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Questions 158

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Question 1 of 5

The client is diagnosed with hyperkalemia. Which food should the nurse instruct the client to avoid?

Correct Answer: A

Rationale: Bananas are high in potassium, which should be avoided in hyperkalemia to prevent worsening arrhythmias. Broccoli, salmon, and pasta have lower potassium content.

Question 2 of 5

The clinic nurse is teaching a co-worker regarding medication administration. The nurse is aware that which of the following medications are category X medications and should not be taken by the client during pregnancy?

Question Image

Correct Answer: A, B

Rationale: Category X medications, like minocycline (
A) and tazarotene (Tazorac,
B), are contraindicated in pregnancy due to fetal harm. Calcipotriene (Devonex,
C), levothyroxine (
D), and cefazolin (E) are safer (categories B or
C).

Question 3 of 5

An elderly client is diagnosed with interstitial cystitis. Which finding differentiates interstitial cystitis from other forms of cystitis?

Correct Answer: B

Rationale: Interstitial cystitis is characterized by chronic pelvic pain and urinary symptoms without bacterial infection, so the urine is typically free of bacteria, unlike bacterial cystitis.

Question 4 of 5

A vaginal exam of a laboring client reveals that the fetus is at 0 station. This assessment means that:

Correct Answer: C

Rationale: A 0 station means the presenting part of the fetus is level with the ischial spines indicating engagement in the pelvis. It does not indicate a lack of descent transverse lie or immediate risk of precipitate delivery.

Question 5 of 5

The nurse is removing a peripherally inserted central catheter (PICC). The nurse should position the patient in which position?

Correct Answer: D

Rationale: Trendelenburg position (head down) is used when removing a PICC line to reduce the risk of air embolism by increasing venous pressure. Fowler’s, right, or left side-lying positions do not provide this protection.

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