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Questions 158

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Extract:


Question 1 of 5

A client with a history of a hiatal hernia is being discharged. The nurse should teach the client to:

Correct Answer: C

Rationale: Carbonated beverages increase gastric pressure, worsening hiatal hernia symptoms. Sleeping upright, small meals, and avoiding lying down post-meals are also recommended.

Question 2 of 5

The physician has ordered a low-sodium diet for a client with hypertension. Which food should the nurse instruct the client to avoid?

Correct Answer: C

Rationale: Canned soups are high in sodium, which exacerbates hypertension. Fresh fruit, grilled chicken, and brown rice are low-sodium options suitable for a hypertension diet.

Question 3 of 5

The client is admitted with a diagnosis of bacterial meningitis. Which precaution should the nurse implement?

Correct Answer: B

Rationale: Bacterial meningitis (e.g., Neisseria meningitidis) is transmitted via respiratory droplets, requiring droplet precautions. Standard, contact, and airborne precautions are not appropriate.

Question 4 of 5

A client with a history of hypertension is receiving Aldactone (spironolactone). The nurse should teach the client to avoid:

Correct Answer: A

Rationale: Spironolactone is a potassium-sparing diuretic, and consuming potassium-rich foods can lead to hyperkalemia. Calcium, fiber, and iron supplements are not contraindicated.

Question 5 of 5

A home health nurse has several elderly clients in her case load. Which of the following clients ~(is most likely to be a victim of elder abuse?

Correct Answer: A

Rationale: Elderly clients with Alzheimer's dementia are at highest risk for abuse due to cognitive impairment, dependency, and potential caregiver stress. The other conditions pose less risk.

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