Nokea
A nurse in a clinic is caring for a client who has heart failure and is taking digoxin. Which of the following statements by the client indicates the client is experiencing digoxin toxicity?
- A. My tongue is red and beefy.
- B. I am constipated.
- C. My vision seems yellow.
- D. I am gaining weight.
Correct Answer: C
Rationale: Yellow vision (xanthopsia) is a classic symptom of digoxin toxicity, caused by its effects on the optic nerve.
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A nurse is reinforcing nutrition teaching for a client who has chronic kidney disease about limiting foods high in potassium. Which of the following foods should the nurse instruct the client to avoid? (Select all that apply.)
- A. Orange juice.
- B. White rice.
- C. Corn flakes cereal.
- D. Watermelon.
- E. Bananas.
Correct Answer: A,D,E
Rationale: Orange juice, watermelon, and bananas are high in potassium and should be avoided by clients with chronic kidney disease to prevent hyperkalemia.
A nurse is caring for a client who is 12 hours postoperative following a transurethral resection of the prostate (TURP) and has a 3-way urinary catheter with continuous irrigation. The nurse notes there has not been any urinary output in the last hour. Which of the following actions should the nurse perform first?
- A. Determine the patency of the tubing.
- B. Notify the provider.
- C. Administer a prescribed analgesic.
- D. Offer oral fluids.
Correct Answer: A
Rationale: Determining tubing patency is the first action to check for blockages, preventing complications like bladder distention.
A nurse is reinforcing dietary teaching to a client who is at risk for osteoporosis about increasing her calcium intake. Which of the following foods should the nurse recommend the client consume frequently?
- A. Zucchini.
- B. Collards.
- C. Potatoes.
- D. Carrots.
Correct Answer: B
Rationale: Collards are a good source of calcium, essential for bone health and reducing osteoporosis risk.
A nurse is reviewing the admission prescriptions for a client who has benign prostatic hyperplasia. Which of the following medications should the nurse expect to administer?
- A. Oseltamivir.
- B. Silodosin.
- C. Ceftriaxone.
- D. Doxepin.
Correct Answer: B
Rationale: Silodosin, an alpha-blocker, treats BPH symptoms by relaxing prostate and bladder neck muscles, easing urination.
A nurse is collecting data from a client whose arterial blood gas values reveal a pH of 7.24, PaCO₂ of 53, and an HCO₃ of 24. The nurse should prepare to treat the client for which of the following acid-base imbalances?
- A. Metabolic acidosis.
- B. Metabolic alkalosis.
- C. Respiratory acidosis.
- D. Respiratory alkalosis.
Correct Answer: C
Rationale: Low pH (7.24) and high PaCO₂ (53) indicate respiratory acidosis due to CO₂ accumulation from inadequate ventilation.