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Questions 158

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Question 1 of 5

The nurse is caring for a client hospitalized with bipolar disorder, manic phase. Which of the following snacks would be best for the client?

Correct Answer: C

Rationale: An apple is a healthy, easy-to-eat snack that provides nutrition without excessive sodium (chips), caffeine (cola), or high calories (milkshake), suitable for a manic client needing stability.

Question 2 of 5

The nurse is caring for a client with a history of a seizure disorder who is receiving Carbamazepine (Tegretol). The nurse should monitor the client for:

Correct Answer: A

Rationale: Carbamazepine can cause leukopenia, requiring monitoring of white blood cell counts. Hypotension, hyperglycemia, and weight gain are not primary side effects.

Question 3 of 5

The first action that the nurse should take if she finds the client has an O2 saturation of 68% is:

Correct Answer: C

Rationale: An O2 saturation of 68% indicates severe hypoxemia requiring immediate oxygen administration (e.g. via mask) to restore oxygenation. Elevating the head rechecking later or assessing heart rate are secondary to correcting hypoxia.

Question 4 of 5

The nurse is caring for a client with a history of peptic ulcer disease. Which food should the client avoid?

Correct Answer: A

Rationale: Spicy foods can irritate the gastric mucosa, exacerbating peptic ulcer disease. Apples, rice, and milk (in moderation) are generally safe.

Question 5 of 5

A client had a transurethral resection of the prostate yesterday. He is concerned about the small amount of blood that is still in his urine. The nurse explains that the blood in his urine:

Correct Answer: C

Rationale: Some hematuria is usual for several days after surgery. The client should not be concerned about it unless it increases.

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