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Questions 158

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Question 1 of 5

A pregnant client complains of varicosities in the third trimester. Which of the following activities should she be advised to avoid?

Correct Answer: D

Rationale: Sitting with the legs crossed at the ankles does not interfere with circulation or create pressure points. TED stockings will help to reduce the varicosity by supporting the vein. Stockings must be applied with legs elevated. Support pantyhose help to reduce the varicosity by supporting the vein. They also provide support to the uterus and allow for better return circulation. Hose must be applied like TED stockings. Knee-high stockings create constriction and pressure points that interfere with circulation in the lower extremities.

Question 2 of 5

A nurse is triaging in the emergency room when a client enters complaining of muscle cramps and a feeling of exhaustion after a running competition. Which of the following would the nurse suspect?

Correct Answer: B

Rationale: Muscle cramps and exhaustion after intense exercise suggest hyponatremia due to excessive sweating and water intake, diluting sodium levels. Hypernatremia (
A) causes neurological symptoms, hyperkalemia (
C) causes arrhythmias, and hypokalemia (
D) causes weakness but is less likely without diuretic use.

Question 3 of 5

A 20-year-old male client is being treated for protein deficiency. If he likes all of the following foods, which one would the nurse recommend to increase in the diet?

Correct Answer: C

Rationale: Cantaloupe is a good source of carbohydrates, vitamin C, and vitamin A. Rice contains about 4 g of protein per 200 g. Chicken contains 35 g protein per breast. Chicken is a rich source of vitamin B6 (pyridoxine), which is needed for adequate protein synthesis. As protein intake increases, vitamin B6 intake must also be increased. Vitamin B6 is a coenzyme in amino acid metabolism. Green beans only contain 2 g of protein per cup.

Question 4 of 5

The nurse is caring for a client with a diagnosis of postpartum endometritis. Which medication is most likely to be ordered?

Correct Answer: B

Rationale: Postpartum endometritis is a bacterial infection of the uterus treated with antibiotics (e.g. ampicillin gentamicin). Magnesium sulfate methylergonovine and betamethasone are used for other obstetric conditions.

Question 5 of 5

The nurse is teaching a client with osteoporosis about dietary modifications. Which food should the client be encouraged to include?

Correct Answer: C

Rationale: Dairy products are rich in calcium, essential for bone health in osteoporosis. Citrus fruits provide vitamin C, red meat offers iron, and whole grains supply fiber, but they are less critical for bone density.

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