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Question 1 of 5

The nurse is caring for a client with a long history of alcohol and drug dependence. It would be MOST important for the nurse to include which of the following as a part of his discharge planning?

Correct Answer: C

Rationale: self-help groups have greatest success rate as a sustained support system in the community

Question 2 of 5

A middle-aged adult is seen in the emergency room for complaints of severe right-flank pain. The client is twenty pounds overweight, lives a sedentary lifestyle, and was treated for renal calculi four years ago. Which of the following actions, if performed by the nurse, is MOST important?

Correct Answer: D

Rationale: will document passage of stone and allow composition to be analyzed

Question 3 of 5

The nurse is caring for a client with a history of congestive heart failure.

Correct Answer: A

Rationale: Daily weight monitoring detects fluid retention early, a key indicator of worsening heart failure. Extra diuretics require medical orders, high-sodium diets worsen fluid retention, and exercise is encouraged within limits.

Question 4 of 5

The nurse is caring for a client with a history of type 2 diabetes who is receiving glipizide (Glucotrol) 5 mg PO daily. Which of the following symptoms should the nurse report immediately?

Correct Answer: B

Rationale: Sweating and shakiness indicate hypoglycemia, a serious glipizide side effect. Options A, C, and D are less urgent.

Question 5 of 5

The nurse is preparing a 56-year-old woman for a paracentesis. It is MOST important for the nurse to take which of the following actions?

Correct Answer: B

Rationale: prevents puncture of bladder

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