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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 is scheduled for knee replacement surgery, and the nurse is reviewing preoperative laboratory results. The nurse should notify the physician about which of the following abnormal laboratory results?

Correct Answer: A

Rationale: A platelet count of 119,000 (
A) is below the normal range (150,000-450,000), increasing bleeding risk during surgery, and should be reported. Glucose 83 (
B), hemoglobin 13.7 (
C), and sodium 141 (
D) are within normal limits.

Question 3 of 5

The client with a cervical fracture is placed in traction. Which type of traction will be utilized at the time of discharge?

Correct Answer: C

Rationale: Halo traction is used for cervical fractures and can be maintained post-discharge for stabilization.

Question 4 of 5

Vitamin K is administered to the newborn shortly after birth for which of the following reasons?

Correct Answer: D

Rationale: Vitamin K is given to newborns to facilitate clotting, preventing hemorrhagic disease due to low vitamin K levels.

Question 5 of 5

The nurse working in an outpatient pain clinic has the opportunity to teach a client with chronic back pain about nonpharmacological pain management. Which of the following would be most appropriate for the nurse to include when teaching? Select all that apply.

Correct Answer: A, B, C, D

Rationale: Music, therapeutic massage, stretching exercises, and relaxation are all evidence-based nonpharmacological methods to manage chronic pain.

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