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Questions 149

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Question 1 of 5

The nurse is educating a client about lifestyle modifications to manage hypertension. Which of the following modifications should the nurse recommend? Select all that apply.

Correct Answer: B,C,D,F

Rationale: Hypertension management includes regular aerobic exercise (
B), the DASH diet (
C), weight loss (
D), and smoking cessation (F). Limiting fluids (
A) is not standard, and moderate alcohol (E) is acceptable.

Question 2 of 5

The nurse is caring for a client with an acoustic neuroma brain tumor. The location of this tumor warrants which of the following nursing diagnosis as the highest priority?

Correct Answer: D

Rationale: An acoustic neuroma affects the vestibulocochlear nerve, causing balance and hearing issues, increasing fall risk. High risk for injury is the priority due to potential for harm.

Question 3 of 5

The client with preeclampsia is admitted to the unit with an order for magnesium sulfate. Which action by the nurse indicates the understanding of magnesium toxicity?

Correct Answer: C

Rationale: Inserting a Foley catheter allows monitoring of urinary output, which is critical to detect magnesium toxicity, as decreased output is a sign of toxicity.

Question 4 of 5

A client newly diagnosed with type 1 diabetes mellitus asks the nurse why it is important to rotate insulin injection sites. The nurse explains this is done to avoid

Correct Answer: D

Rationale: Rotating insulin injection sites prevents lipodystrophy (fat tissue changes), ensuring consistent absorption.

Question 5 of 5

The nurse is evaluating the client's pulmonary artery pressure. The nurse is aware that this test evaluates:

Correct Answer: B

Rationale: A pulmonary artery catheter measures the systolic, diastolic, and mean pressures of the pulmonary artery.

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