a female patient is scheduled for an oral glucose tolerance test which information from the patients health history is most important for the nurse to a female patient is scheduled for an oral glucose tolerance test which information from the patients health history is most important for the nurse to
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1. A female patient is scheduled for an oral glucose tolerance test. Which information from the patient�s health history is most important for the nurse to communicate to the health care provider?

Correct answer: A

Rationale:

2. How should signs of dehydration in an elderly patient be assessed?

Correct answer: A

Rationale: Corrected Rationale: Monitoring skin turgor is a reliable method to assess dehydration in elderly patients. Skin turgor refers to the skin's elasticity or the skin's ability to return to its normal position after being pinched. In dehydration, the skin loses its elasticity, becoming less flexible and slower to return to its original state. Checking for dry mucous membranes (Choice B), monitoring for sunken eyes (Choice C), and checking capillary refill (Choice D) are all relevant assessments in dehydration but are not as specific or sensitive as monitoring skin turgor. Dry mucous membranes and sunken eyes are indicators of dehydration, while capillary refill is more related to circulatory status and less specific to dehydration.

3. Absorption is the ability to exhale carbon dioxide.

Correct answer: False

Rationale: Absorption is the process of taking in substances such as nutrients or gases. Exhaling carbon dioxide is a part of the process of respiration, not absorption. Therefore, the statement that absorption is the ability to exhale carbon dioxide is false. Choice A is incorrect because absorption does not involve exhaling carbon dioxide. Choice C is incorrect as the concept of absorption can be clearly defined. Choice D is also incorrect as there is a definitive answer to the statement provided.

4. Which term refers to the relaxation phase of the heart, during which the chambers fill with blood?

Correct answer: A

Rationale: The correct answer is A, Diastole. Diastole is the phase of the cardiac cycle when the heart muscles relax, allowing the chambers to fill with blood. Choice B, Systole, is incorrect as systole is the contraction phase of the heart when blood is pumped out of the chambers. Choice C, Refractoriness, refers to a period during which the heart muscle is unresponsive to stimuli. Choice D, Automaticity, relates to the heart's ability to generate its own electrical impulses.

5. A client in the emergency department is being cared for by a nurse and has cardiogenic pulmonary edema. The client's assessment findings include anxiousness, dyspnea at rest, crackles, blood pressure 110/79 mm Hg, and apical heart rate 112/min. What is the nurse's priority intervention?

Correct answer: Provide the client with supplemental oxygen at 5 L/min via facemask.

Rationale: In cardiogenic pulmonary edema, the priority intervention is to improve oxygenation and reduce the workload on the heart. Providing supplemental oxygen at 5 L/min via facemask helps increase oxygen levels and alleviate respiratory distress. This intervention can help improve oxygen saturation, alleviate dyspnea, and support the client's respiratory function. Placing the client in a high-Fowler's position with legs dependent can also help with respiratory effort, but ensuring adequate oxygenation takes precedence. Sublingual nitroglycerin and IV morphine sulfate are commonly used interventions for cardiac-related conditions, but in this case, addressing oxygenation is the priority to prevent further deterioration.

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