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| Section | Weight | Objectives |
|---|---|---|
| Psychosocial Integrity | 6–12% | - Mental Health Concepts - Chemical Dependency and Substance Use Disorders - End-of-Life Support - Grief and Loss - Behavioral Interventions - Coping Mechanisms - Family Dynamics - Therapeutic Communication |
| Health Promotion and Maintenance | 6–12% | - Antepartum, Intrapartum, Postpartum and Newborn Care - Health Promotion Programs - Disease Prevention and Health Screening - Self-Care - Developmental Stages and Transitions - Physical Assessment Techniques - Aging Process |
| Safe and Effective Care Environment | 26–38% | - Management of Care
|
| Physiological Integrity | 43–67% | - Reduction of Risk Potential
|
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NEW QUESTION # 829
A client is now pregnant for the second time. Her first child weighed 4536 g at delivery. The client's glucose tolerance test shows elevated blood sugar levels. Because she only shows signs of diabetes when she is pregnant, she is classified as having:
Answer: A
Explanation:
Explanation/Reference:
Explanation:
(A) Insulin-dependent diabetes mellitus, also known as type I diabetes, usually appears before the age of
30 years with an abrupt onset of symptoms requiring insulin for management. It is not related to onset during pregnancy. (B) Non-insulin-dependent diabetes (type II diabetes) usually appears in older adults. It has a slow onset and progression of symptoms. (C) This type of diabetes is the same as insulin-dependent diabetes. (D) Gestational diabetes mellitus has its onset of symptoms during pregnancy and usually disappears after delivery. These symptoms are usually mild and not life threatening, although they are associated with increased fetal morbidity and other fetal complications.
NEW QUESTION # 830
The nurse is teaching a 10-year-old insulin-dependent diabetic how to administer insulin. Which one of the following steps must be taught for insulin administration?
Answer: D
Explanation:
Section: Questions Set B
Explanation:
(A) Sites for injection need to be rotated, including abdominal sites, to enhance insulin absorption. (B) The pinch technique is the most effective method for obtaining skin tightness to allow easy entrance of the needle to subcutaneous tissues. (C) Massaging the site of injection facilitates absorption of the insulin. (D) Changing the needle will break the sterility of the system. It has become acceptable practice to reuse disposable needles and syringes for 3-7 days.
NEW QUESTION # 831
A client takes warfarin (Coumadin) 15 mg po daily. To evaluate the medication's effectiveness, the nurse should monitor the:
Answer: C
Explanation:
Explanation
(A) PT evaluates adequacy of extrinsic clotting pathway. Adequacy of warfarin therapy is monitored by PT.
(B) PTT evaluates adequacy of intrinsic clotting pathway. Adequacy of heparin therapy is monitored by PTT.
(C) There is no such laboratory test. (D) Fibrin split products indicate fibrinolysis. This is a screening test for disseminated intravascular coagulation. Heparin therapy may increase fibrin split products.
NEW QUESTION # 832
The health team needs to realize that the compulsive concern with cleanliness that a client with severe anxiety exhibits is most likely an attempt to:
Answer: C
Explanation:
Explanation/Reference:
Explanation:
(A) These behaviors are attempts to relieve anxiety. (B) Avoidance is not a pattern in the obsessive client.
(C) Although these behaviors may seem to manipulate others, that is not the purpose behind the activity.
(D) Inflated self-esteem is not a characteristic of the severely anxious client.
NEW QUESTION # 833
Which of the following signs might indicate a complication during the labor process with vertex presentation?
Answer: B
Explanation:
(A) Fetal tachycardia may indicate fetal hypoxia; however, 170 bpm is only mild tachycardia. (B) Nausea and vomiting occur frequently during transition and are not a complication. (C) Contractions frequently last 60-90 seconds during the transitional phase of labor and are not considered a complication as long as the uterus relaxes completely between contractions. (D) Passage of meconium in a vertex presentation is a sign of fetal distress; this may be normal in a breech presentation owing to pressure on the presenting part.
NEW QUESTION # 834
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