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NEW QUESTION 48
At 32 weeks' gestation, a client is scheduled for a fetal activity test (nonstress test). She calls the clinic and asks the RN, "How do I prepare for the test I am scheduled for?" The RN will most likely inform her of the following instructions to help prepare her for the test:

• A. "Do not eat any food or drink any liquids before the test is started."
• B. "You need to know that an IV is always started before the test."
• C. "You will need to drink 6 to 8 glasses of water to fill your bladder."
• D. "You will have to remain as still as you possibly can."

Answer: D

Explanation:
Section: Questions Set C
Explanation:
(A) An IV line is not started in a nonstress test, because this test is used as an indicator of fetal well-being. This test measures fetal activity and heart rate acceleration. (B) The bladder does not have to be full prior to this test. It is not a sonogram test where a full bladder enables other structures to be scanned. (C) It has been proved that eating or drinking liquids prior to the test can assist in increasing fetal activity. (D) Any maternal activity will interfere with the results of the test.

NEW QUESTION 49
The physician has ordered that a daily exercise program be instituted by a client with type I diabetes following his discharge from the hospital. Discharge instructions about exercise should include which of the following?

• A. Hyperglycemia may occur 2-4 hours after exercise.
• B. A snack may be needed before and/or during exercise.
• C. Exercise should be performed 30 minutes before meals.
• D. The blood glucose level should be 100 mg or below before exercise is begun.

Answer: B

Explanation:
Section: Questions Set A
Explanation:
(A) Exercise should not be performed before meals because the blood sugar is usually lower just prior to eating; therefore, there is an increased risk for hypoglycemia. (B) Exercise lowers blood sugar levels; therefore, a snack may be needed to maintain the appropriate glucose level. (C) Exercise lowers blood sugar levels. (D) Exercise lowers blood sugar levels. If the blood glucose level is 100 mg or below at the start of exercise, the potential for hypoglycemia is greater.

NEW QUESTION 50
A 40-year-old client is admitted to the coronary care unit with chest pain and shortness of breath. The physician diagnosed an anterior wall myocardial infarction.
What tests should the nurse anticipate?

• A. Sedimentation rate, WBC count
• B. Aspartate transaminase, alanine transaminase
• C. Lactic dehydrogenase, CPK
• D. Reticulocyte count, creatinine phosphokinase (CPK)

Answer: C

Explanation:
(A) Reticulocyte count measures the number of immature erythrocytes. CPK is an enzyme released from injured myocardial tissue. (B) Aspartate transaminase is an enzyme released from injured myocardial tissue. Alanine transaminase is an enzyme released for general tissue destruction, which is specific for liver injury. (C) Sedimentation rate is a nonspecific test for inflammation. (D) Lactic dehydrogenase and CPK are enzymes released from injured myocardial tissue.

NEW QUESTION 51
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