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Questions 149

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Question 1 of 5

The client with AIDS tells the nurse that he has been using acupuncture to help with his pain. The nurse should question the client regarding this treatment because acupuncture uses:

Correct Answer: C

Rationale: Acupuncture uses needles, which pose an infection risk in immunocompromised AIDS patients, requiring further discussion.

Question 2 of 5

The client is admitted to the unit after a motor vehicle accident with a temperature of 102°F rectally. The most likely explanations for the elevated temperature is that:

Correct Answer: B

Rationale: Infection from abrasions is the most likely cause of fever post-accident, as it's a common complication.

Question 3 of 5

A home health nurse is making preparations for morning visits. Which one of the following clients should the nurse visit first?

Correct Answer: B

Rationale: Nighttime dyspnea suggests acute heart failure exacerbation, requiring priority.

Question 4 of 5

The nurse is obtaining a history on a 74-year-old client. Which statement made by the client would alert the nurse to a possible fluid and electrolyte imbalance?

Correct Answer: B

Rationale: Frequent laxative use can cause fluid and electrolyte losses (e.g., potassium, sodium), leading to imbalances, unlike the other statements.

Question 5 of 5

To reduce the possibility of having a baby with a neural tube defect, the client should be told to increase her intake of folic acid. Dietary sources of folic acid include:

Correct Answer: D

Rationale: Folic acid is found in foods like dried beans, sweet potatoes, and Brussels sprouts. These help reduce the risk of neural tube defects like spina bifida when consumed before and during early pregnancy.

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