The nurse is performing tracheostomy care for a client who underwent a laryngectomy for laryngeal cancer. During the procedure, the client begins to cough and is unable to clear the secretions. After the nurse suctions the airway, which finding indicates the intervention was effective?

Absence of coarse crackles.

Increase in respiratory rate.

Increase in breath sounds.

Absence of fine crackles.

Answer and Explanation

The Correct Answer is A

A)   Correct - The absence of coarse crackles indicates that the airway has been cleared of secretions effectively, and the lung sounds are clearer.
B)   Incorrect - An increase in respiratory rate could indicate distress rather than the effectiveness of the intervention.
C)   Incorrect - An increase in breath sounds may not necessarily indicate the effectiveness of the intervention, as the quality of breath sounds matters more than the increase.
D)   Incorrect - The absence of fine crackles might not directly indicate the effectiveness of the intervention, as other factors can influence lung sounds.

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Correct Answer is ["B","C","E"]

Explanation

A) Incorrect- While hydration is important, this response doesn't directly address the client's question about the content and timing of meals.
B) Correct- Complex carbohydrates high in fiber content have a slower impact on blood glucose levels, promoting better glycemic control.
C) Correct- Bedtime snacks can be helpful to prevent nighttime hypoglycemia, but if heartburn develops, it may be necessary to modify the timing or content of the snack.
D) Incorrect- This response is not directly related to managing blood glucose levels or gestational diabetes.
E) Correct- Refined sugars can cause rapid spikes in blood glucose levels, so avoiding them helps maintain stable glycemic control.

A. Skipped eating lunch. B. Incorrectly administered too much insulin. C. Had a cold and ear infection for the past two days. D. Ate an extra peanut butter sandwich before gym class. E. None F. None

Correct Answer is B

Explanation

Rationale for A: Skipping a meal can lead to elevated blood glucose levels, but it typically would not result in ketoacidosis unless accompanied by insulin deficiency.

Rationale for B: Administering too much insulin would lead to hypoglycemia rather than ketoacidosis, as it would lower blood glucose levels and prevent the production of ketones.

Rationale for C: Illness, such as a cold and ear infection, can increase insulin resistance and metabolic stress, leading to elevated blood glucose levels and precipitating diabetic ketoacidosis.

Rationale for D: Eating an extra sandwich before gym class would generally increase blood glucose levels but would not directly lead to ketoacidosis unless there was inadequate insulin to manage the increased intake.

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The nurse is performing tracheostomy care for a client who underwent a laryngectomy for laryngeal cancer. During the procedure, the client begins to cough and is unable to clear the secretions. After the nurse suctions the airway, which finding indicates the intervention was effective?

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Naxlex Comprehensive Predictor Exams

Patient Data Exhibits Which 3 responses should the diabetic nurse educator provide?

Correct Answer is ["B","C","E"]

Explanation

An adolescent who was diagnosed with type 1 diabetes mellitus at the age of 9, is admitted to the hospital in diabetic ketoacidosis. Which occurrence is the most likely cause of the ketoacidosis?

Correct Answer is B

Explanation

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