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Questions 149

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Question 1 of 5

A client is being treated for irritable bowel syndrome (IBS). The nurse knows that the involvement of nursing, pharmacy, gastroenterology, and nutritional services is an example of which of the following approaches?

Correct Answer: B

Rationale: A multidisciplinary approach involves multiple specialties (nursing, pharmacy, gastroenterology, nutrition) collaborating to manage IBS.

Question 2 of 5

The nurse is caring for a client with full thickness burns to the lower half of the torso and lower extremities. During the emergent phase of injury, the primary nursing diagnosis would focus on:

Correct Answer: C

Rationale: In the emergent phase of burns, fluid volume deficit is the priority due to massive fluid loss from damaged skin, risking hypovolemic shock.

Question 3 of 5

A client receiving Parnate (tranylcypromine) is admitted in a hypertensive crisis. Which food is most likely to produce a hypertensive crisis when taken with the medication?

Correct Answer: D

Rationale: Parnate, a monoamine oxidase inhibitor (MAOI), interacts with tyramine-rich foods like aged cheeses (e.g., cheddar) to cause hypertensive crisis due to increased norepinephrine release.

Question 4 of 5

The nurse is caring for a client with a history of breast cancer who is receiving tamoxifen (Nolvadex). The nurse should instruct the client to report which of the following side effects?

Correct Answer: C

Rationale: vaginal bleeding is a serious side effect of tamoxifen, as it may indicate endometrial cancer

Question 5 of 5

Which instruction should be given to the client who is fitted for a behind-the-ear hearing aid?

Correct Answer: A

Rationale: Regular cleaning of the hearing aid mold prevents wax buildup and ensures proper function.

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