The nurse is teaching a client with metastatic bone disease about measures to prevent hypercalcemia. It would be important for the nurse to emphasize

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Question 1 of 5

The nurse is teaching a client with metastatic bone disease about measures to prevent hypercalcemia. It would be important for the nurse to emphasize

Correct Answer: C

Rationale: Emphasizing walking as much as possible prevents hypercalcemia in metastatic bone disease. Mobility reduces bone resorption, per oncology nursing. Dairy increases calcium, fluid restriction risks dehydration, and tetany is hypocalcemia. C targets the cause effectively.

Question 2 of 5

Dual diagnosis indicates that there is a substance abuse problem as well as a

Correct Answer: B

Rationale: Dual diagnosis means substance abuse and a mental disorder , per psychiatric standards. It addresses co-occurring conditions like depression and alcoholism. Cross addiction , any disorder , or medical issues don't define it. B ensures holistic care.

Question 3 of 5

The most common reason for an Apgar score of 8 and 9 in a newborn is an abnormality of what parameter?

Correct Answer: D

Rationale: Color is the most common reason for an Apgar of 8 or 9. Acrocyanosis (blue extremities) is typical in newborns, deducting 1 point, per neonatal assessment. Heart rate , tone , and cry are usually normal. D reflects this frequent finding.

Question 4 of 5

During the initial physical assessment on a client who is a Vietnamese immigrant, the nurse notices small, circular, ecchymotic areas on the client's knees. The best action for the nurse to take is to

Correct Answer: A

Rationale: Asking the client for more information is best. Circular ecchymoses may reflect coin rubbing (cao gio), a Vietnamese healing practice, per transcultural nursing. Family is secondary, reporting premature, and documenting incomplete. A ensures cultural understanding.

Question 5 of 5

When caring for a client with a post-right thoracotomy who has undergone an upper lobectomy, the nurse focuses on pain management to promote

Correct Answer: B

Rationale: Pain management promotes deep breathing and coughing post-thoracotomy. These prevent atelectasis and pneumonia, per surgical nursing. Relaxation , healing , and motion benefit but breathing is the priority risk reduction.

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