A client is diagnosed with diabetic ketoacidosis. The nurse should be prepared to administer which of the following IV solutions?

• A.D5in normal saline
• B.D5W
• C.0.9 normal saline
• D.D5in lactated Ringer's

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Three hours postoperatively, a 27-year-old client complains of right leg pain after knee reduction. The first action by the nurse will be to:

• A.Assess vital signs
• B.Elevate the extremity
• C.Perform a lower extremity neurovascular check
• D.Remind the client that he has a client-controlled analgesic pump, and reinstruct him on its use

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The nurse is preparing a 6-year-old child for an IV insertion. Which one of the following statements by the nurse is appropriate when preparing a child for a potentially painful procedure?

• A."Some say this feels like a pinch or a bug bite. You tell me what it feels like."
• B."This is going to hurt a lot; close your eyes and hold my hand."
• C."This is a terrible procedure, so don't look."
• D."This will hurt only a little; try to be a big boy."

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When a client arrives on the labor and delivery unit, she informs the nurse that she has been having contractions for the last 5 hours. Now the pain is constant and not cyclical as it was earlier. The nurse considers the possibility of uterine rupture. Which of the following symptoms would be consistent with a uterine rupture?

• A.A large gush of clear fluid from the vagina
• B.Systolic hypertension
• C.Abdominal rigidity
• D.Increased fetal movements

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During the active phase of rheumatic fever, the nurse teaches parents of a child with acute rheumatic fever to assist in minimizing joint pain and promoting healing by:

• A.Putting all joints through full range-of-motion twice daily
• B.Massaging the joints briskly with lotion or liniment after bath
• C.Immobilizing the joints in functional position using splints, rolls, and pillows
• D.Applying warm water bottle or heating pads over involved joints

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