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Question 1 of 5

The nurse is teaching a client with chronic kidney disease about dietary restrictions. Which of the following foods should the client limit to prevent hyperkalemia?

Correct Answer: B

Rationale: potatoes are high in potassium, which should be limited in chronic kidney disease to prevent hyperkalemia

Question 2 of 5

The nurse is assessing the chart of a client with a stroke. MRI results reveal a hemorrhagic stroke to the brain. Which physician prescription would the nurse question?

Correct Answer: C

Rationale: Heparin is contraindicated in hemorrhagic stroke due to the risk of worsening bleeding, making this prescription inappropriate and requiring clarification.

Question 3 of 5

A client in Dunlop traction experiences numbness of the thumb and index finger and cannot move the thumb to touch the tips of the other fingers. The capillary refill time is four seconds. Which of the following actions is indicated?

Correct Answer: A

Rationale: Numbness, impaired thumb movement, and delayed capillary refill suggest compression from a tight elastic bandage. Removing and reapplying it loosely (
A) addresses this. Adjusting weights (B,
D) or countertraction (
C) does not address the symptoms.

Question 4 of 5

An important intervention in monitoring the dietary compliance of a client with bulimia is:

Correct Answer: C

Rationale: Observing the client after meals prevents purging, a common behavior in bulimia, ensuring dietary compliance and safety.

Question 5 of 5

During morning assessments, the nurse finds that a client's nephrostomy tube has been clamped. The nurse's first action should be to:

Correct Answer: C

Rationale: Unclamping the nephrostomy tube is the priority to restore urine flow and prevent obstruction or infection.

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The nurse is infusing total parenteral nutrition (TPN). The primary purpose for closely monitoring the client's intake and output is:
A client is to be discharged with a tracheostomy. Which of the following should the nurse most stress when educating the client about home management? Select all that apply.
A newborn diagnosed with bilateral choanal atresia is scheduled for surgery soon after delivery. The nurse recognizes the immediate need for surgery because the newborn:

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