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Questions 149

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Question 1 of 5

A client with a history of diverticulitis complains of abdominal pain, fever, and diarrhea. Which food is responsible for the client's symptoms?

Correct Answer: D

Rationale: Whole-grain cereal, high in fiber, can irritate diverticula, causing inflammation and symptoms like pain, fever, and diarrhea.

Question 2 of 5

The family of a hospice client wishes to visit at midnight. Which of the following actions by the nurse would be the most appropriate?

Correct Answer: D

Rationale: In hospice care, allowing family visits at any time supports the client’s and family’s emotional needs, especially near end-of-life.

Question 3 of 5

A teenage girl is brought to the outpatient psychiatric clinic for treatment of anxiety and depression. How should the nurse best evaluate the client's risk for suicide?

Correct Answer: A

Rationale: Directly asking about suicidal thoughts or plans is the most effective way to assess suicide risk, as it encourages open communication and identifies intent.

Question 4 of 5

A home health nurse has four clients assigned for morning visits. The nurse should give priority to visiting the client with:

Correct Answer: B

Rationale: Frothy sputum in congestive heart failure suggests pulmonary edema, a life-threatening condition requiring immediate attention.

Question 5 of 5

An elderly client is returned to her room after an open reduction and internal fixation of the left femoral head after a fracture. It is MOST important for the nursing care plan to include that the client

Correct Answer: D

Rationale: prevents respiratory complications due to immobility following surgery

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