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Questions 158

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Question 1 of 5

A client with a history of Cushing’s syndrome is admitted with complaints of weight gain. The nurse should expect the client to have:

Correct Answer: A

Rationale: Cushing’s syndrome causes excess cortisol, leading to moon face, central obesity, and weight gain.

Question 2 of 5

A client with a history of peptic ulcer disease is admitted with severe abdominal pain. Which medication would the nurse expect to administer?

Correct Answer: B

Rationale: Omeprazole, a proton pump inhibitor, reduces acid production, aiding ulcer healing. Ibuprofen (
A) and aspirin (
C) worsen ulcers, and acetaminophen (
D) addresses pain but not acid.

Question 3 of 5

During the active phase of rheumatic fever, the nurse teaches parents of a child with acute rheumatic fever to assist in minimizing joint pain and promoting healing by:

Correct Answer: C

Rationale: Any movement of the joint causes severe pain.
Touching or moving the joint causes severe pain. Immobilization in a functional position allows the joint to rest and heal. Pressure from the warm water bottle or pads can cause severe pain or burning of the skin.

Question 4 of 5

The nurse has performed nutritional teaching on a client with gout who is placed on a low-purine diet. Which selection by the client would indicate that teaching has been ineffective?

Correct Answer: D

Rationale: Spinach is high in purines, which exacerbate gout. Selecting spinach indicates ineffective teaching. Cabbage (
A), apple (
B), and peach cobbler (
C) are low-purine and appropriate.

Question 5 of 5

A client with B negative blood requires a blood transfusion during surgery. If no B negative blood is available, the client should be transfused with:

Correct Answer: C

Rationale: O negative blood is the universal donor type, safe for all recipients, including B negative, as it lacks A, B, and Rh antigens, minimizing transfusion reactions.

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