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Questions 149

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Question 1 of 5

A client with chronic kidney disease has just been admitted to the floor. The admitting nurse reviews a list of OTC medications the client takes at home and is concerned when he sees

Correct Answer: A

Rationale: Mylanta contains magnesium and aluminum, which can accumulate in kidney disease, causing toxicity. Other medications are less concerning in this context.

Question 2 of 5

A client has had a long leg cast removed after eight weeks. Which of the following actions is the correct method of cleansing the skin after cast removal?

Correct Answer: B

Rationale: Soaking in a tub and washing with a washcloth (
B) gently removes dead skin and debris without irritation. A bath brush (
A) or hot water (
D) may be too harsh, and enzyme wash (
C) is unnecessary.

Question 3 of 5

When caring for a ventilator-dependent client who is receiving tube feedings, the nurse can help prevent aspiration of gastric secretions by:

Correct Answer: B

Rationale: Elevating the head of the bed 30-45° reduces the risk of aspiration in ventilator-dependent clients.

Question 4 of 5

The home health nurse is visiting a client with an exacerbation of rheumatoid arthritis. To prevent deformities of the knee joints, the nurse should:

Correct Answer: B

Rationale: Encouraging movement within pain limits maintains joint mobility and prevents stiffness, reducing the risk of knee deformities in rheumatoid arthritis.

Question 5 of 5

The nurse is teaching a pregnant client about nutritional needs during pregnancy. Which menu selection will best meet the nutritional needs of the pregnant client?

Correct Answer: C

Rationale: This menu provides balanced nutrients, including protein, vitamins, and calcium, essential for pregnancy.

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