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Questions 158

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Extract:


Question 1 of 5

The nurse is teaching a client with a new diagnosis of gout about dietary modifications. Which food should the client avoid?

Correct Answer: A

Rationale: Shellfish are high in purines, which increase uric acid levels, worsening gout. Apples, carrots, and rice are low-purine foods and safe.

Question 2 of 5

The nurse is caring for a client with a history of type 2 diabetes. The nurse should expect the client to have:

Correct Answer: A

Rationale: Type 2 diabetes causes hyperglycemia, leading to polyuria due to osmotic diuresis.

Question 3 of 5

Which client should be assigned to the nursing assistant?

Correct Answer: C

Rationale: The elderly client four days post-thyroidectomy is stable and suitable for a nursing assistant’s care (e.g., basic hygiene, ambulation). The other clients require skilled nursing due to critical conditions (cervical fracture, meningitis, recent thoracotomy).

Question 4 of 5

A client with a history of chronic renal failure is receiving hemodialysis. Which assessment finding indicates a complication during dialysis?

Correct Answer: B

Rationale: Hypotension during dialysis suggests fluid removal too rapid or disequilibrium syndrome, a serious complication. Fatigue (
A), headache (
C), and stable weight (
D) are less concerning.

Question 5 of 5

The nurse is caring for a client with a diagnosis of gestational hypertension. Which symptom is most characteristic?

Correct Answer: A

Rationale: Hypertension (BP ≥140/90) is the defining symptom of gestational hypertension. Proteinuria indicates preeclampsia and fetal macrosomia or painful bleeding are unrelated.

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