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, STUDY GUIDE
COMPREHENSIVE NURS 6050 AGENDA
COMPARISON GRID & FACT QUESTIONS
AND ANSWERS GRADED A+
◉ A female client with frequent urinary tract infections (UTIs) asks
the nurse to explain her friend's advice about drinking a glass of
juice daily to prevent future UTIs. Which response is best for the
nurse to provide?
A. Orange juice has vitamin C that deters bacterial growth.
B. Apple juice is the most useful in acidifying the urine.
C. Cranberry juice stops pathogens' adherence to the bladder.
D. Grapefruit juice increases absorption of most antibiotics.
Rationale: Cranberry juice maintains urinary tract health by
reducing the adherence of Escherichia coli bacteria to cells
within the bladder. Options A, B, and D have not been shown
to be as effective as cranberry juice in preventing UTIs.
◉ The nurse is counting a client's respiratory rate. During a 30-
A ......................................................................... Error! Bookmark not defined.
B ......................................................................................................................................... 4
C ......................................................................... Error! Bookmark not defined.
2
,second interval, the nurse counts six respirations and the client
coughs three times. In repeating the count for a second 30-second
interval, the nurse counts eight respirations. Which respiratory rate
should the nurse document?
D. 28 Answer: B
Rationale: The most accurate respiratory rate is the second
count obtained by the nurse, which was not interrupted by
coughing.
Because it was counted for 30 seconds, the rate should be
doubled. Options A, C, and D are inaccurate recordings.
◉ The nurse is teaching an obese client, newly diagnosed with
arteriosclerosis, about reducing the risk of a heart attack or stroke.
Which health promotion brochure is most important for the nurse to
provide to this client?
A. "Monitoring Your Blood Pressure at Home"
B. "Smoking Cessation as a Lifelong Commitment"
C. "Decreasing Cholesterol Levels Through Diet"
D. "Stress Management for a Healthier You"
Rationale: A health promotion brochure about decreasing
cholesterol is most important to provide this client, because
the most significant risk factor contributing to development
of arteriosclerosis is excess dietary fat, particularly saturated
fat and cholesterol. Option A does not address the
underlying causes of arteriosclerosis. Options B and D are
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, STUDY GUIDE
also important factors for reversing arteriosclerosis but are
not as important as lowering
cholesterol.
◉ The nurse finds a client crying behind a locked bathroom door.
The client will not open the door. Which action should the nurse
implement first?
A. Instruct unlicensed assistive personnel (UAP) to stay and keep
talking to the client.
B. Sit quietly in the client's room until the client leaves the
bathroom.
C. Allow the client to cry alone and leave the client in the bathroom.
D. Talk to the client and attempt to find out why the client is crying.
Rationale: The nurse's first concern should be for the client's
safety, so an immediate assessment of the client's situation
is needed. Option A is incorrect; the nurse should implement
the intervention. The nurse may offer to stay nearby after
first assessing the situation more fully. Although option C
may be correct, the nurse should determine if the client's
safety is compromised and offer assistance, even if it is
refused.
4
, STUDY GUIDE
COMPREHENSIVE NURS 6050 AGENDA
COMPARISON GRID & FACT QUESTIONS
AND ANSWERS GRADED A+
◉ A female client with frequent urinary tract infections (UTIs) asks
the nurse to explain her friend's advice about drinking a glass of
juice daily to prevent future UTIs. Which response is best for the
nurse to provide?
A. Orange juice has vitamin C that deters bacterial growth.
B. Apple juice is the most useful in acidifying the urine.
C. Cranberry juice stops pathogens' adherence to the bladder.
D. Grapefruit juice increases absorption of most antibiotics.
Rationale: Cranberry juice maintains urinary tract health by
reducing the adherence of Escherichia coli bacteria to cells
within the bladder. Options A, B, and D have not been shown
to be as effective as cranberry juice in preventing UTIs.
◉ The nurse is counting a client's respiratory rate. During a 30-
A ......................................................................... Error! Bookmark not defined.
B ......................................................................................................................................... 4
C ......................................................................... Error! Bookmark not defined.
2
,second interval, the nurse counts six respirations and the client
coughs three times. In repeating the count for a second 30-second
interval, the nurse counts eight respirations. Which respiratory rate
should the nurse document?
D. 28 Answer: B
Rationale: The most accurate respiratory rate is the second
count obtained by the nurse, which was not interrupted by
coughing.
Because it was counted for 30 seconds, the rate should be
doubled. Options A, C, and D are inaccurate recordings.
◉ The nurse is teaching an obese client, newly diagnosed with
arteriosclerosis, about reducing the risk of a heart attack or stroke.
Which health promotion brochure is most important for the nurse to
provide to this client?
A. "Monitoring Your Blood Pressure at Home"
B. "Smoking Cessation as a Lifelong Commitment"
C. "Decreasing Cholesterol Levels Through Diet"
D. "Stress Management for a Healthier You"
Rationale: A health promotion brochure about decreasing
cholesterol is most important to provide this client, because
the most significant risk factor contributing to development
of arteriosclerosis is excess dietary fat, particularly saturated
fat and cholesterol. Option A does not address the
underlying causes of arteriosclerosis. Options B and D are
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, STUDY GUIDE
also important factors for reversing arteriosclerosis but are
not as important as lowering
cholesterol.
◉ The nurse finds a client crying behind a locked bathroom door.
The client will not open the door. Which action should the nurse
implement first?
A. Instruct unlicensed assistive personnel (UAP) to stay and keep
talking to the client.
B. Sit quietly in the client's room until the client leaves the
bathroom.
C. Allow the client to cry alone and leave the client in the bathroom.
D. Talk to the client and attempt to find out why the client is crying.
Rationale: The nurse's first concern should be for the client's
safety, so an immediate assessment of the client's situation
is needed. Option A is incorrect; the nurse should implement
the intervention. The nurse may offer to stay nearby after
first assessing the situation more fully. Although option C
may be correct, the nurse should determine if the client's
safety is compromised and offer assistance, even if it is
refused.
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