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Questions 149

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Question 1 of 5

The nurse is evaluating nutritional outcomes for an elderly client with anorexia nervosa. Which data best indicates that the plan of care is effective?

Correct Answer: D

Rationale: Weight gain is the most direct indicator of effective nutritional intervention in anorexia nervosa.

Question 2 of 5

The physician orders the removal of an in-dwelling catheter the second postoperative day for a client with a prostatectomy. The client complains of pain and dribbling of urine the first time he voids. The nurse should tell the client that:

Correct Answer: D

Rationale: Pain and dribbling post-catheter removal are common due to bladder irritation and will typically improve within days.

Question 3 of 5

An important intervention in monitoring the dietary compliance of a client with bulimia is:

Correct Answer: C

Rationale: Observing the client after meals prevents purging, a common behavior in bulimia, ensuring dietary compliance and safety.

Question 4 of 5

The nurse is caring for a client with a basal cell epithelioma. The primary cause of basal cell epithelioma is:

Correct Answer: A

Rationale: Basal cell epithelioma is primarily caused by prolonged sun exposure.

Question 5 of 5

The 6-month-old client with a ventral septal defect is receiving Digitalis for regulation of his heart rate. Which finding should be reported to the doctor?

Correct Answer: C

Rationale: A heart rate of 60 bpm in a 6-month-old is too low (normal is 80-160 bpm), indicating possible digitalis toxicity, which should be reported.

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