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Free NCLEX-RN Exam Braindumps (page: 66)

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PDF with 862 Questions

After a 10-year-old child with insulin-dependent diabetes mellitus receives her dinner tray, she tells the nurse that she hates broccoli and wants some corn on the cob. The nurse's appropriate response is:

  1. "No vegetable exchanges are allowed."
  2. "Corn and other starchy vegetables are considered to be bread exchanges."
  3. "Yes, you may exchange any vegetable for any other vegetable."
  4. "Yes, but only one-half ear is allowed."

Answer(s): B

Explanation:

(A) Sites for injection need to be rotated, including abdominal sites, to enhance insulin absorption. (B) The pinch technique is the most effective method for obtaining skin tightness to allow easy entrance of the needle to subcutaneous tissues. (C) Massaging the site of injectionfacilitates absorption of the insulin. (D) Changing the needle will break the sterility of the system. It has become acceptable practice to reuse disposable needles and syringes for 3­7 days.



After a 10-year-old child with insulin-dependent diabetes mellitus receives her dinner tray, she tells the nurse that she hates broccoli and wants some corn on the cob. The nurse's appropriate response is:

  1. "No vegetable exchanges are allowed."
  2. "Corn and other starchy vegetables are considered to be bread exchanges."
  3. "Yes, you may exchange any vegetable for any other vegetable."
  4. "Yes, but only one-half ear is allowed."

Answer(s): B

Explanation:

(A) Sites for injection need to be rotated, including abdominal sites, to enhance insulin absorption. (B) The pinch technique is the most effective method for obtaining skin tightness to allow easy entrance of the needle to subcutaneous tissues. (C) Massaging the site of injectionfacilitates absorption of the insulin. (D) Changing the needle will break the sterility of the system. It has become acceptable practice to reuse disposable needles and syringes for 3­7 days.



A 54-year-old client is admitted to the hospital with a possible gastric ulcer. He is a heavy smoker. When discussing his smoking habits with him, the nurse should advise him to:

  1. Smoke low-tar, filtered cigarettes
  2. Smoke cigars instead
  3. Smoke only right after meals
  4. Chew gum instead

Answer(s): C

Explanation:

(A, B, D) Cigarettes, cigars, and chewing gum would stimulate gastric acid secretion. (C) Smoking on a full stomach minimizes effect of nicotine on gastric acid.



A 54-year-old client is admitted to the hospital with a possible gastric ulcer. He is a heavy smoker. When discussing his smoking habits with him, the nurse should advise him to:

  1. Smoke low-tar, filtered cigarettes
  2. Smoke cigars instead
  3. Smoke only right after meals
  4. Chew gum instead

Answer(s): C

Explanation:

(A, B, D) Cigarettes, cigars, and chewing gum would stimulate gastric acid secretion. (C) Smoking on a full stomach minimizes effect of nicotine on gastric acid.






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