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1. The nurse is teaching the parents of a preschool child with epilepsy about the side effects of Phenytoin (Dilantin). Which of the following should be included?
A. The child can experience of overgrowth of the gums requiring good dental care.
B. The child may appear lethargic.
C. The child may develop hypertrophy of subcutaneous facial tissue.
D. The child may develop diarrhea
E. The child may develop blurred vision.
1) A, B, C, D, E
2) A, B, C
3) A, D, E
4) B, C, D,E

2. A client with diabetes tells the nurse that she has heard about hypoglycemia and wants to know how to manage it. What will the nurse tell her? Select all apply
A. Begin treatment if her blood glucose is 5 mmol/L
B. Drink 175 ml of fruit juice
C. Avoid sweet foods containing fat
D. Eat cheese and crackers if the next meal is more than one hour away
E. Recheck blood glucose in 15 minutes after the first treatment
3. The nurse is discussing macrovascular complications with a diabetic client. She asks why she needs to worry about these complications. What explanation will the nurse provide to her?
A. These complications cannot be eliminated by reduction of risk factors such as smoking and obesity
B. These complications occur more frequently in women with Type 2 diabetes
C. These complications can occur with a higher frequency and earlier onset than in the non-diabetic population
D. These complications result from widening of the blood vessel membranes
E. These complications can be prevented by close monitoring of ketones in the urine
4. When a client with Type 2 diabetes has the flu with symptoms of nausea and vomiting what health teaching is necessary? Select all that apply.
A. 1.Supplement with carbohydrate containing fluids
B. 2.Stop taking oral anti-hyperglycemic medication
C. 3.Go to the emergency department if vomiting occurs more than twice in 12 hours
D. 4.Continue to take oral anti-hyperglycemic medication
E. 5.Check blood glucose by self-monitoring every 4 hours

5. Physical activity recommendations (CDA, 2013) for clients with diabetes include which of the following measures?
A. Aerobic exercise totaling at least 150 minutes per week
B. Resistance exercise 3 times per week
C. Flexibility exercise 3 times per week
D. Range of motion exercise at least 60 minutes per week
6. Which of these laboratory values, noted by the nurse when reviewing the chart of a patient with diabetes, indicates the need for further assessment of the patient?
A. Fasting blood glucose of 6.5 mmol/L
B. A1C of 4.9%
C. A1C of 5.8%
D. Noon blood glucose of 3.2 mmol/L
7. A client who has a history of a transient ischemic attack (TIA) has an order for Aspirin 160 mg daily. When the nurse is administering the medications, the client says, “I don’t need the Aspirin today. I don’t have any aches or pains.” Which of the following actions should the nurse take?
A. Tell the client that the Aspirin is used to prevent aches
B. Explain that the Aspirin is ordered to decrease stroke risk
C. Document that the Aspirin was refused by the client
D. Call the health care provider to clarify the medication order
8. The nurse is explaining to the parents of a child with asthma methods to reduce exposure to airborne allergens and irritants. These methods should include which of the following? Select all that apply.
A. Keep humidity in the home between 30 and 50%.
B. Ensure the child’s bedroom is fully carpeted.
C. Keep the child indoors while the lawn is being mowed.
D. Wash bed linens every week in hot water.
.
9. A rehabilitation nurse is conducting an assessment of a newly admitted client using the Functional Independence Measure (FIM). Which items will the nurse assess? Select all that apply.
A. The level of pain the client experiences during transfers using a validated Pain Scale
B. The level of assistance the client requires transferring to the toilet
C. Whether the client can use a wheelchair, walk independently or with assistance
D. Whether verbal prompts are required reminding the client to use their walker when walking
E. Determine the degree of skin integrity the client has to support self-care efforts
10. Which clinical manifestation should the nurse expect when a child with sickle cell anemia experiences an acute vaso-occlusive crisis?
11. nurse caring for a client with COPD assesses her weight and height and obtains a BMI of 17 Which of the following interventions should the nurse teach the client?
12. The nurse is completing a physical assessment on a client with COPD. Which of the following signs will the client display?
A. Dry, flaky skin
B. Decrease in red blood cell production
C. Weight loss
D. Long, thin fingers
E. Prolonged expiratory phase of respiration
13. According to Brandt (2012) in Study of older adults’ use of self-regulation for COPD self-management informs an evidence-based patient teaching plan, which of the following statements is true for people with COPD?
1) c,e
2) b,c,e
3) b,e
4) a,c,d

14. Which of the following diagnostic studies are indicated for a client with Crohn’s Disease? Select all that apply.
A. Electrolyte blood test
B. Blood urea nitrogen test
C. Testing of stool for occult blood
D. Bone marrow biopsy
E. Sigmoidoscopy with biopsy
15. After teaching a client with IBD about the recommended low-residue diet, the nurse identifies a need for further instruction when the client chooses which of the following foods from the menu for dinner.
A. Boneless chicken breast
B. Canned peaches
C. Cooked carrots
D. Fried fish
16. In the article, “Effects of caregiver burden on quality of life and coping strategies utilized by caregivers of adult patients with inflammatory bowel disease” by Parekh et al, (2017), which of the following factors were associated with a lower quality of life (QOL) among caregivers of adults with IBD? Select all that apply.
A. Lack of employment options for caregiver
B. Personal history of psychiatric illness
C. Presence of a dependent [other than the patient] in the home
D. The caregiver engaged in spiritual activities
E. Caring for patients with active IBD exacerbation

17. Which of the following findings were identified from Mantini and Ogden’s (2016) research in the article, “A qualitative study of patients’ experience of living with inflammatory bowel disease: A preliminary focus on the notion of adaptation”, reflect the impact on everyday life for a client with IBD?
A. Clients felt confident in their ability to manage their symptoms.
B. Clients felt their family and friends had a good understanding of the effects of IBD.
C. Clients felt their relationships could become

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