appropriate solution.
D. wait until the next bottle is due and then change to the proper solution.

A client refuses his evening dose of haloperidol (Haldol) then becomes extremely agitated in the day room while other clients are watching television. He begins cursing and throwing furniture. The nurse's first action is to

A. check the client's medical record for an order for an IM as needed dose of medication for agitation.
B. place the client in full leather restraints.
C. call the physician and report the behavior.
D. remove all other clients from the day room.

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