the nurse is assessing a 22 year old patient experiencing the onset of symptoms of type 1 diabetes which question is most appropriate for the nurse to the nurse is assessing a 22 year old patient experiencing the onset of symptoms of type 1 diabetes which question is most appropriate for the nurse to
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1. The nurse is assessing a 22-year-old patient experiencing the onset of symptoms of type 1 diabetes. Which question is most appropriate for the nurse to ask?

Correct answer: C

Rationale: Weight loss is a common symptom in the onset of type 1 diabetes due to the body's inability to use glucose for energy. The lack of insulin leads the body to break down fat and muscle for fuel, causing unintentional weight loss. This is a more relevant question compared to the others, as it directly relates to the metabolic changes associated with type 1 diabetes.

2. Which is an essential component of health literacy?

Correct answer: C

Rationale: An essential component of health literacy is the ability to navigate the health care system. This skill is crucial for individuals to access, understand, and effectively utilize health services available to them. Navigating the health care system involves understanding how to find appropriate healthcare providers, make appointments, understand insurance coverage, and follow through with treatment recommendations. Without this ability, individuals may struggle to access needed care, leading to potential negative health outcomes.

3. A healthcare provider is preparing to administer digoxin to a patient with heart failure. Which of the following lab results should be reviewed before administering the medication?

Correct answer: A

Rationale: The correct answer is A: Potassium level. Hypokalemia increases the risk of digoxin toxicity. Digoxin can potentiate the effects of low potassium levels, leading to life-threatening arrhythmias. Therefore, it is essential to review the patient's potassium level before administering digoxin. Choices B, C, and D are incorrect because calcium level, hemoglobin level, and white blood cell count are not directly related to the risk of digoxin toxicity.

4. A client is post-operative day 1 and reports a sudden increase in blood-tinged liquid draining from his incision after feeling a popping sensation. What is the nurse’s next action?

Correct answer: Assess the wound for signs of dehiscence

Rationale:

5. Parents would suspect hearing loss if their child did not:

Correct answer: D

Rationale: The correct answer is D because babbling is an early indicator of hearing ability in infants. Lack of babbling by 2 months may suggest a potential hearing issue. Choices A, B, and C are incorrect because turning away from a sound, startling with sudden loud noises immediately after birth, and talking at 4 months are not primary indicators of hearing loss in infants.

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