Extract:

Question 1 of 5

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

Correct Answer: B

Rationale: Calcitriol, a vitamin D analog, increases calcium absorption in chronic kidney disease to correct hypocalcemia.

Question 2 of 5

An adult client has been admitted to the hospital with a 3-day history of uncontrolled vomiting and diarrhea. Which should the nurse assess for in this client? Select all that apply.

A. Excitability B. Bradycardia C. Hypertension D. Poor skin turgor E. Flat peripheral veins

Correct Answer: D,E

Rationale: The client described in the question will most likely be dehydrated because of uncontrolled vomiting and diarrhea. The nurse assesses this client for weight loss, lethargy, or headache; sunken eyes; poor skin turgor (such as tenting); flat neck and peripheral veins; tachycardia; and low blood pressure.

Question 3 of 5

A comprehensive health assessment includes:

A. A complete medical history, a general survey and a complete physical assessment. B. A complete medical history, a general survey and a focused physical assessment. C. A client interview, a significant other interview, a general survey and a complete physical assessment. D. A client interview, a significant other interview, a general survey and a focused physical assessment.

Correct Answer: A

Rationale: A comprehensive health assessment includes a complete medical history, a general survey (vital signs, appearance), and a complete physical assessment covering all body systems.

Question 4 of 5

A nurse is caring for a woman who delivered a term neonate at 6 a.m. At 4 p.m., the woman has a distended bladder and is reporting pain of 5 on a scale of 1 to 10. The nurse reviews the client's output record. What should the nurse do first?

A. Apply a warm, moist towel over the bladder. B. Ask the woman to sit on the toilet while the nurse runs water from the faucet. C. Administer Tylenol with codeine. D. Use an in-and-out catheter to empty the bladder.

Correct Answer: D

Rationale: A distended bladder causing pain requires immediate relief via catheterization to prevent complications like urinary retention or bladder injury.

Question 5 of 5

A client at 12 weeks' gestation tells the nurse that she is a vegetarian and eats 'lots of rice.' To help meet the client's need for protein during pregnancy, the nurse suggests that the client combine the rice with which of the following?

A. Beans. B. Soy milk. C. Yogurt. D. Corn.

Correct Answer: A

Rationale: Combining rice with beans provides a complete protein, meeting the increased protein needs during pregnancy.