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A nurse is reviewing the medical record of a client who has a paralytic ileus.

Exhibits

Select words from the choices below to fill in each blank in the following sentence:

The findings in the client's medical record indicate

and .
Answer and Explanation

The Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"A"}

A.    Despite the client reporting thirst and frequent urination, the client's urine specific gravity of 1.010 is within the normal range (1.005 to 1.030). The above symptoms could be associated with the hyperglycemia.

B.    There is no indication of a pneumothorax in the nurse's notes or diagnostic results.

C.    The casual glucose level of 300 mg/dL is significantly above the normal range (less than 200 mg/dL), indicating hyperglycemia.

D. The client’s WBC level is elevated, 11,500/mm3 (5,000 to 10,000/mm3) thus indicating an infection.
 


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Related Questions

Correct Answer is C,A,B,D,E

Explanation

A. Opening the outside cover of the sterile kit and removing the dust cover exposes the sterile supplies within the kit.
B. Grasping the outermost flap of the sterile kit while opening away from the body helps maintain the sterility of the contents within the kit.

C. Preparing a dry work surface above the waist level ensures that the sterile field is established at a proper height and that the nurse's hands are at the appropriate level for working within the sterile field.
D. Opening the innermost lower flap of the sterile kit while standing away from the sterile field allows the nurse to access the sterile supplies without contaminating the sterile field.
E. Opening each side flap of the sterile kit individually while pulling to the side further establishes the sterile field and provides access to the sterile supplies.

Correct Answer is B

Explanation

Rationale:

A. Taking a 1-hour nap each day may disrupt the client's sleep-wake cycle and make it more difficult to sleep at night.

B. Drinking a glass of milk before bedtime can promote sleep because milk contains tryptophan, an amino acid that can help induce sleep.

C. Taking a long walk before bedtime may increase the client's energy level and make it more difficult to sleep.

D. Watching television in bed can disrupt the client's sleep-wake cycle and make it more difficult to sleep.

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