The nurse is planning a class about blood glucose monitoring for a group of clients with diabetes mellitus. Which timing of glucose testing would apply for any client regardless of the client's age or type of diabetes?

Prior to exercising.

Before going to bed.

Immediately after meals.

During acute illness.

Answer and Explanation

The Correct Answer is D

A. Prior to exercising: Testing before exercise is important, especially for clients on insulin, but may not be necessary for all clients depending on their diabetes management and regimen.

B. Before going to bed: This is often recommended for insulin-dependent diabetics to avoid nocturnal hypoglycemia, but it's not universally required for all clients.

C. Immediately after meals: Postprandial glucose testing is useful, especially for gestational diabetes or insulin adjustments, but it is not routinely required for all diabetics.

D. During acute illness: All clients with diabetes should monitor blood glucose more frequently during illness, as stress hormones can cause hyperglycemia or unexpected hypoglycemia.

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

Explanation

A. Contagious until symptoms subside: Streptococcal pharyngitis is contagious until 24 hours after starting antibiotics, not until all symptoms are gone. This is important for limiting transmission to others in the household or school setting.

B. Sandpaper-like rash: A sandpaper-textured rash is a hallmark sign of scarlet fever, which is a complication of strep throat. It usually begins on the neck or chest and spreads, often feeling coarse to the touch.

C. Peeling and flaking skin in a week: Desquamation, or skin peeling, is common several days after a strep rash subsides, particularly on the hands and feet. This symptom signals the healing phase of scarlet fever.

D. Darkening of skin under arms: Darkened underarm skin is typically linked to acanthosis nigricans, associated with insulin resistance or obesity. It is not seen with streptococcal infections or fever-related conditions.

E. Fever lasting for 7 to 10 days: Fever from strep throat usually resolves quickly within 24–48 hours of initiating antibiotic therapy. Prolonged fever would be atypical and requires further evaluation for complications.

A. Only when a client presents with an unexplained injury. B. As soon as the clinician suspects a problem. C. Once the clinician confirms a history of abuse. D. As a routine part of each health care encounter.

Correct Answer is D

Explanation

A. Only when a client presents with an unexplained injury: Waiting for physical signs misses many victims, especially those experiencing emotional or sexual abuse without visible injuries.

B. As soon as the clinician suspects a problem: While suspicion should prompt further evaluation, relying on suspicion alone delays early detection and intervention for many at-risk individuals.

C. Once the clinician confirms a history of abuse: Screening is a preventive tool used to detect abuse early; waiting for confirmation defeats the purpose and allows ongoing harm.

D. As a routine part of each health care encounter: Routine screening normalizes the process, reduces stigma, and increases the likelihood of identifying and helping those experiencing IPV.

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The nurse is planning a class about blood glucose monitoring for a group of clients with diabetes mellitus. Which timing of glucose testing would apply for any client regardless of the client's age or type of diabetes?

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Naxlex Comprehensive Predictor Exams

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

Explanation

When should intimate partner violence (IPV) screening occur?

Correct Answer is D

Explanation

A parent brings their child, who has a history of asthma, to the emergency room. The child is wheezing and speaking one word between each breath. The child is anxious, tachycardic, and has labored respirations. Which assessment is most important for the nurse to obtain?

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