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Questions 158

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Extract:


Question 1 of 5

The nurse is teaching a client with a history of gout about medication adherence. The nurse should tell the client to:

Correct Answer: A

Rationale: Allopurinol reduces uric acid levels in gout, so adherence is critical to prevent flares.

Question 2 of 5

The nurse is teaching a client in preparation for a colonoscopy. Which would be involved in the teaching session?

Question Image

Correct Answer: A, C, E

Rationale: Colonoscopy prep includes a liquid diet (
A), laxative bowel prep (
C), and NPO 8 hours prior (E). Sedation is standard (
B), and enemas (
D) are not routine on admission.

Question 3 of 5

The nurse has just received a report from the previous shift.

Correct Answer: B

Rationale: Shortness of breath post-MVA suggests potential trauma (e.g., pneumothorax), requiring immediate assessment. COPD with PCO2 50 (
A) is stable, pain (
C) is less urgent, and mild fever (
D) is expected post-op.

Question 4 of 5

After a liver biopsy, the best position for the client is:

Correct Answer: D

Rationale: The right lateral position applies pressure on the liver to prevent bleeding post-biopsy.

Question 5 of 5

A client is being monitored using a central venous pressure monitor. If the CVP is 1 cm of water, the nurse should:

Correct Answer: A

Rationale: A CVP of 1 cm of water (normal range 2–8 mmHg or 3–10 cm H2O) is low, suggesting hypovolemia or decreased venous return. The nurse should notify the physician immediately for further evaluation and possible fluid administration.

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