A nurse is reinforcing teaching with a client who is scheduled for a cardiac catheterization. Which of the following statements by the client indicates an understanding of the teaching?
- A. I will need to stay flat for 24 hours after the procedure.
- B. I can eat a full meal right before the procedure.
- C. I will receive contrast dye during the procedure.
- D. I should avoid drinking fluids for 12 hours after the procedure.
Correct Answer: C
Rationale: Contrast dye is used during cardiac catheterization to visualize the coronary arteries, and the client should understand this aspect of the procedure.
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A nurse is caring for a client who has a new diagnosis of diverticulitis. Which of the following dietary recommendations should the nurse make?
- A. Increase fiber intake.
- B. Limit fluid intake.
- C. Avoid whole grains.
- D. Reduce protein intake.
Correct Answer: A
Rationale: Increasing fiber intake helps prevent constipation and promotes bowel regularity, reducing diverticulitis flare-ups.
A nurse is caring for a client who has a new prescription for furosemide. Which of the following laboratory values should the nurse monitor?
- A. Potassium
- B. Hemoglobin
- C. Cholesterol
- D. Albumin
Correct Answer: A
Rationale: Furosemide, a loop diuretic, can cause hypokalemia, so monitoring potassium levels is essential to prevent complications like arrhythmias.
A nurse is caring for a 2-year-old child who has Clostridium difficile. Which of the following actions should the nurse take?
- A. Instruct the parents to avoid bringing fresh flowers into the room.
- B. Use an N95 respirator.
- C. Initiate contact precautions.
- D. Place the child in a room that has a HEPA filtration system.
Correct Answer: C
Rationale: Initiating contact precautions is correct. Clostridium difficile is highly contagious and spreads through spores that can survive on surfaces. Contact precautions, including the use of gloves and gowns and proper hand hygiene with soap and water, help prevent transmission.
A nurse is administering pancrelipase to a child who has cystic fibrosis. Which of the following outcomes should the nurse expect as a therapeutic effect of the treatment?
- A. Reduced fat in the stools
- B. Decreased sodium excretion
- C. Improved respiratory function
- D. Improved absorption of vitamins B and C
Correct Answer: A
Rationale: Reduced fat in the stools is correct. Pancrelipase is an enzyme replacement therapy that helps improve digestion and absorption of fats and proteins in individuals with cystic fibrosis. This treatment is especially important for those with pancreatic insufficiency, as it helps prevent the steatorrhea (fatty stools) commonly seen in these patients.
A nurse is caring for a client who has a new prescription for rivaroxaban. Which of the following adverse effects should the nurse monitor for?
- A. Bleeding
- B. Weight gain
- C. Bradycardia
- D. Hypoglycemia
Correct Answer: A
Rationale: Rivaroxaban, an anticoagulant, increases bleeding risk, which requires careful monitoring.
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