The physician has ordered a sterile urine specimen from a client with an in-dwelling catheter. The nurse should:
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Solution
Answer A is correct. The immediate nursing intervention is the administration of pain medication. Answers B, C, and D will be done later; therefore, they are incorrect.
A client admitted with renal calculi is experiencing severe pain in the right flank and nausea. The immediate nursing intervention is to:
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Solution
Answer D is correct. One cup of prune juice provides 707mg of potassium. Answers A, B, and C are incorrect because they provide less potassium than prune juice. (One cup of apple juice provides 295mg of potassium, one cup of orange juice provides 496mg of potassium, and one cup of cranberry juice provides 152mg of potassium.)
While reviewing the client’s lab report, the nurse notes that the client has a potassium level of 3.0 mEq/L. What is the best source of potassium?
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Solution
Answer C is correct. Edema of the face and hands is not a normal occurrence in pregnancy; therefore, the client needs further teaching. Answers A, B, and D indicate that the client understands the nurse’s teaching; therefore, they are incorrect.
The nurse is teaching an obstetrical client regarding the appearance of edema in the last trimester. Which statement by the client indicates a need for further teaching?
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Solution
Answer D is correct. Entocort EC (budesonide) is a long-acting corticosteroid that should be taken with meals or a snack to prevent gastric upset. Answer A is incorrect because the medication should not be taken with grapefruit juice. Entocort EC (budesonide) should be taken with food; therefore, answers B and C are incorrect.
A client with Crohn’s disease has been started on Entocort EC (budesonide) 9mg daily. The nurse should tell the client to take the medication:
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Solution
Answer B is correct. The nurse should direct the client to put the medicine in his mouth and swallow it with some water. Answer A is incorrect because it is threatening to the client. Answer C is incorrect because medication administration and supervision is a responsibility of the nurse, not the nursing assistant. Answer D is incorrect because the nurse is threatening the client
The nurse is administering medication to a client with paranoid schizophrenia. The client accepts the medication but does not place it in his mouth. The nurse should:
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Solution
Answer A is correct. Breast milk is higher in fat than cow’s milk. Answers B, C, and D are inaccurate statements regarding breast milk; therefore, they are incorrect.
A postpartal client wants to know how the nutrient value of breast milk differs from that of cow’s milk. The nurse should tell the client that breast milk is:
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Solution
Answer D is correct. A meal of baked chicken, apple, angel food cake, and 1% milk is low in calories, low in fat, and low in sodium. Answer A is incorrect because blue cheese dressing and crackers are high in sodium. Answer B is incorrect because frankfurters are high in calories, fat, and sodium. Answer C is incorrect because taco seasoning, meat, chips, and sour cream are high in calories, fat, and sodium.
The physician has ordered a low-calorie, low-fat, low-sodium diet for a client with hypertension. Which menu selection is appropriate for the client?
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Solution
Answer D is correct. Elixophylline (theophylline) is a bronchodilator that acts to relax bronchial smooth muscle. Answers A, B, and C are incorrect because they are not actions of theophylline.
A client with emphysema has an order for Elixophyllin (theophylline). The desired action of theophylline for a client with emphysema is:
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Solution
Answer B is correct. The Guthrie test is a screening test for newborns to detect phenylketonuria. Cystic fibrosis is confirmed by a sweat test; therefore, answer A is incorrect . Hypothyroidsim is confirmed by a T3 and T4; therefore, answer C is incorrect. Sickle cell is confirmed by the Sickledex; therefore, answer D is incorrect.
The physician has ordered a Guthrie test for a newborn. The nurse recognizes that the test is ordered to detect:
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Solution
Answer B is correct. Infants born to diabetic mothers have microsomia or large bodies because of maternal hyperglycemia. Answers A, C, and D do not relate specifically to infants of diabetic mothers; therefore, they are incorrect.