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Questions 149

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Question 1 of 5

The nurse is teaching the parents of a client with iron deficiency anemia about administering a liquid oral iron supplement. Which statement by the parents indicates that teaching was successful?

Correct Answer: A

Rationale: Using a straw minimizes tooth staining from liquid iron. Iron is best absorbed on an empty stomach, and milk can decrease absorption.

Question 2 of 5

A client has just finished her lunch, consisting of shrimp with rice, fruit salad, and a roll. The client calls for the nurse, stating, 'My throat feels thick and I'm having trouble breathing.' What action should the nurse implement first?

Correct Answer: C

Rationale: Symptoms suggest an allergic reaction, possibly anaphylaxis from shrimp. Placing the client in high Fowler's position facilitates breathing, and calling the physician ensures rapid intervention.

Question 3 of 5

When assessing the urinary output of a client who has had extracorporeal lithotripsy, the nurse can expect to find:

Correct Answer: A

Rationale: Extracorporeal lithotripsy breaks up kidney stones, leading to cherry-red urine from minor bleeding that clears as healing progresses.

Question 4 of 5

The doctor has ordered 80 mg of furosemide (Lasix) two times per day. The nurse notes the patient's potassium level to be 2.5 meq/L. The nurse should:

Correct Answer: D

Rationale: A potassium level of 2.5 mEq/L is dangerously low; withholding Lasix and notifying the doctor prevents further potassium loss.

Question 5 of 5

The nurse is monitoring a client with a history of stillborn infants. The nurse is aware that a nonstress test can be ordered for this client to:

Correct Answer: D

Rationale: A nonstress test assesses fetal well-being by monitoring fetal heart rate in response to movement, particularly in high-risk pregnancies.

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