DETAILED ANSWERS GRADED A +
When the client's serum sodium level is 120 mEq/L, the priority nursing assessment is to
monitor the status of which body system? - ANSWER-Neurological
While assisting the client with meal selection, the nurse realizes that clients who practice Islam
or Judaism share an avoidance of: - ANSWER-pork products.
The client wants to increase intake of an antioxidant in her diet. The nurse recommends
including vitamin C, which is best found in: - ANSWER-Correct Answer:
tomatoes.
For a child who has ingested the remaining contents of an aspirin bottle, the nurse suspects
signs and symptoms consistent with: - ANSWER-Correct Answer:
metabolic acidosis.
Which of the following techniques used by the new staff nurse for administering medications
via an enteral tube requires correction by the charge nurse? - ANSWER-Correct Answer:
Adding the medications to the tube feeding
After a surgical procedure, the client is advanced to a full liquid diet. The nurse is able to
recommend which one of the following foods for this client? - ANSWER-Correct Answer:
Yogurt
, While doing a nutritional assessment of a low-income family, the community health nurse
determines that the family's diet is inadequate in protein content. The nurse suggests which of
the following lower-cost foods to increase protein content? - ANSWER-Correct Answer:
Beans
The client has had throat surgery and is placed on a clear liquid diet. The nurse should offer the
patient: - ANSWER-Correct Answer:
apple juice.
The majority of body fluid is located in which area? - ANSWER-Correct Answer:
Intracellular
The nurse recognizes that the client, on the basis of the imbalance that is present, will require
fluid replacement with isotonic solution. One of the isotonic solutions that may be ordered by
the physician is: - ANSWER-Correct Answer:
Lactated Ringer solution.
One of the first indications of fluid volume deficit is: - ANSWER-Correct Answer:
tachycardia.
For the client with a vitamin D deficiency and inadequate calcium intake, the nurse observes for:
- ANSWER-Correct Answer:
Chvostek sign
Chvostek sign - ANSWER-an abnormal reaction to the stimulation of the facial nerve.