Nokea
A nurse is caring for a client who has a new diagnosis of gout. Which of the following dietary recommendations should the nurse make?
- A. Limit purine-rich foods.
- B. Increase dairy intake.
- C. Avoid whole grains.
- D. Reduce fluid intake.
Correct Answer: A
Rationale: Limiting purine-rich foods, like red meat and shellfish, reduces uric acid production, helping manage gout.
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A nurse is caring for a client who is receiving chemotherapy. Which of the following laboratory values should the nurse monitor?
- A. White blood cell count
- B. Blood urea nitrogen
- C. Serum albumin
- D. Cholesterol
Correct Answer: A
Rationale: Chemotherapy can cause leukopenia, so monitoring white blood cell count is essential to assess infection risk.
A nurse is reinforcing teaching with a client who has a new prescription for a combination oral contraceptive. Which of the following adverse effects should the nurse include?
- A. Weight gain
- B. Hypoglycemia
- C. Bradycardia
- D. Tinnitus
Correct Answer: A
Rationale: Combination oral contraceptives can cause weight gain due to hormonal effects on fluid retention and metabolism.
A community health nurse is assisting with the development of a pamphlet regarding choking hazards for toddlers. Which of the following foods should the nurse include?
- A. Oranges
- B. Potatoes
- C. Grapes
- D. Corn
Correct Answer: C
Rationale: Grapes are correct. Whole grapes are a known choking hazard for toddlers due to their size and shape, which can easily obstruct the airway. They should be cut into smaller pieces to reduce the risk.
A nurse is caring for a client who has a new prescription for clonidine. Which of the following adverse effects should the nurse monitor for?
- A. Dry mouth
- B. Weight gain
- C. Hyperglycemia
- D. Tinnitus
Correct Answer: A
Rationale: Clonidine, an alpha-2 agonist, commonly causes dry mouth due to decreased salivary production.
A nurse is supervising an assistive personnel (AP) obtain supplies for a client who is on seizure precautions. Which of the following materials should the AP place in the client's room?
- A. Oral suction equipment
- B. Tongue depressor
- C. Tracheostomy tray
- D. Wrist restraints
Correct Answer: A
Rationale: Oral suction equipment is correct. During a seizure, there is a risk of aspiration due to the loss of airway control. Oral suction equipment should be readily available in the room to clear the airway if needed, especially if the client experiences a seizure with oral secretions.