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Questions 149

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Question 1 of 5

The nurse has been teaching the role of diet in regulating blood pressure to a client with hypertension. Which meal selection indicates the client understands his new diet?

Correct Answer: C

Rationale: Oatmeal, apple juice, and dry toast are low in sodium and saturated fat, aligning with a DASH diet for hypertension management.

Question 2 of 5

The physician has prescribed Coumadin (sodium warfarin) for a client having transient ischemic attacks. Which laboratory test measures the therapeutic level of Coumadin?

Correct Answer: A

Rationale: Prothrombin time (PT/INR) measures the therapeutic level of warfarin, ensuring effective anticoagulation.

Question 3 of 5

The nurse working the organ transplant unit is caring for a client with a white blood cell count of 450. During evening visitation, a visitor brings a basket of fruit. What action should the nurse take?

Correct Answer: D

Rationale: A white blood cell count of 450 indicates severe immunosuppression, so the fruit should be removed to prevent infection from potential contaminants.

Question 4 of 5

A client with tuberculosis has a prescription for Myambutol (ethambutol HCl). The nurse should tell the client to notify the doctor immediately if he notices:

Correct Answer: D

Rationale: Ethambutol can cause optic neuritis, leading to changes in color vision, a serious side effect requiring immediate medical attention.

Question 5 of 5

The physician has ordered Dilantin (phenytoin) for a client with generalized seizures. When planning the client's care the nurse should:

Correct Answer: D

Rationale: Dilantin can cause gingival hyperplasia, so oral hygiene and gum care are essential to prevent complications.

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