Share This Link

The presence of a supernumerary breast nipple is not related to the onset of menarche and is not a common assessment in determining sexual maturity.

Temporary gynecomastia is more commonly observed in adolescent boys rather than preteen girls.

While age can provide a rough estimate, it is not as accurate as a physical assessment of sexual maturity.

Withdrawing and reinserting the NGT should only be done if the tube is misplaced or dislodged.

Sending the fluid to the lab is unnecessary unless there is a specific concern, such as infection.

Connecting the NGT to wall suction should only be done after confirming proper placement.

While additional sleep may be helpful, it does not address the root cause of the hangover effect from temazepam.

A benzodiazepine antagonist is typically used in cases of overdose, not for managing next-day drowsiness.

Stopping the medication abruptly can lead to withdrawal symptoms and is not recommended.

Examining feet daily is important for preventing foot complications, such as ulcers, in diabetics but is not directly related to preventing retinopathy and nephropathy.

Wearing compression stockings is not specifically recommended for preventing retinopathy or nephropathy in diabetes.

While regular eye exams are important for detecting retinopathy early, maintaining stable blood glucose levels is key to preventing the development of complications in the first place.

Insulin requirements generally increase as pregnancy progresses due to the growing placenta and hormones that cause insulin resistance, not fluctuate significantly.

While insulin needs do increase, they do not typically double or quadruple during the second trimester. The increase is more gradual.

Insulin requirements increase during pregnancy and may decrease after delivery as the placenta is no longer present, removing the source of insulin resistance.

Administering albuterol may help if the shortness of breath is due to bronchospasm, but the priority in heart failure is to assess fluid status and respiratory function.

Measuring urine output is important but secondary to assessing respiratory status.

Reviewing serum potassium is important but not as urgent as assessing the client's respiratory status.

Lubricating lotion may be helpful for dry skin but is not necessary for these lesions.

A biopsy is not typically required for benign lesions such as senile lentigines, unless there is suspicion of malignancy.

Recent international travel is unrelated to the development of senile lentigines.

The combination of glucose and insulin is used to shift potassium into cells, which would lower serum potassium levels further; this is not appropriate for treating hypokalemia.

Increasing dietary intake of potassium is important but not sufficient to correct a serum potassium level as low as 2.5 mEq/L, which requires more immediate intervention.

Hourly urinary output measurements may be useful but are not the immediate priority in treating severe hypokalemia.

Elevating the head of the bed is important for swallowing and preventing aspiration but is secondary to ensuring correct patient identification.

Providing water is helpful but not as critical as ensuring the correct patient is identified.

Rechecking the medications against the MAR is important but should be done in conjunction with proper patient identification.

Standing behind the client may cause confusion or discomfort. It is better to face the client while communicating.

Handouts should be written at a lower reading level, typically around the 5th to 6th grade, to ensure that most clients can understand them, especially older adults.

Background music may be distracting rather than helpful during the provision of important instructions.