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Questions 149

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Question 1 of 5

Based on clinical findings, the physician suspects that a 65-year-old client has kidney disease and has ordered a blood-urea-nitrogen (BUN) test. Which of the following results is within normal limits?

Correct Answer: B

Rationale: Normal BUN is 7-20 mg/dL, so 15 mg/dL (
B) is within range. Other values (A, C,
D) are too low or high.

Question 2 of 5

The nurse is working with a nursing student to administer an enema solution to a client. The client states she feels painful cramping. The nurse should intervene by

Correct Answer: C

Rationale: Painful cramping during an enema suggests too-rapid administration. Clamping briefly and slowing the rate reduces discomfort.

Question 3 of 5

The nurse is assessing the abdomen. The nurse knows the best sequence to perform the assessment is:

Correct Answer: A

Rationale: The correct sequence is inspection, auscultation, palpation to avoid altering bowel sounds or causing discomfort during the exam.

Question 4 of 5

Which of the following instructions should be included in the nurse's teaching regarding oral contraceptives?

Correct Answer: B

Rationale: Antibiotics can reduce the effectiveness of oral contraceptives, necessitating an alternate method.

Question 5 of 5

The physician has ordered a low-purine diet for a client with gout. Which protein source is high in purine?

Correct Answer: A

Rationale: Dried beans are high in purines, which can increase uric acid levels and exacerbate gout symptoms.

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