Nokea
A client with an ileal conduit asks how to reduce pouch odor. The nurse suggests:
- A. Avoiding broccoli.
- B. Using bleach to clean the pouch.
- C. Drinking less water.
- D. Applying powder to the stoma.
Correct Answer: A
Rationale: Odor-producing foods like broccoli should be avoided to minimize pouch odor.
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A client with a recent amputation reports phantom limb pain. Which intervention should the nurse implement first?
- A. Administer prescribed gabapentin.
- B. Apply a cold pack to the stump.
- C. Distract the client with music.
- D. Explain the nature of phantom pain.
Correct Answer: D
Rationale: Explaining phantom pain validates the client's experience, addressing anxiety before other interventions.
A 40-year-old female is losing most of her hair as a result of chemotherapy. Which of the following statements best explains chemotherapy-induced alopecia?
- A. The new growth of hair will be gray.
- B. The hair loss is temporary.
- C. A new hair growth will always be the same texture and color as it was before chemotherapy.
- D. The client should avoid use of wigs when possible.
Correct Answer: B
Rationale: Chemotherapy-induced alopecia is temporary, with hair typically regrowing within months after treatment ends, which is a reassuring and accurate explanation.
A client with acute renal failure is prescribed a low-potassium diet. Which food should be avoided?
- A. Bananas.
- B. Rice.
- C. Apples.
- D. Bread.
Correct Answer: A
Rationale: Bananas are high in potassium, unsuitable for a low-potassium diet.
Prior to surgery, the nurse is instructing a client who will have a total hip replacement tomorrow. Which of the following information is most important to include in the teaching plan at this time?
- A. Teaching how to prevent hip flexion.
- B. Demonstrating coughing and deep-breathing techniques.
- C. Showing the client what an actual hip prosthesis looks like.
- D. Assessing the client's fears about the procedure.
Correct Answer: A
Rationale: Preventing hip flexion is critical to avoid dislocation post-surgery.
After the nurse has administered droperidol (Inapsine), care is taken to move the client slowly based on the knowledge of droperidol's effect on the:
- A. Central nervous system.
- B. Respiratory system.
- C. Cardiovascular system.
- D. Psychoneurologic system.
Correct Answer: C
Rationale: Droperidol can cause hypotension and orthostatic changes, affecting the cardiovascular system. Slow movement prevents dizziness or falls due to these effects.