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A nurse is preparing to teach about dietary management to a patient with Crohn's
disease and an enteroenteric fistula. Which nutrient should the nurse instruct the
client to decrease in his diet?
A) Calories
B) Protein
C) Potassium
D) Fiber ---------CORRECT ANSWER-----------------D) Fiber
The nurse should instruct the client who has Crohn's disease and an
enteroenteric fistula to consume a low-fiber diet to reduce residue and decrease
exacerbations.
A nurse is caring for a client in the resuscitation phase of burn injury. Which
findings should the nurse expect?
A) Decreased hematocrit
B) Hypokalemia
C) Hyponatremia
D) Increased albumin ---------CORRECT ANSWER-----------------C) Hyponatremia
,The nurse should expect the client to have a decrease in sodium levels because
sodium is drawn to the edematous burn area and lost through plasma leakage.
A nurse is teaching self-administration of insulin to a patient with a new
prescription for a short-acting and intermediate-acting insulin. Which action by
the client indicates an understanding of the teaching?
A) Withdraws the intermediate-acting insulin before the short-acting insulin
B) Injects the insulin into the deltoid muscle
C) Pinches the skin prior to injecting the insulin
D) Inserts the needle at a 30° angle ---------CORRECT ANSWER-----------------C)
Pinches the skin prior to injecting the insulin
A nurse is providing teaching to a client 26 weeks gestation and is to have an oral
glucose tolerance test. Which action should the nurse instruct the client to take
before the test?
A) Reduce carbohydrate intake for at least 24 hr.
B) Eat a snack.
C) Avoid caffeine.
D) Restrict physical activity for 3 days. ---------CORRECT ANSWER-----------------C)
Avoid caffeine.
A nurse is caring for a client with hyperthyroidism. Which finding should the nurse
expect?
A) Dry, coarse hair
,B) Bradycardia
C) Tremors
D) Periorbital edema ---------CORRECT ANSWER-----------------C) Tremors
A nurse is caring for a newborn who has herpes simplex virus (HSV). Which
isolation precaution should the nurse initiate?
A) Contact
B) Droplet
C) Airborne
D) Protective environment ---------CORRECT ANSWER-----------------A) Contact
An antepartum nurse is caring for 4 patients. Which patient should the nurse
initiate seizure precautions?
A) A client who is at 33 weeks of gestation and has severe gestational
hypertension
B) A client who is at 16 weeks of gestation and has a hydatidiform mole
C) A client who is at 28 weeks of gestation and is experiencing vaginal bleeding
D) A client who is at 12 weeks of gestation and has group B streptococcus ---------
CORRECT ANSWER-----------------A) A client who is at 33 weeks of gestation and has
severe gestational hypertension
The nurse should initiate seizure precautions for a client who has severe
gestational hypertension because an extremely elevated blood pressure in an
antepartum client can trigger seizure activity. The nurse should provide the
, client with a quiet, darkened environment; place suction equipment and oxygen
at the bedside; and place the call button within the client's reach.
A nurse in a provider's office is assessing an adolescent who has been taking
ibuprofen for 6 months to treat juvenile idiopathic arthritis. Which question
should the nurse ask to assess for an adverse effect of this med?
A) "Have you suffered with muscle stiffness?"
B) "Have you had any stomach pain or bloody stools?"
C) "Have you experienced a dry cough?"
D) "Have you noticed an increase in urine output?" ---------CORRECT ANSWER-------
----------B) "Have you had any stomach pain or bloody stools?”
A nurse is reviewing the urinalysis report of a client with acute
glomerulonephritis. Which finding should the nurse expect in the client's urine?
A) Uric acid crystals
B) Protein
C) WBCs
D) Nitrates ---------CORRECT ANSWER-----------------B) Protein
Increased glomerular permeability allows protein to filter into the urine.
Therefore, this is an expected finding in a client who has glomerulonephritis.