A practical nurse is gathering data on how a client in labor is coping with labor.
Which of the following findings demonstrates the client is coping well?

Rhythmic respirations.

Crying.

Lack of concentration.

Perspiration.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Rhythmic respirations indicate the client is using controlled breathing techniques to manage labor pain, which demonstrates effective coping. This method helps maintain oxygen levels and can reduce the perception of pain through focused breathing.

Choice B rationale

Crying during labor may indicate emotional distress or pain, suggesting the client might be struggling to cope effectively with labor. While it is a natural response, it is not typically associated with controlled coping mechanisms.

Choice C rationale

Lack of concentration can indicate that the client is overwhelmed by pain or anxiety, which may hinder her ability to use coping strategies effectively. It suggests she might be struggling to manage her labor experience.

Choice D rationale

Perspiration is a common physiological response to the exertion and stress of labor, but it does not specifically indicate how well the client is coping with labor pain or stress. It is a normal part of the labor process but not a clear sign of effective coping.

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Correct Answer is C

Explanation

Choice A rationale

Initiating the Hypoglycemia Protocol is necessary when the blood sugar is <70 mg/dL to quickly raise blood glucose levels.

Choice B rationale

No insulin is administered when blood sugar levels are between 70-130 mg/dL as it is within the normal range.

Choice C rationale

Administering 2 units of insulin for blood sugar levels between 131-180 mg/dL helps lower glucose to the normal range.

Choice D rationale

Administering 4 units of insulin for blood sugar levels between 181-240 mg/dL is necessary to reduce hyperglycemia.

Choice E rationale

Administering 6 units of insulin for blood sugar levels between 241-300 mg/dL addresses more severe hyperglycemia.

Choice F rationale

Administering 8 units of insulin for blood sugar levels between 301-350 mg/dL is used to manage significant hyperglycemia.

Choice G rationale

Administering 10 units of insulin for blood sugar levels between 351-400 mg/dL is crucial for severe hyperglycemia.

Choice H rationale

Administering 12 units of insulin and calling the physician for blood sugar levels >400 mg/dL is critical for immediate medical intervention.

A. "Women are more likely to develop hyperthyroidism after menopause.”. B. "Graves' disease may result in hyperthyroidism.”. C. "Cardiovascular disease can cause hyperthyroidism.”. D. "Hyperthyroidism results in too little thyroid hormone production.”.

Correct Answer is B

Explanation

Choice A rationale

Hyperthyroidism is more likely to occur in women of childbearing age and does not have a higher incidence post-menopause. It is often associated with autoimmune disorders such as Graves' disease, which can affect individuals at any age.

Choice B rationale

Graves' disease is an autoimmune disorder that is a common cause of hyperthyroidism. It results from the immune system producing antibodies that stimulate the thyroid gland to produce excessive thyroid hormones.

Choice C rationale

Cardiovascular disease is not a direct cause of hyperthyroidism. However, untreated hyperthyroidism can lead to complications such as atrial fibrillation and heart failure due to the overproduction of thyroid hormones.

Choice D rationale

Hyperthyroidism results in excessive production of thyroid hormones, not too little. This excess leads to symptoms such as weight loss, heat intolerance, tremors, and increased metabolism, distinguishing it from hypothyroidism.

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A practical nurse is gathering data on how a client in labor is coping with labor. Which of the following findings demonstrates the client is coping well?

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Naxlex Comprehensive Predictor Exams

The patient's blood sugar level was 152 mg/dL at 1700 hr. How much insulin should be given using the following insulin sliding scale?

Correct Answer is C

Explanation

A nurse is reinforcing teaching about hyperthyroidism with a client at 10 weeks of gestation who has the condition. Which of the following statements should the nurse reinforce in the teaching?

Correct Answer is B

Explanation

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A practical nurse is gathering data on how a client in labor is coping with labor.
Which of the following findings demonstrates the client is coping well?