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Questions 158

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Question 1 of 5

The client is admitted with a suspected stroke. Which diagnostic test is most likely to confirm the diagnosis?

Correct Answer: B

Rationale: A CT scan is the initial test to confirm a stroke, distinguishing ischemic from hemorrhagic types. EEG is for seizures, lumbar puncture is for infections, and ECG assesses cardiac status.

Question 2 of 5

The physician has ordered a homocysteine blood level on a client.

Correct Answer: A

Rationale: Homocysteine levels rise with vitamin B12 deficiency, as B12 is needed for its metabolism. Deficiencies in vitamins C (
B), A (
C), and E (
D) do not significantly affect homocysteine.

Question 3 of 5

The nurse is teaching a client with osteoporosis about dietary modifications. Which food should the client be encouraged to include?

Correct Answer: C

Rationale: Dairy products are rich in calcium, essential for bone health in osteoporosis. Citrus fruits provide vitamin C, red meat offers iron, and whole grains supply fiber, but they are less critical for bone density.

Question 4 of 5

A client has developed congestive heart failure secondary to his myocardial infarction. Discharge diet instructions should emphasize the reduction or avoidance of:

Correct Answer: B

Rationale: Canned and frozen foods have a high sodium content. Labels of all canned foods should be read to determine if sodium is used in any form.

Question 5 of 5

The nurse is caring for a child with a diagnosis of possible hydrocephalus. Which assessment data on the admission history would be the most objective?

Correct Answer: C

Rationale: Head measurement (e.g., head circumference) is the most objective for hydrocephalus, directly assessing skull enlargement. Anorexia (
A), vomiting (
B), and temperature (
D) are subjective or less specific.

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