NR 603 Week 7 Quiz - Correct Answers
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7. A child with type 1 diabetes presents with lethargy and poor glycemic control. What additional assessment is most important? Correct Answer: Assess recent fluid intake and signs of dehydration. 8. Which finding is the earliest and most sensitive indicator of heart failure decompensation? Correct Answer: Rapid weight gain over a short period. 9. During a telehealth visit, a patient with CHF reports worsening orthopnea and lower-extremity edema. What is the NP’s priority? Correct Answer: Determine the need for urgent in-person evaluation. 10. What is the most important legal consideration when transmitting clinical images during a telehealth visit? Correct Answer: Ensuring HIPAA-compliant protection of PHI. 11. A patient presents with fatigue, dizziness, hyponatremia, and hypokalemia. What is the most appropriate initial intervention? Correct Answer: Provide oral electrolyte replacement and assess dietary intake. 18. A conscious pediatric patient with type 1 diabetes has a blood glucose level of 46 mg/dL. What is the most appropriate treatment? Correct Answer: Administer 0.3 g/kg of fast-acting carbohydrate and reassess in 15 minutes. 19. A patient with CHF reports increased shortness of breath and edema after consuming salty foods. What is the most likely trigger? Correct Answer: Increased dietary sodium. 20. During a telehealth visit, a patient with diabetes appears lethargic and slow to respond. What is the first action the NP should take? Correct Answer: Direct the caregiver to check blood glucose immediately. 21. After a pediatric hypoglycemic episode, what is the best monitoring plan to prevent recurrence? Correct Answer: Check blood glucose every 1–2 hours and observe for behavior changes. 22. Which cardiovascular assessment is most limited during a telehealth visit? Correct Answer: Jugular venous distention assessment. 23. A patient has iron-deficiency anemia and significant hypokalemia. What is the priority intervention? Correct Answer: Initiate iron therapy and correct electrolyte abnormalities.
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