A primigravid client at 10 weeks' gestation tells the nurse that she eats fruits and vegetables but isn't fond of them. After teaching the client about possible serving sizes, the nurse determines that the teaching has been successful when the client states that one serving of fruit is equivalent to which of the following?
- A. One-fourth of a cantaloupe
- B. 3 oz of vegetable juice cocktail
- C. Three tomatoes
- D. One raw apricot
Correct Answer: A
Rationale: One serving of fruit is equivalent to one-fourth of a cantaloupe. The client needs $6 \mathrm{oz}$ of a vegetable juice cocktail, two tomatoes, or two raw apricots to meet one fruit serving.
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Which basic activity of daily living assistive device can be useful for the client who is affected with poor fine motor coordination?
- A. An aphasia aid
- B. A button hook
- C. Honey thickened liquids
- D. A word board
Correct Answer: B
Rationale: A button hook assists clients with poor fine motor coordination in fastening buttons, supporting independence in dressing.
A client with a history of depression is prescribed sertraline (Zoloft). The nurse should teach the client to report which side effect?
- A. Weight loss
- B. Increased appetite
- C. Suicidal thoughts
- D. Dry skin
Correct Answer: C
Rationale: Suicidal thoughts are a serious side effect of SSRIs like sertraline, especially in the early weeks, requiring immediate reporting to ensure client safety.
As the registered nurse in the emergency department, you are taking care of an adolescent client who had just fractured their femur during gymnasium class at their high school. After casting, you will be discharging the client with crutches. Which of the following client goals that is paired with its learning domain should be included in the patient teaching plan for this client and the parents?
- A. Psychomotor domain: The client will slightly bend their elbows when holding the hand grips.
- B. Psychomotor domain: The client will rest their weight on the padded areas on the top of the crutches.
- C. Cognitive domain: The client will slightly bend their elbows when holding the hand grips.
- D. Cognitive domain: The nurse will tell the client how often the tips on the crutches must be replaced.
Correct Answer: A
Rationale: Proper crutch use involves psychomotor skills, such as slightly bending the elbows when holding the hand grips, to ensure safe and effective mobility.
Which oral contraceptive is considered safe for use while breast-feeding because it will not affect the breast milk or breast-feeding?
- A. Estrogen.
- B. Estrogen and progestin.
- C. Progestin.
- D. Testosterone.
Correct Answer: C
Rationale: Progestin-only contraceptives are safe during breast-feeding, as they do not affect milk production.
A client with a diagnosis of schizophrenia is prescribed clozapine (Clozaril). The nurse should monitor the client for which of the following serious side effects?
- A. Weight gain.
- B. Agranulocytosis.
- C. Dry mouth.
- D. Insomnia.
Correct Answer: B
Rationale: Clozapine can cause agranulocytosis, a life-threatening reduction in white blood cells, requiring regular monitoring of white cell counts.
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