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Questions 149

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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 caring for a client with marked clubbing of the fingers and toes. The nurse understands which to be true regarding clubbing? Select all that apply.

Correct Answer: A,C,E,F

Rationale: Clubbing is permanent, associated with sickle cell disease, right-sided heart failure, and congenital heart defects due to chronic hypoxia. Dialysis and acute oxygen deprivation are not typical causes.

Question 3 of 5

A 62-year-old female comes to the clinic with the complaint that her vision seems cloudy. What other signs and symptoms may the client mention that are suggestive of cataracts? Select all that apply.

Correct Answer: C,E

Rationale: Cataracts cause cloudy vision, difficulty with night vision, and halos around lights. Diplopia, nausea, or eye pain are not typical.

Question 4 of 5

A client with a total knee replacement has a CPM (continuous passive motion device) applied during the post-operative period. Which statement made by the nurse indicates understanding of the CPM machine?

Correct Answer: C

Rationale: Pain during CPM use may indicate improper settings or complications, requiring physician notification.

Question 5 of 5

The nurse is assessing the heart sounds of a client with mitral stenosis following a history of rheumatic fever. To hear a mitral murmur, the nurse should place the stethoscope at:

Correct Answer: D

Rationale: Mitral stenosis murmurs are best heard at the fourth intercostal space midclavicular line, the mitral valve area.

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