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Questions 149

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Question 1 of 5

The nurse is planning dietary changes for a client following an episode of acute pancreatitis. Which diet is suitable for the client?

Correct Answer: B

Rationale: A high-calorie, low-fat diet is suitable post-acute pancreatitis to support recovery while minimizing pancreatic stimulation.

Question 2 of 5

A 19-year-old male with type 1 diabetes has the flu. The nurse expects what insulin changes may be required during the illness?

Correct Answer: B

Rationale: Illness increases insulin resistance due to stress hormones, often requiring more insulin to manage hyperglycemia in type 1 diabetes.

Question 3 of 5

A client has been on prolonged bedrest following surgery. The nurse notes that the patient has pain in the right calf on palpation with dorsiflexion of the ankle. Which of the following causes does the nurse suspect?

Correct Answer: D

Rationale: Calf pain with dorsiflexion (Homan's sign) suggests deep vein thrombosis (
D), common after prolonged bedrest. Arthritis (
A), muscle strain (
B), and compartment syndrome (
C) present differently.

Question 4 of 5

The nurse recognizes that if eaten by a client, which food can alter results when stool is checked for occult blood?

Correct Answer: D

Rationale: Beef contains heme, which can cause a false-positive result in a fecal occult blood test. Other foods listed do not typically interfere.

Question 5 of 5

The nurse is caring for a client with a history of breast cancer who is receiving tamoxifen (Nolvadex). The nurse should instruct the client to report which of the following side effects?

Correct Answer: C

Rationale: vaginal bleeding is a serious side effect of tamoxifen, as it may indicate endometrial cancer

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