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Question 1 of 5

A client with a history of heart failure is receiving Spironolactone (Aldactone). The nurse should teach the client to:

Correct Answer: A

Rationale: Spironolactone, a potassium-sparing diuretic, risks hyperkalemia, so potassium-rich foods should be avoided. Sodium restriction, daytime dosing, and fluid management are secondary.

Question 2 of 5

A patient with thrombocytopenia has a platelet count of 80,000. It will be most important to teach the client about:

Correct Answer: A

Rationale: Thrombocytopenia (low platelet count) increases bleeding risk. Teaching measures to reduce bleeding (e.g. avoiding trauma using soft toothbrushes) is critical. Fluid intake oxygenation and energy conservation are less directly related to the condition.

Question 3 of 5

A client is 6 weeks pregnant. During her first prenatal visit, she asks, 'How much alcohol is safe to drink during pregnancy?' The nurse's response is:

Correct Answer: D

Rationale: No amount of alcohol has been determined safe for pregnant women. Alcohol should be avoided owing to the risk of fetal alcohol syndrome. The recommended safe dosage of alcohol consumption during pregnancy is none.

Question 4 of 5

Which of the following side effects is associated with androgen therapy?

Correct Answer: C

Rationale: Androgen therapy promotes male secondary sexual characteristics leading to virilization (e.g. deepened voice facial hair). Gynecomastia is associated with estrogen and increased appetite or euphoria are not typical side effects of androgens.

Question 5 of 5

A pregnant client comes to the office for her first prenatal examination at 10 weeks. She has been pregnant twice before; the first delivery produced a viable baby girl at 39 weeks 3 years ago; the second pregnancy produced a viable baby boy at 36 weeks 2 years ago. Both children are living and well. Using the gravida and para system to record the client's obstetrical history, the nurse should record:

Correct Answer: B

Rationale: Gravida=3 (current pregnancy), Para=2 (two births after 20 weeks).

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The nurse is caring for a client with a history of systemic lupus erythematosus. The nurse should expect the client to have:
Which of the following is an adverse effect associated with the use of Adriamycin (doxorubicin)?
One of the medications that is prescribed for a male client is furosemide (Lasix) 80 mg bid. To reduce his risk of falls, the nurse would teach him to take this medication:
A client is admitted to the labor and delivery unit complaining of vaginal bleeding with very little discomfort. The nurse's first action should be to:

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