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Questions 149

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Question 1 of 5

How many hours of activity per day are necessary to prevent disuse syndrome with muscle atrophy and joint contracture?

Correct Answer: C

Rationale: Approximately 2 hours of activity daily (
C), including range-of-motion exercises or ambulation, helps prevent disuse syndrome, muscle atrophy, and joint contractures in immobilized clients.

Question 2 of 5

The nurse in the ER has received report of four clients en route to the emergency department. Which client should the nurse see first? A client with:

Correct Answer: A

Rationale: Third-degree burns to the face and neck with singed nasal hairs suggest airway burns, a life-threatening condition requiring immediate airway assessment and management.

Question 3 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.

Question 4 of 5

The nurse is performing discharge teaching on a client with polycythemia vera. Which would be included in the teaching plan?

Correct Answer: D

Rationale: Polycythemia vera increases blood viscosity, raising thrombosis risk. Teaching clients to recognize thrombosis symptoms (e.g., swelling, pain) is critical for early intervention.

Question 5 of 5

The nurse is preparing a client with acquired immunodeficiency syndrome (AIDS) for discharge home. Which of the following statements by the client indicates a need for further teaching by the nurse?

Correct Answer: D

Rationale: AIDS patients cannot donate blood due to HIV transmission risk. Public activities and restrooms pose minimal risk, and sharing serving dishes is safe if not directly contaminated.

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