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Questions 158

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Extract:


Question 1 of 5

A client has developed diabetes insipidus after removal of a pituitary tumor. Which finding would the nurse expect?

Correct Answer: A

Rationale: Diabetes insipidus causes polyuria due to deficient antidiuretic hormone, leading to excessive water loss. Hypertension (
B), polyphagia (
C), and hyperkalemia (
D) are not typical.

Question 2 of 5

When administering phenytoin (Dilantin) to a child, the nurse should be aware that a toxic effect of phenytoin therapy is:

Correct Answer: A

Rationale:
Stephens-Johnson syndrome is a toxic effect of phenytoin. Folate deficiency is a side effect of phenytoin, but not a toxic effect. Leukopenic aplastic anemia is a toxic effect of carbamazepine (Tegretol). Granulocytosis and nephrosis are toxic effects of trimethadione (Tridione).

Question 3 of 5

The nurse is caring for a client with a diagnosis of gestational diabetes. Which symptom is most likely to be present?

Correct Answer: C

Rationale: Gestational diabetes causes maternal polyuria (from hyperglycemia) and fetal macrosomia (from fetal hyperinsulinemia). Both are common symptoms affecting mother and fetus.

Question 4 of 5

The nurse is caring for a client who is recovering from a fractured femur. Which diet selection would be best for this client?

Correct Answer: D

Rationale: A diet for fracture recovery needs protein, calcium, and vitamin C. Mandarin orange salad (vitamin
C), broiled chicken (protein), and milk (calcium) (
D) are optimal. Other options are less nutrient-dense.

Question 5 of 5

The physician has ordered aerosol treatments, chest percussion, and postural drainage for a client with cystic fibrosis. The nurse recognizes that the combination of therapies is to:

Correct Answer: C

Rationale: These therapies aim to dilate airways (aerosols), mobilize mucus (percussion), and clear secretions (postural drainage) to improve breathing in cystic fibrosis.

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