Questions 151

NCLEX-RN

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Question 1 of 5

A client at 12 weeks' gestation tells the nurse that she is a vegetarian and eats 'lots of rice.' To help meet the client's need for protein during pregnancy, the nurse suggests that the client combine the rice with which of the following?

Correct Answer: A

Rationale: Combining rice with beans provides a complete protein, meeting the increased protein needs during pregnancy.

Question 2 of 5

A client with a new colostomy asks the nurse how to prevent skin irritation around the stoma. What is the best response by the nurse?

Correct Answer: C

Rationale: A snug-fitting skin barrier and cleaning with mild soap prevent skin irritation by protecting the peristomal skin and maintaining hygiene without causing trauma.

Question 3 of 5

A client with a history of type 2 diabetes is prescribed glipizide (Glucotrol). The nurse should instruct the client to:

Correct Answer: A, B

Rationale: Glipizide should be taken 30 minutes before meals to optimize glucose control, and alcohol should be avoided to prevent hypoglycemia.

Question 4 of 5

The nurse should inform a client taking carbamazepine (Tegretol) that it can affect other medications in which of the following ways?

Correct Answer: A

Rationale: Carbamazepine induces liver enzymes, reducing the effects of oral anticoagulants like warfarin by increasing their metabolism. It does not typically affect verapamil, other anticonvulsants, or contraceptives in the ways described.

Question 5 of 5

An expected physiologic response to a low potassium level is:

Correct Answer: A

Rationale: Hypokalemia can cause cardiac dysrhythmias due to its effect on cardiac muscle excitability, making it the most significant physiologic response.

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