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Questions 158

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Question 1 of 5

A client is being discharged from the hospital tomorrow following a colon resection with a left colostomy. The nurse knows that the client understands the discharge teaching about care of her colostomy when she says:

Correct Answer: C

Rationale: The healthy stoma should be red and slightly raised. If it begins to turn dark or blue, the client should see the physician immediately.

Question 2 of 5

A client is being evaluated for carpal tunnel syndrome. The nurse is observed tapping over the median nerve in the wrist and asking the client if there is pain or tingling. Which assessment is the nurse performing?

Correct Answer: B

Rationale: Tinel’s sign involves tapping the median nerve to elicit pain/tingling in carpal tunnel syndrome. Phalen’s maneuver (
A) involves wrist flexion, Kernig’s (
C) and Brudzinski’s (
D) are for meningitis.

Question 3 of 5

Which early morning activity helps to reduce the symptoms associated with rheumatoid arthritis?

Correct Answer: C

Rationale: Holding a warm cup of coffee can reduce morning stiffness in rheumatoid arthritis by providing warmth and encouraging gentle hand movement. The other activities do not specifically alleviate joint stiffness.

Question 4 of 5

A client with Pneumocystis jiroveci pneumonia is receiving intravenous Pentam (pentamidine). While administering the medication, the nurse should give priority to checking the client's:

Correct Answer: B

Rationale: Pentamidine can cause hypotension, especially during IV administration, requiring close blood pressure monitoring. Reflexes, urine output, and turgor are less immediate concerns.

Question 5 of 5

The nurse is providing dietary instructions for a client with iron-deficiency anemia. Which food is a poor source of iron?

Correct Answer: A

Rationale:
Tomatoes are a poor source of iron compared to legumes, dried fruits, and nuts, which are rich in iron.
Tomatoes provide vitamin C, which aids iron absorption, but lack significant iron content.

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