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Questions 148

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Question 1 of 5

The nurse is teaching a client with a new colostomy about dietary management. Which of the following foods should the nurse recommend the client avoid to reduce odor and gas?

Correct Answer: A

Rationale: broccoli is a gas-forming food that can increase odor and gas in a colostomy

Question 2 of 5

The nurse is preparing to administer a dose of amoxicillin (Amoxil) to a client with a urinary tract infection. The client reports a history of penicillin allergy. Which of the following actions should the nurse take?

Correct Answer: D

Rationale: clarifying the type of allergic reaction is essential, as amoxicillin is a penicillin derivative and could cause a severe reaction

Question 3 of 5

A client is taking nebulizer treatments for asthma, and the nurse is instructing the client in the correct method for measuring peak expiratory flow rates (PEFR) after treatment. The nurse prepares the meter with the indicator at the base of the scale. Place the following steps (Roman numerals) in the correct order from first to last.

Order the Items

Source Container

Client sits upright or stands.
Client places the meter in the mouth and seals lips.
Client expels air through the meter as forcefully as possible.
Client takes a deep breath.

Correct Answer: A,D,B,C

Rationale: PEFR sequence: Sit/stand (I), take deep breath (IV), place meter in mouth (II), expel air forcefully (III).

Question 4 of 5

A 4-year-old girl has been transferred to a step-down recovery room after a tonsillectomy yesterday. The nurse should place the child in what position while she sleeps?

Correct Answer: D

Rationale: Side-lying position post-tonsillectomy promotes drainage of secretions, reducing airway obstruction risk.

Question 5 of 5

The initial assessment of a newborn reveals a chest circumference of 34 cm and an abdominal circumference of 31 cm. The chest is asymmetrical and breath sounds are diminished on the left side. The nurse should give priority to:

Correct Answer: A

Rationale: Diminished breath sounds and chest asymmetry suggest a respiratory issue, such as pneumothorax, requiring immediate supplemental oxygen.

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