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Questions 149

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Question 1 of 5

The nurse is teaching a newly diagnosed client about Crohn's disease but discovers that the client has several barriers to learning. The nurse understands that socioeconomic barriers to learning include which factors? Select all that apply.

Correct Answer: B, D

Rationale: Low literacy and lack of access to health resources are socioeconomic barriers to learning, while cognitive delays and lack of interest are not strictly socioeconomic, and adequate insurance is not a barrier.

Question 2 of 5

The nurse notes the following laboratory test results on a 24-hour postburn client. Which abnormality should be reported to the physician immediately?

Correct Answer: A

Rationale: Hyperkalemia (7.5 mEq/L) is life-threatening, risking cardiac arrhythmias, and requires immediate reporting for urgent correction.

Question 3 of 5

The nurse is caring for a client with a history of ulcerative colitis who is admitted with a flare-up. Which of the following dietary recommendations should the nurse provide?

Correct Answer: C

Rationale: avoiding dairy products if lactose intolerant reduces gastrointestinal irritation in ulcerative colitis

Question 4 of 5

A client with a peptic ulcer had a partial gastrectomy and vagotomy (Billroth I). In planning the discharge teaching, the client should be cautioned by the nurse about which of the following?

Correct Answer: D

Rationale: basic guidelines to teach a postgastrectomy client are measures to prevent dumping syndrome, which include: lying down for 30 minutes after meals, drinking fluids between meals, and reducing intake of carbohydrates

Question 5 of 5

While reading the progress notes on a client with cancer, the nurse notes a TNM classification of T1, N1, M0. What does this classification indicate?

Correct Answer: D

Rationale: T1 indicates a small tumor, N1 indicates regional lymph node involvement, and M0 indicates no distant metastasis. This matches choice D.

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