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Questions 158

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Question 1 of 5

Which diet would the nurse expect to see ordered for a patient with nephrotic syndrome?

Correct Answer: B

Rationale: Nephrotic syndrome causes proteinuria, leading to hypoalbuminemia. A moderate protein diet (0.8–1 g/kg/day) helps replace lost protein without overloading the kidneys. Low carbohydrate, low calcium, or increased potassium diets are not specific to nephrotic syndrome.

Question 2 of 5

The nurse is caring for a client with a history of a hysterectomy. The client complains of hot flashes. The nurse should:

Correct Answer: C

Rationale: Hot flashes post-hysterectomy are due to hormonal changes. Discussing hormone replacement therapy with the physician is appropriate. Heating pads, fluid restriction, and acetaminophen are ineffective.

Question 3 of 5

The physician has prescribed Oxycontin (oxycodone) for a client following an exploratory laparotomy. Which of the following is an adverse effect associated with the medication?

Correct Answer: C

Rationale: Oxycontin, an opioid, can cause nervousness or restlessness as a central nervous system side effect, alongside more common effects like sedation or respiratory depression. Pulmonary edema, increased blood pressure, and rapid pulse are not typical.

Question 4 of 5

Which person is at greatest risk for developing Lyme disease?

Correct Answer: D

Rationale: Landscapers are at higher risk for Lyme disease due to frequent outdoor exposure in areas where ticks, which transmit the disease, are prevalent.

Question 5 of 5

A client with a history of colorectal cancer is admitted with complaints of abdominal pain. The nurse should give priority to:

Correct Answer: A

Rationale: Abdominal pain in colorectal cancer may indicate obstruction, a serious complication requiring immediate monitoring.

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