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Questions 149

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Question 1 of 5

An elderly client is diagnosed with interstitial cystitis. Which finding differentiates interstitial cystitis from other forms of cystitis?

Correct Answer: B

Rationale: Interstitial cystitis is characterized by chronic pelvic pain and urinary symptoms with sterile urine, as it is not caused by bacterial infection, unlike other forms of cystitis.

Question 2 of 5

The nurse is teaching a newly diagnosed client about Crohn's disease but discovers that the client has several barriers to learning. The nurse understands that socioeconomic barriers to learning include which factors? Select all that apply.

Correct Answer: B, D

Rationale: Low literacy and lack of access to health resources are socioeconomic barriers to learning, while cognitive delays and lack of interest are not strictly socioeconomic, and adequate insurance is not a barrier.

Question 3 of 5

The client is taking rifampin 600 mg po daily to treat his tuberculosis. Which action by the nurse indicates understanding of the medication?

Correct Answer: B

Rationale: Rifampin causes orange-red discoloration of urine, a normal side effect the nurse should explain.

Question 4 of 5

A client is being assessed for neutropenia. The client's total white blood cell count is 5200 with 45% neutrophils and 5% bands. What is the absolute neutrophil count (ANC)? Record your answer using a whole number.

Correct Answer: 2600

Rationale: ANC = WBC X (Neutrophils% + Bands%) = 5200 X (0.45 + 0.05) = 5200 X 0.5 = 2600.

Question 5 of 5

The nurse is evaluating nutritional outcomes for an elderly client with anorexia nervosa. Which data best indicates that the plan of care is effective?

Correct Answer: D

Rationale: Weight gain is the most direct indicator of effective nutritional intervention in anorexia nervosa.

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