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Question 1 of 5

A 16-year-old female client is admitted to the hospital because she collapsed at home while exercising with videotaped workout instructions. Her mother reports that she has been obsessed with losing weight and staying slim since cheerleader try-outs 6 months ago, when she lost out to two of her best friends. The client is 5'4'' and weighs 92 lb, which represents a weight loss of 28 lb over the last 4 months. The most important initial intervention on admission is to:

Correct Answer: C

Rationale: Vital signs are a high priority when working with self-destructive clients.

Question 2 of 5

A client with a history of a hiatal hernia is being discharged. The nurse should teach the client to:

Correct Answer: A

Rationale: Heavy lifting increases abdominal pressure, worsening hiatal hernia symptoms. Small meals, sleeping upright, and avoiding spicy foods are also recommended.

Question 3 of 5

A client with AIDS has impaired nutrition due to diarrhea. The nurse teaches the client about the need to avoid certain foods.

Correct Answer: A

Rationale: Raw foods like tossed salad (
A) can harbor pathogens, risky for AIDS patients with diarrhea. Baked chicken (
B), broiled fish (
C), and steamed rice (
D) are cooked and safer, indicating further teaching is needed for A.

Question 4 of 5

The client is admitted with a diagnosis of abruptio placenta. Which diagnostic test is most likely to be ordered?

Correct Answer: C

Rationale: Ultrasound can confirm placental separation in abruptio placenta and fetal heart monitoring assesses for distress due to hypoxia. Both tests are critical for diagnosis and management.

Question 5 of 5

Which situation would be reportable to the state board of nursing?

Correct Answer: B

Rationale: An incorrect narcotic count for three days suggests potential diversion or mismanagement of controlled substances a serious issue reportable to the state board of nursing. The other situations are administrative or safety issues but not typically reportable to the board.

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At 32 weeks' gestation, a client is scheduled for a fetal activity test (nonstress test). She calls the clinic and asks the RN, 'How do I prepare for the test I am scheduled for?' The RN will most likely inform her of the following instructions to help prepare her for the test:

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