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Question 1 of 5

The nurse is caring for a client with a history of diverticulitis. Which dietary instruction is most appropriate?

Correct Answer: B

Rationale: Foods with seeds or nuts can irritate diverticula, increasing the risk of flare-ups.

Question 2 of 5

The nurse is obtaining a health history on the client with a possible left-sided varicocele. Which question is most important?

Correct Answer: C

Rationale: A. Varicoceles are not inherited. B. A varicocele does occur most frequently on the left side due to retrograde blood flow from the renal vein; however, a varicocele rarely produces symptoms. C. Asking about children is important because the most common cause of male infertility is a varicocele. Approximately 15% to 20% of the healthy, fertile male population is estimated to have varicoceles. However, 40% of infertile men may have them. D. A varicocele rarely produces any symptoms. It is usually diagnosed during physical examinations related to infertility. If symptoms do occur, pain and groin tenderness are the most common symptoms.

Question 3 of 5

The nurse is caring for the client who is 24 hours post-TURP and is having painful bladder spasms. Which intervention should the nurse plan to implement?

Correct Answer: B

Rationale: A. Opioid medications will decrease the pain sensations but will not decrease the muscle spasms. B. The belladonna and opium suppository will inhibit smooth muscle contraction and decrease bladder spasms; thus, it will also reduce pain. C. Ambulation will not decrease the discomfort. D. Heat, rather than cold, is the recommended nonphannacological treatment for bladder spasms.

Question 4 of 5

A physician orders 2 mg/kg of a drug. If the client weighs 88 pounds, how many milligrams of the medication should the nurse administer?

Correct Answer: A

Rationale: 88 pounds ÷ 2.2 = 40 kg; 2 mg/kg × 40 kg = 80 mg.

Question 5 of 5

A client with a suspected myocardial infarction receives nitroglycerin sublingually. Which assessment finding indicates the medication is effective?

Correct Answer: A

Rationale: Nitroglycerin relieves chest pain by dilating coronary arteries, improving blood flow to the myocardium.

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