a nurse is collecting data from a client who has type 2 diabetes mellitus and is concerned about weight gain during pregnancy which of the following r
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ATI PN Comprehensive Predictor 2024

1. A client with type 2 diabetes mellitus is concerned about weight gain during pregnancy. Which of the following responses should the nurse make?

Correct answer: B

Rationale: The correct answer is B. Clients with type 2 diabetes should aim for the same pregnancy weight gain as those without diabetes. Option A is too restrictive and may not be appropriate for a healthy pregnancy. Option C also imposes a specific limit without considering individual needs. Option D is incorrect as excessive weight gain can lead to complications in pregnancy, especially for individuals with diabetes.

2. When should a nurse suction a client with a tracheostomy?

Correct answer: C

Rationale: The correct answer is to suction the client when they show signs of irritability. Signs of irritability, such as restlessness or agitation, can indicate the need for suctioning in a client with a tracheostomy. This early indicator suggests that there may be an accumulation of secretions affecting the client's airway. Suctioning should be performed promptly to maintain a clear airway and prevent complications. Choices A, B, and D are incorrect because suctioning should be based on clinical signs and symptoms indicating the need for intervention, rather than a fixed schedule or specific vital sign parameters.

3. A nurse is caring for a client who is postoperative following abdominal surgery. Which of the following actions should the nurse take to promote wound healing?

Correct answer: B

Rationale: The correct answer is to ensure the client consumes adequate protein. Protein is essential for wound healing as it supports tissue repair. Applying heat to the surgical site (choice A) is not recommended as it can increase inflammation. Although ambulation (choice C) is beneficial for circulation and preventing complications, it is not directly related to promoting wound healing. Instructing the client to drink 4 liters of water daily (choice D) is excessive and not specifically related to wound healing in this context.

4. A nurse is providing discharge instructions for a client with diabetes. What is the most important teaching point?

Correct answer: B

Rationale: The correct answer is B: Administer insulin before meals as prescribed. This is the most important teaching point because insulin administration before meals helps manage blood sugar effectively in diabetic patients. Choice A is incorrect because monitoring blood sugar levels weekly may not provide timely information for managing diabetes. Choice C is incorrect as medications for diabetes should be taken as prescribed, not only when feeling unwell. Choice D is incorrect as blood sugar levels should be monitored at various times throughout the day, not just in the morning, to get a complete picture of the patient's condition.

5. A client with left-leg weakness is learning to use a cane. Which teaching point is most appropriate?

Correct answer: B

Rationale: The correct teaching point is to maintain two points of support on the ground at all times when using a cane. This ensures stability and helps distribute weight evenly. Choice A is incorrect because the cane should be used on the stronger side of the body to provide support to the weaker leg. Choice C is incorrect as advancing the cane too far with each step can lead to imbalance. Choice D is incorrect as advancing the cane and the strong leg simultaneously may not provide adequate support for the weaker leg.

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