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Questions 158

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Question 1 of 5

A client with a history of Addison's disease is admitted with complaints of nausea and vomiting. The nurse should expect the client to have:

Correct Answer: A

Rationale: Addison's disease causes adrenal insufficiency, reducing aldosterone, which leads to hyperkalemia due to impaired potassium excretion.

Question 2 of 5

A client with a history of chronic migraines is admitted with complaints of headache. The nurse should give priority to:

Correct Answer: C

Rationale: A quiet environment reduces sensory stimuli, which can exacerbate migraines, making it a priority to promote comfort.

Question 3 of 5

Which diet would the nurse expect to see ordered for a patient with nephrotic syndrome?

Correct Answer: B

Rationale: Nephrotic syndrome causes proteinuria, leading to hypoalbuminemia. A moderate protein diet (0.8–1 g/kg/day) helps replace lost protein without overloading the kidneys. Low carbohydrate, low calcium, or increased potassium diets are not specific to nephrotic syndrome.

Question 4 of 5

The nurse is teaching a client with a history of gout about dietary modifications. The nurse should tell the client to avoid:

Correct Answer: B

Rationale: Organ meats are high in purines, which increase uric acid levels, exacerbating gout, so they should be avoided.

Question 5 of 5

The client is receiving a continuous heparin infusion. Which laboratory value should the nurse monitor most closely?

Correct Answer: C

Rationale: Heparin’s anticoagulant effect is monitored by aPTT, with a therapeutic range of 1.5–2.5 times the control value. Platelet count is monitored for heparin-induced thrombocytopenia, but PT and INR are for warfarin.

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