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Questions 149

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Question 1 of 5

The nurse is assessing a client at home who is receiving outpatient hemodialysis 12 hours a week. The nurse knows the client needs further instruction about proper diet when he states which of the following?

Correct Answer: C

Rationale: Milk is high in phosphorus and potassium, which should be limited in hemodialysis patients to prevent electrolyte imbalances.

Question 2 of 5

A client with acute leukemia develops a low white blood cell count. In addition to the institution of isolation, the nurse should:

Correct Answer: D

Rationale: Sealed, single-serving foods reduce infection risk in neutropenic patients.

Question 3 of 5

The doctor has prescribed Claratin (loratidine) for a client with seasonal allergies. The feature that separates Claratin from other antihistamines such as diphenhydramine is that the medication:

Correct Answer: A

Rationale: Loratadine (Claritin) is a second-generation antihistamine that is nonsedating, unlike first-generation antihistamines like diphenhydramine.

Question 4 of 5

A client is admitted to the unit 2 hours after an injury with second-degree burns to the face, trunk, and head. The nurse would be most concerned with the client developing what?

Correct Answer: B

Rationale: Laryngeal edema is a critical concern with facial and head burns due to the risk of airway obstruction.

Question 5 of 5

The nurse has documented a treatment on the wrong client's record. Which of the following methods of indicating the error is correct?

Correct Answer: A

Rationale: A single line through the error with 'error' written above and initialed (
A) maintains transparency while correcting the record. Correction fluid (
B) is unacceptable, multiple lines (
C) obscure the record, and margin notes (
D) are insufficient.

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