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Questions 148

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Question 1 of 5

The nurse is assisting a client with diverticulitis to select appropriate foods. Which food should be avoided?

Correct Answer: C

Rationale: Clients with diverticulitis should avoid foods with seeds, such as tomatoes and cucumbers, as they can irritate diverticula. Bran, peaches, and dinner rolls are generally safe.

Question 2 of 5

A client with acute alcohol intoxication is being treated for hypomagnesemia. During assessment of the client, the nurse would expect to find:

Correct Answer: D

Rationale: Hypomagnesemia can cause a positive Trousseau's sign, indicating neuromuscular irritability due to low magnesium levels.

Question 3 of 5

The nurse is talking to a client and his family about hepatitis. Which of the following statements by a family member indicate understanding of the nurse's teaching? Select all that apply.

Correct Answer: A, B, D, E

Rationale: Hepatitis D requires hepatitis B, hepatitis A is year-round and spread via contaminated food/water, and hepatitis B is transmitted through blood/body fluids. Hepatitis D is not waterborne.

Question 4 of 5

A client being treated with sodium warfarin (Coumadin) has a Protime of 120 seconds. Which intervention would be most important to include in the nursing care plan?

Correct Answer: A

Rationale: A Protime of 120 seconds indicates excessive anticoagulation, increasing the risk of bleeding, so assessing for abnormal bleeding is the most important intervention.

Question 5 of 5

The nurse is reviewing medication orders for his clients. Which order would necessitate contacting the health care provider?

Correct Answer: B

Rationale: Promethazine is contraindicated in children with Reye’s syndrome due to the risk of worsening neurological symptoms. Other orders are appropriate.

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