Questions 150

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Question 1 of 5

A client with a history of chronic kidney disease is prescribed sevelamer (Renagel). The nurse should explain that this medication works by:

Correct Answer: B

Rationale: Sevelamer binds phosphate in the gut, reducing serum phosphate levels in chronic kidney disease.

Question 2 of 5

Assessment of a nulligravid client in active labor reveals the following: complaints of moderate discomfort; cervix dilated $3 \mathrm{~cm}, 0$ station and completely effaced; fetal heart rate of $136 \mathrm{bpm}$. Which of the following should the nurse plan to do next?

Correct Answer: A

Rationale: Moderate discomfort in early labor is managed with non-pharmacologic comfort measures and breathing techniques to promote coping.

Question 3 of 5

A client with type 1 diabetes mellitus is admitted with hyperglycemia. The nurse should assess the client for which of the following signs of diabetic ketoacidosis (DKA)? Select all that apply.

Correct Answer: A, B, D, E

Rationale: DKA presents with fruity breath (due to acetone), Kussmaul respirations (compensatory hyperventilation), polyuria (osmotic diuresis), and hypotension (dehydration). Bradycardia is not typical.

Question 4 of 5

The nurse is caring for a client taking memantine. Which data should the nurse monitor for this client?

Correct Answer: C

Rationale: Memantine is a medication used to treat moderate to severe Alzheimer's disease. This medication needs to be avoided in clients with severe renal dysfunction, and a reduced dosage is needed in moderate renal dysfunction. The other options are not specifically associated with this medication.

Question 5 of 5

The nurse is caring for a client who has just undergone a mastectomy. Which of the following interventions is most important in the immediate postoperative period?

Correct Answer: A

Rationale: Encouraging arm exercises prevents lymphedema and promotes circulation post-mastectomy.

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