Questions 151

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Question 1 of 5

The nurse is teaching a client with a new diagnosis of hypertension about dietary modifications. Which of the following recommendations is most effective?

Correct Answer: B

Rationale: Reducing saturated fat intake lowers cholesterol and blood pressure, benefiting hypertension management.

Question 2 of 5

Which of the following examples should the nurse use to describe bulimia to a group of parents at a local community center?

Correct Answer: D

Rationale: Bulimia is characterized by binge eating followed by purging to prevent weight gain.

Question 3 of 5

The nurse caring for a child diagnosed with leukemia notes that the platelet count is 20,000 mm3 (20 x 10^9/L). Based on this finding, the nurse should include which interventions in the plan of care? Select all that apply.

Correct Answer: A,B,C

Rationale: A platelet count of 20,000 mm3 (20 x 10^9/L) places the child at risk for bleeding. The remaining options 1, 2, and 3 are accurate interventions. Taking rectal temperatures and the use of suppositories are avoided because of the risk of rectal bleeding.

Question 4 of 5

The nurse caring for a client with an acute head injury should carefully assess which function as the primary indicator of neurological status?

Correct Answer: D

Rationale: The level of consciousness is the primary indicator of neurological status. An alteration in the level of consciousness occurs before any other changes in neurological signs or vital signs. Vital sign changes occur later.

Question 5 of 5

What type of immunity occurs when a person has an infectious, communicable disease like the measles?

Correct Answer: C

Rationale: Active natural immunity occurs when a person develops immunity after exposure to an infectious disease like measles, producing antibodies through natural infection.

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