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Questions 149

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Extract:


Question 1 of 5

The nurse is teaching the client with polycythemia vera about prevention of complications of the disease. Which of the following statements by the client indicates a need for further teaching?

Correct Answer: A

Rationale: Limiting fluid intake to 500 mL per day is incorrect, as adequate hydration is essential in polycythemia vera to reduce blood viscosity and prevent thrombosis.

Question 2 of 5

Cataracts result in opacity of the crystalline lens. Which of the following best explains the functions of the lens?

Correct Answer: C

Rationale: The lens focuses light rays onto the retina to produce a clear image.

Question 3 of 5

On the second post-operative day after a subtotal thyroidectomy, the client tells the nurse, 'I feel numbness and my face is twitching.' What is the nurse's best initial action?

Correct Answer: C

Rationale: Numbness and facial twitching suggest hypocalcemia due to parathyroid gland damage during thyroidectomy, requiring immediate physician notification for calcium supplementation.

Question 4 of 5

The nurse is visiting a home health client with osteoporosis. The client has a new prescription for alendronate (Fosamax). Which instruction should be given to the client?

Correct Answer: C

Rationale: Alendronate should be taken with water only to ensure proper absorption and minimize esophageal irritation.

Question 5 of 5

Which one of the following clients is most likely to develop acute respiratory distress syndrome?

Correct Answer: D

Rationale: Barbiturate overdose can lead to ARDS due to prolonged hypoventilation, causing lung injury from hypoxia and aspiration risk.

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