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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 clients on a respiratory unit. Upon receiving the following client reports, which client should be seen first?

Correct Answer: C

Rationale: Edema and neck vein distention in a bronchitis client suggest right heart failure or cor pulmonale, requiring immediate assessment. Emphysema discharge (
A), antibiotics (
B), and abnormal PO2 (
D) are less urgent.

Question 3 of 5

The nurse is caring for a client with a history of sickle cell anemia. Which intervention is most important during a sickle cell crisis?

Correct Answer: A

Rationale: Sickle cell crisis causes vaso-occlusion, reducing tissue oxygenation. Administering oxygen is the priority to prevent hypoxia. Cold packs worsen vasoconstriction, rest is secondary, and antibiotics are for infections.

Question 4 of 5

The client is admitted with a diagnosis of abruptio placenta. Which diagnostic test is most likely to be ordered?

Correct Answer: C

Rationale: Ultrasound can confirm placental separation in abruptio placenta and fetal heart monitoring assesses for distress due to hypoxia. Both tests are critical for diagnosis and management.

Question 5 of 5

The nurse is teaching a client with a history of osteoporosis about dietary modifications. The nurse should tell the client to increase intake of:

Correct Answer: A

Rationale: Calcium-rich foods strengthen bones and help prevent further bone loss in osteoporosis, a critical dietary modification.

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