Pretend you are a teacher preparing a quiz for the text I will provide. 
            Each quiz question should follow the format below. 
            Ensure that you carefully recheck the questions and answers for accuracy. 
            The output should be a ready-to-use list of dictionaries for the Python eval function:

            [

                    "question": "WRITE THE QUESTION HERE",
                    "options": ["A) OPTION_1", "B) OPTION_2", "C) OPTION_3", "D) OPTION_4"],
                    "answer": INDEX_OF_CORRECT_ANSWER_IN_OPTIONS_LIST,
                    "explanation": "EXPLAIN WHY THE ANSWER IS CORRECT"

            ]

            Text:
            ntervention admitted to a client with hyperglycemic 
hyperosmolar non-ketotic syndrome (HHNS) for the first time is: 
a. Oxygen 
b. Carbohydrates 
c. Fluid replacement 
d. Dietary instruction 
e. Administering insulin 
24. A patient has an extremely elevated T3 and T 4 which of the following 
sign or symptoms don't present with this patient 
a. Weight gain 
b. Weight loss 
c. Tachycardia 
d. Hair loss 
e. Apathy response 
 
 
 
 
 
28
 
 
25. A patient is 4 hours post operative from thyrodectomy, the surgical 
site is clear and dry with no any swelling what position is best for this 
patient 
a. A fowler 
b. Prone 
c. Trendelenberg 
d. Semi fowler 
e. Flat position 
26. What Chibe cleaning of development of esophageal varices? 
a. Chronic low serum protein levels. 
b. The enlarged liver presses on the diaphragm  
c. Increased portal pressure causing variconities 
d. Increased interstitial osmotic pressure.  
e. The enlarged liver displaces the esophagus toward the left. 
27. Which nursing intervention would be most important for a patient with 
hepatic cirrhosis who has altered clotting mechanisms?  
a. Allowing complete independence of mobility. 
b. Applying pressure to injection sites. 
c. Administering antibiotics as prescribed. 
d. Increasing nutritional intake. e. Administering anticoagulant as prescribed 
28. A patient with cirrhosis is at risk for developing complications. Which 
condition is the most serious and potentially life-threatening? 
a. Esophageal varices 
b. Ascites 
c. Peripheral edema 
d. liver flap 
e. Fetor hepaticus 
29. The nurse should prioritize which of the following assessments 
related to the manifestations of a patient with portal hypertension? 
a. Assessment of blood pressure 
b. assessment for headaches and visual changes 
c. Assessments for signs of venous thromboembolism 
d. Daily weights and abdominal girth measurement 
e. Blood glucose monitoring 
 
 
 
 
 
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30. Cirrhosis develops with several vague manifestations over a long 
period of tim In the more advanced stage, signs and symptoms are: 
a. Anorexia and constipation 
b. Weight loss and indigestion 
c. Pain and malnutrition 
d. Jaundice and ascites 
e. Mild intermittent fever 
31. A clinical feature that distinguishes between hypoglycemia and a 
hyperg is: 
a. Blurred vision 
b. Diaphoresis 
c. Nausea 
d. Weakness 
e. Weight gain 
32. The intermediate-acting insulin's are effective for: 
a. 6-8 hours 
b. 10-14 hours 
c. 16-20 hours 
d. 24-28 hours 
e. 10-15hours 
33. The negative body image patient perception that most frequently 
seen in post operative cancer colon surgery occurred related to: 
a. Prolonged monobility  
b. Surgical site scar 
c. Patients become more dependent  
d. Creation of abdominal stoma 
e. Prolonged fasting period 
34. Which stage of chronic renal failure, characterized by all of the 
normal regulatory, excretory, and hormonal functions of the kidney are 
severely impaired? 
a. Renal insufficiency  
b. Eind stage renal disease 

            Quiz: