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Questions 164

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Question 1 of 5

During a situation of pain management, which statement is a priority to consider for the ethical guidelines of the nurse?

Correct Answer: A

Rationale: The client's self-report is the most important consideration. Pain is a complex phenomenon that is perceived differently by each individual. Pain is whatever the client says it is. The other statements are correct but not the most important considerations.

Question 2 of 5

An 8-year-old child is admitted to the hospital with pneumonia. The child has had frequent respiratory infections. A chloride sweat test is ordered. The nurse knows that the reason for this test is to rule out which condition?

Correct Answer: C

Rationale: Frequent respiratory infections and pneumonia suggest cystic fibrosis, diagnosed via chloride sweat test, which detects elevated sweat chloride levels.

Question 3 of 5

An adult woman has been diagnosed with varicose veins. Which aspect of her history is most likely related to her diagnosis?

Correct Answer: A

Rationale: Multiple pregnancies increase intra-abdominal pressure and venous stasis, contributing to varicose veins. Running, normal weight, and sedentary work are less directly related.

Question 4 of 5

The nurse is observing client care situations. Which of the following situations would require an order for physical restraints? Select all that apply.

Correct Answer: D,E

Rationale: Belt and ankle restraints require a provider's order due to their restrictive nature. Immobilizers, mummy restraints, and padded rails are typically used for specific purposes without restraint orders.

Question 5 of 5

A client with a history of renal calculi passes a stone made up of calcium oxalate. Which of the following diet instructions should be given to the client?

Correct Answer: C

Rationale: Dark green, leafy vegetables are high in oxalates, which contribute to calcium oxalate stones. Meats and dairy increase other stone types, and citrus juices are beneficial.

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