1. While assessing a client with diabetes mellitus, the nurse observes an absence of hair growth on the
client's legs. What additional assessment provides further data to support this finding? a. Palpate
for the presence of femoral pulses bilaterally.
b. Assess for the presence of a positive Homan's sign.
c. Observe the appearance of the skin on the client's legs.
d. Watch the client's posture and balance during ambulation.
2. The healthcare provider prescribes 15 mg/kg of Streptomycin for an infant weighing 4 pounds. The
drug is diluted in 25 ml of D5W to run over 8 hours. How much Streptomycin will the infant receive?
a. 9 mg.
b. 18 mg.
c. 27 mg.
d. 36 mg.
3. In assessing a client with preeclampsia who is receiving magnesium sulfate, the nurse determines
that her deep tendon reflexes are 1+; respiratory rate is 12 breaths/minute; urinary output is 90 ml
in 4 hours; magnesium sulfate level is 9 mg/dl. Based on these findings, what intervention should the
nurse implement?
a. Continue the magnesium sulfate infusion as prescribed.
b. Decrease the magnesium sulfate infusion by one-half.
c. Stop the magnesium sulfate infusion immediately.
d. Administer calcium gluconate immediately.
4. A client is on a mechanical ventilator. Which client response indicates that the neuromuscular
blocker tubocurarine chloride (Tubarine) is effective? a. The client’s expremities are paralyzed.
b. The peripheral nerve stimulator causes twitching.
c. The client clinches fist upon command.
d. The client’s Glagow Coma Scale score is 14.
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