Nokea
Dual diagnosis indicates that there is a substance abuse problem as well as a
- A. cross addiction
- B. mental disorder
- C. disorder of any type
- D. medical problem
Correct Answer: B
Rationale: Dual diagnosis is the concurrent presence of a major psychiatric disorder and chemical dependence.
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Teaching about the need to avoid foods high in potassium is most important for which client?
- A. a client receiving diuretic therapy
- B. a client with an ileus
- C. a client with metabolic alkalosis
- D. a client with renal disease
Correct Answer: D
Rationale: Renal disease impairs potassium excretion, leading to hyperkalemia, so avoiding high-potassium foods is critical. The other conditions are more associated with hypokalemia. Physiological Adaptation
An adult is scheduled for a magnetic resonance imaging (MRI) exam today. Which finding must be reported immediately?
- A. The client has pins in her toes.
- B. The client usually wears a necklace.
- C. The client used to work in the x-ray department.
- D. The client has a pacemaker.
Correct Answer: D
Rationale: Pacemakers are contraindicated for MRI due to magnetic field interference, risking device malfunction, requiring immediate reporting, unlike pins, necklaces, or prior x-ray work.
A client asks the nurse about her beta-blockers medication effect to her angina.
What would be the nurse's response?
- A. Decrease cardiac output.
- B. Increase cardiac output.
- C. Decrease cardiac contractility.
- D. Increase cardiac contractility.
Correct Answer: C
Rationale: Beta-blockers decrease heart rate and cardiac contractility, reducing myocardial oxygen demand and relieving angina.
A patient with a diagnosis of bipolar disorder has been drinking copious amounts of water and voiding frequently. The patient is experiencing muscle cramps, twitching, and is reporting dizziness.
The nurse checks lab work for
- A. complete blood count results, particularly the platelets.
- B. electrolytes, particularly the serum sodium.
- C. urine analysis, particularly for the presence of white blood cells.
- D. EEG.
Correct Answer: B
Rationale: Symptoms suggest hyponatremia from excessive water intake, requiring electrolyte assessment.
Teaching the client with gonorrhea how to prevent reinfection and further spread is an example of:
- A. primary prevention.
- B. secondary prevention.
- C. tertiary prevention.
- D. primary health care prevention.
Correct Answer: B
Rationale: Secondary prevention targets the reduction of disease prevalence and disease morbidity through early diagnosis and treatment. Physiological Adaptation