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Questions 149

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Question 1 of 5

A client is provided instructions for a low-sodium diet. Which statement by the client indicates an understanding of the diet?

Correct Answer: C

Rationale: Potato chips and cheese are high-sodium foods, and avoiding them shows understanding of a low-sodium diet.
Tomatoes and celery are low-sodium, and take-out is often high-sodium.

Question 2 of 5

The doctor has ordered 80 mg of furosemide (Lasix) two times per day. The nurse notes the patient's potassium level to be 2.5 meq/L. The nurse should:

Correct Answer: D

Rationale: A potassium level of 2.5 mEq/L is dangerously low; withholding Lasix and notifying the doctor prevents further potassium loss.

Question 3 of 5

A school nurse is approached by a student who says that her friend has been cutting herself on the arms. The student asks the nurse not to tell anyone. Which response by the nurse is correct?

Correct Answer: A

Rationale: Self-harm indicates a safety risk, requiring parental notification to ensure the student receives appropriate intervention.

Question 4 of 5

Which of the following observations best indicates to the nurse that a paraplegic client can adequately carry out activities of daily living at home after discharge?

Correct Answer: B

Rationale: essential if client is to perform ADLs

Question 5 of 5

The nurse is developing a plan for bowel and bladder retraining for a client with paraplegia. The primary goal of a bowel and bladder retraining program is:

Correct Answer: C

Rationale: The primary goal is to prevent complications like infections or skin breakdown by establishing effective bowel and bladder management.

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