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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 nurse is providing discharge instructions to the parents of a 6-month-old child with surgical repair for cryptorchidism. Which instruction would NOT be stressed?

Correct Answer: B

Rationale: Bed rest for 2-3 days is not typically required for cryptorchidism repair in infants, as recovery is quicker. Other instructions are critical for monitoring and safety.

Question 3 of 5

The nurse is administering an intermittent tube feeding to a client through a nasogastric tube. Which of the following positions is optimal for tube feedings?

Correct Answer: A

Rationale: Elevating the head of the bed to 45° (
A) during tube feedings reduces the risk of aspiration and promotes digestion. A 90° elevation (
B) is excessive, 30° (
C) is insufficient, and a flat position (
D) increases aspiration risk.

Question 4 of 5

The nurse is assessing a client with a history of diabetes mellitus who is admitted with diabetic ketoacidosis (DKA). Which of the following findings would the nurse expect?

Correct Answer: B

Rationale: fruity breath odor is a classic sign of DKA due to the presence of acetone

Question 5 of 5

The physician has ordered a homocysteine blood level on a client. The nurse recognizes that the results will be increased in a client with a deficiency in:

Correct Answer: A

Rationale: Homocysteine levels rise with vitamin B12 deficiency, as B12 is needed for homocysteine metabolism, unlike other vitamins listed.

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