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A 25-year-old client believes she may be pregnant with her first child. She schedules an obstetric examination with the nurse practitioner to determine the status of her possible pregnancy. Her last menstrual period began May 20, and her estimated date of confinement using Nägele’s rule is:
A. March 27
B. February 1
C. February 27
D. January 3
ANSWER : C
A type I diabetic client is diagnosed with cellulitis in his right lower extremity. The nurse would expect which of the following to be present in relation to his blood sugar level?
A. A normal blood sugar level
B. A decreased blood sugar level
C. An increased blood sugar level
D. Fluctuating levels with a predawn increase
ANSWER : C
The therapeutic blood-level range for lithium is:
A. 0.25–1.0 mEq/L
B. 0.5–1.5 mEq/L
C. 1.0–2.0 mEq/L
D. 2.0–2.5 mEq/L
ANSWER : B
The usual treatment for diabetes insipidus is with IM or SC injection of vasopressin tannate in oil. Nursing care related to the client receiving IM vasopressin tannate would include:
A. Weigh once a week and report to the physician any weight gain of10 lb.
B. Limit fluid intake to 500 mL/day.
C. Store the medication in a refrigerator and allow to stand at room temperature for 30 minutes prior to administration
D. Hold the vial under warm water for 10–15 minutes and shake vigorously before drawing medication into the syringe.
ANSWER : D
A. Elevated serum sodium
B. Elevated serum calcium
C. Elevated serum protein
D. Elevated hematocrit
ANSWER : D