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Questions 164

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Extract:


Question 1 of 5

A 56-year-old client who had a complete hysterectomy 8 months ago is admitted for opiate detoxification. The second day after admission, the client complains of abdominal cramping and sweating. What is the nurse's best response?

Correct Answer: D

Rationale: Abdominal cramping and sweating are withdrawal symptoms during opiate detoxification, requiring comfort measures and reassurance.

Question 2 of 5

An alert adult is being admitted for elective surgery. Which comment made by the client indicates a need for more instruction regarding advance directives?

Correct Answer: B

Rationale: Advance directives allow clients to specify care preferences, not relinquish decision-making entirely. This comment suggests a misunderstanding that requires further education.

Question 3 of 5

The nurse is caring for a 5 year-old child whose left leg is in skeletal traction. Which of the following activities would be an appropriate diversional activity?

Correct Answer: C

Rationale: Playing hand held games. Immobilization with traction must be maintained until bone ends are in satisfactory alignment. Activities that increase mobility interfere with the goals of treatment.

Question 4 of 5

The nurse is talking with a client with hypertension and hyperlipidemia who is receiving nifedipine and simvastatin. Which of the following statements by the client would require follow-up?

Correct Answer: B

Rationale: Grapefruit juice (
B) inhibits CYP3A4, increasing simvastatin levels and risk of toxicity. Orthostatic precautions (
A), moderate wine (
C), and herbs (
D) are appropriate.

Extract:

Laboratory results
Sodium
136-145 mEq/L
(136-145 mmol/L) 150 mEq/L (150 mmol/L)
Potassium
3.5-5.0 mEq/L
(3.5-5.0 mmol/L) 6.0 mEq/L (6.0 mmol/L)
Calcium
9.0-10.5 mg/dL
(2.25-2.62 mmol/L) 9.0 mg/dL (2.25 mmol/L)
Phosphate
3.0-4.5 mg/dL
(0.97-1.45 mmol/L) 5.8 mg/dL (1.87 mmol/L)


Question 5 of 5

The home health nurse has reviewed the most recent laboratory test results for a client with chronic kidney disease. Which of the following would be an appropriate afternoon snack to recommend for the client?

Correct Answer: C

Rationale: CKD patients need low-potassium, low-phosphorus snacks. Oatmeal with apples (
C) is suitable. Milk (
A) is high in phosphorus, and chips (
B) are high in sodium. Pudding (
D) may have additives.

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