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Question 1 of 5

The nurse is providing dietary instructions to a client with oxalate renal calculi. The nurse should tell the client to avoid which of the following snacks:

Correct Answer: A

Rationale: Clients with oxalate renal calculi should avoid foods high in oxalate, such as strawberries. Answers B, C, and D (cheese, chicken nuggets, and banana) are not high in oxalate and are generally safe for clients with this condition.

Question 2 of 5

A nurse is caring for a patient with obsessive-compulsive disorder (OCD). Which of the following interventions is most appropriate?

Correct Answer: C

Rationale: Setting time limits on rituals balances reducing OCD behaviors with minimizing anxiety, supporting therapy goals. Preventing or encouraging rituals exacerbates symptoms, and ignoring dismisses treatment needs.

Question 3 of 5

A nurse is teaching a patient about the use of an incentive spirometer. Which of the following instructions should the nurse include?

Correct Answer: B

Rationale: Inhaling slowly and deeply maximizes lung expansion, preventing atelectasis. Exhaling forcefully is incorrect, use is routine, and holding breath is secondary.

Question 4 of 5

An elderly client has returned to her room following internal fixation of a fractured hip. To prevent dislocation of the hip prosthesis, the nurse should:

Correct Answer: D

Rationale: Maintaining the hip in an abducted position prevents dislocation of the prosthesis. Adduction or lying on the affected side increases dislocation risk. Supine is neutral but less specific.

Question 5 of 5

A case management clinical pathway for congestive heart failure might include all of the following except:

Correct Answer: D

Rationale: Clinical pathways include maps of care outcomes to be achieved prior to discharge or movement through a health care system. Insurance review for reimbursement is a function of an outside agency from the health care provider.

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