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Questions 227

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Extract:


Question 1 of 5

A 76-year-old man living at the long-term care facility has lost 10 lb in the last two months. He states that although he has had dentures for two years, they have not felt comfortable for the past three or four months so he rarely uses them at mealtime. The nurse's first priority would be to ask the client's physician to do which of the following?

Correct Answer: B

Rationale: A dental consult addresses ill-fitting dentures, the root cause of weight loss, prioritizing correction to improve nutrition.

Question 2 of 5

The nurse is teaching a client with a new ileostomy about stoma care. Which of the following statements by the client indicates understanding?

Correct Answer: A

Rationale: Cleaning the peristomal skin with mild soap and water prevents irritation and maintains skin integrity. Daily pouch changes (
B) are unnecessary (typically every 3–7 days), adhesive removers (
C) are for pouch removal, and bleeding (
D) is abnormal and requires evaluation.

Extract:

On the patient with pancreatitis


Question 3 of 5

On the patient with pancreatitis, which of the following is decreased in level?

Correct Answer: A

Rationale: Urine amylase is not typically decreased in pancreatitis; however, among the options, it's the most relevant as serum amylase is elevated, not urine.

Extract:


Question 4 of 5

The nurse is caring for a client who is receiving oxygen therapy. A visitor yells at the nurse saying there is a fire burning in the wastebasket on the other side of the room. What should the nurse do initially?

Correct Answer: C

Rationale: Oxygen fuels fires; turning it off and removing the client from the room prioritizes safety. Seeking help or using an extinguisher delays evacuation.

Question 5 of 5

A 65-year-old female is planning for retirement. Which statement indicates that the client has achieved ego integrity?

Correct Answer: A

Rationale: Ego integrity, per Erikson, involves acceptance of one's life and finding meaning, as shown by planning to join a travel club .

Choices B, C, and D reflect uncertainty or despair.

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