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Questions 164

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Question 1 of 5

The nurse cares for a hospitalized client with malnutrition related to anorexia nervosa. Which of the following actions are appropriate in the care of this client?

Correct Answer: B,C,D,E

Rationale: Reflecting on triggers (
B), documenting intake (
C), staying during meals (
D), and daily weighing (E) support recovery. Exercise (
A) should be limited to prevent calorie expenditure.

Question 2 of 5

An adult client was admitted for congestive heart failure today. An IV is running. The nurse enters the room and notes that the client is having increased difficulty breathing. Before calling the physician, what action should the nurse take?

Correct Answer: D

Rationale: Raising the head of the bed improves breathing in congestive heart failure by reducing pulmonary congestion. Increasing IV rate, supine positioning, or questioning delays intervention.

Question 3 of 5

The nurse is screening clients for those at risk of developing nephrolithiasis. Which of the following factors would increase a client's risk of developing nephrolithiasis?

Correct Answer: A,B,E

Rationale: Gout (
A), dehydration (
B), and hyperparathyroidism (E) increase nephrolithiasis risk due to uric acid, concentrated urine, and calcium imbalances, respectively. Hypokalemia (
C) and thrombocytopenia (
D) are unrelated.

Question 4 of 5

Which of the following instructions should be included for the client taking calcium supplements?

Correct Answer: A

Rationale: Taking calcium supplements with meals enhances absorption and reduces gastrointestinal upset.

Question 5 of 5

The nurse in a college health clinic is teaching the male students testicular self-examination. Which statement made by one of the young men indicates a need for more teaching?

Correct Answer: D

Rationale: Testicular cancer primarily affects younger men (15–35 years), not older men, indicating a need for more teaching. Monthly exams, shower timing, and reporting lumps are correct.

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