nursing student

Davis Edge Question of the Week #30

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Question:
The nurse is reviewing the urinalysis reports of a client. What does the nurse conclude from these findings?

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Question Options:
1.) The client has malaria.
2.) The client has proteinuria.
3.) The client has dehydration.
4.) The client has nephrolithiasis.

Correct Option/Answers: 1

Rationale:
Option 1: Urobilinogen levels greater than 1 mg/dL indicate malaria. Therefore, a urobilinogen value of 1.5 mg/dL indicates malaria in the client.
Option 2: Protein levels less than 20 mg/dL indicate normal findings; also, protein levels increase during proteinuria. Therefore, the client does not have proteinuria.
Option 3: The normal specific gravity of urine is in the range of 1.001–1.035. Increased urinary specific gravity indicates dehydration. As the client does not have increased urinary specific gravity, he or she does not have dehydration.
Option 4: Nephrolithiasis is characterized by hematuria. The normal red blood cell count in urine is less than 5/HPF. Therefore, a red blood cell count of 2/HPF does not indicate nephrolithiasis in the client.

Davis Edge Question of the Week #29

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Question:
The nurse is caring for clients with diabetes. After evaluating the nutritional status of the clients, which client does the nurse expect to be at risk of malnutrition?

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Question Options:
1.) Client 1
2.) Client 2
3.) Client 3
4.) Client 4

Correct Option/Answers: 2

Rationale:
Option 1: The BMI of client 1 is 24.6, which indicates that the client 1 is of normal weight.
Option 2: The body mass index (BMI) is calculated by the formula, BMI = Weight in kilograms/(Height in meters) The BMI of the client 2 is 17.75, which is less than the normal and indicates underweight. Low BMI indicates malnutrition.
Option 3: By considering the weight and height, the BMI of client 3 is 21.32. This indicates that client 3 is of normal weight.
Option 4: The BMI of client 4 is 24.74, which indicates that client 4 is of normal weight.

Davis Edge Question of the Week #28

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Question:
The nurse is reviewing the red blood cells lab reports of several children who completed their treatment regimens to improve their anemia. Which child‘s condition is most improved due to the treatment?

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Question Options:
1.) Child 1
2.) Child 2
3.) Child 3
4.) Child 4

Correct Option/Answers: 2

Rationale:
Option 1: Child 1 shows decreased levels of mean corpuscular volume, mean corpuscular hemoglobin, mean cell hemoglobin concentration, and reticulocyte count.
Option 2: The normal red cell lab values in children are:
Mean corpuscular volume: 79-95 µm3
Mean corpuscular hemoglobin: 25-3 pg/cell
Mean cell hemoglobin concentration: 31%-37% Hgb [g]/dl RBC
Reticulocyte count: 0.5%-1.5%
The red cell lab values of Child 2 are normal and indicate that the child has received effective treatment.
Option 3: The laboratory reports of Child 3 show decreased levels of mean corpuscular volume, mean corpuscular hemoglobin, mean cell hemoglobin concentration, and reticulocyte count.
Option 4: Child 4 has decreased levels of mean corpuscular volume, mean corpuscular hemoglobin, mean cell hemoglobin concentration, and reticulocyte count.

Davis Edge Question of the Week #27

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Question:
A nurse is assessing four student nurses while adding sterile solution to the sterile field. Which student nurse’s action is correct?

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Question Options:
1.) Student A
2.) Student B
3.) Student C
4.) Student D

Correct Option/Answers: 3

Rationale:
Option 1: The student nurse should hold the sterile solution 4 to 6 inches above the sterile field. Pouring the sterile solution from 9 inches would lead to splashing, which in turn contaminates the sterile field.
Option 2: Student B should not store the sterile solution for further use. Reusing the opened container will lead to contamination.
Option 3: Student C’s action is correct. The sterile bowl should be placed at the corner of the sterile field, which would prevent the nurse from reaching over and contaminating the field.
Option 4: Student D should wear the gloves after adding the supplies to the sterile field. Adding supplies after donning the sterile gloves would contaminate them.

Davis Edge NCLEX Question of the Week #20

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For this week’s NCLEX Question of the Week…

Question:
The nurse is assessing the weight and height of 1-year-old children and comparing their current heights and weights to their birth weights and heights. Which child does the nurse expect to have proper growth and development?

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Question Options:
1.) Child A
2.) Child B
3.) Child C
4.) Child D

Rationale:
Option 1: The child’s height is increased by only 0.6 foot and weight by only 9 lbs. The child who has adequate growth will have an increase of 1- foot in height and will triple the weight at birth after 1 year. However, the child has increased in height by 0.6 foot and the weight increase is 3lbs less than required which indicates inadequate development.

Option 2:From birth to 1 year, the weight of the child triples and the height increases by 1 foot if adequate nutrition and health are maintained. The child B’s weight tripled and height increased by 1 foot, therefore, child B is said to have appropriate growth and development.

Option 3:The child’s height is increased by only 0.6 foot and weight by only 10 lbs after a year and is less than the expected height and weight for a one-year-old child. Therefore, the child C has inadequate development.

Option 4: The child’s height is increased by 0.6 foot and weight by only 12 lbs compared to a height increase of 1 foot and weight that has tripled. This indicates that the child has inadequate development.