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Questions 149

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Question 1 of 5

An elderly client who experiences nighttime confusion wanders from his room into the room of another client. The nurse can best help with decreasing the client's confusion by:

Correct Answer: D

Rationale: A nightlight reduces disorientation and confusion in elderly clients by providing visual cues in the dark.

Question 2 of 5

A client has signs of increased intracranial pressure. Which one of the following is an early indicator of deterioration in the client's condition?

Correct Answer: D

Rationale: A decrease in level of consciousness is an early and sensitive indicator of increased intracranial pressure, reflecting cerebral compromise before other signs like pupil changes or vital sign alterations.

Question 3 of 5

The primary physiological alteration in the development of asthma is:

Correct Answer: D

Rationale: Bronchiolar smooth muscle spasm is the primary physiological alteration in asthma, leading to airway narrowing.

Question 4 of 5

The nurse is caring for a client after he experienced a seizure (postictal). Which intervention would the nurse expect not to perform?

Correct Answer: A

Rationale: During the postictal phase, the client needs rest and monitoring, not immediate return to pre-seizure activity, which could be unsafe.

Question 5 of 5

The nurse is caring for a client with a history of ulcerative colitis who is admitted with a flare-up. Which of the following dietary recommendations should the nurse provide?

Correct Answer: C

Rationale: avoiding dairy products if lactose intolerant reduces gastrointestinal irritation in ulcerative colitis

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