Nokea
A nurse is reinforcing teaching about disease management with a client who has GERD. Which of the following statements should the nurse make?
- A. You should only drink 2 cups of coffee per day.
- B. You should elevate the head of the bed while sleeping.
- C. You should eat three large meals and two snacks per day.
- D. You should lay down for 1 hour following a meal.
- E. None
- F. None
Correct Answer: B
Rationale: Elevating the head of the bed reduces acid reflux during sleep, a key GERD management strategy.
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The client has a history of hypertension.
A nurse is caring for a client who has a history of hypertension. Which of the following findings should the nurse recognize is indicative of transient ischemic attacks?
- A. Epigastric pain
- B. Seizure activity
- C. Sudden loss of vision in one eye
- D. Pain radiating down the left arm
Correct Answer: C
Rationale: Sudden monocular vision loss is a classic TIA symptom.
A nurse is reinforcing teaching with a client who is scheduled for an intravenous pyelogram. Which of the following statements by the client indicates an understanding of the teaching?
- A. I can have a meal up to 2 hours before the procedure.
- B. I should limit my fluid intake for 2 days after the procedure.
- C. I do not need to sign a consent form before this procedure.
- D. I will feel a warming sensation after the injection of the dye.
Correct Answer: D
Rationale: A warming sensation is expected with IVP dye injection, indicating understanding.
The client is disoriented and restless.
A nurse is assisting with the care of a client who has delirium. The client is disoriented and restless. Which of the following conditions should the nurse identify as a risk factor for delirium?
- A. Hypersomnia
- B. High cholesterol
- C. Urinary tract infection
- D. Amyloid plaque
Correct Answer: C
Rationale: Urinary tract infections are a common delirium risk factor, especially in older adults.
The client has heart failure and is taking furosemide.
A nurse is collecting data from a client who has heart failure and is taking furosemide. Which of the following findings should indicate to the nurse that the medication is effective?
- A. Increased urinary output
- B. Decreased hemoglobin level
- C. Increased weight of 0.91 kg (2 lb)
- D. Decreased BUN level
Correct Answer: A
Rationale: Increased urinary output reflects furosemide's diuretic effect, reducing fluid overload.
The child has asthma.
A nurse is reinforcing teaching with a parent of a child who has asthma about the administration of montelukast. Which of the following statements by the parent indicates an understanding of the teaching?
- A. I will give this medication to my child every 2 hours if he is wheezing.
- B. I will give this medication to my child once daily in the evening.
- C. I can stop giving my child this medication if he is taking a steroid.
- D. It takes 2 months of scheduled use before this medication is effective.
Correct Answer: B
Rationale: Montelukast is taken once daily in the evening for asthma prevention.