Nokea
Steatorrhea:
Steatorrhea:
- A. Greasy stools
- B. Loose, frequent bowel movement
- C. Constipation
- D. Melena
Correct Answer: A
Rationale: Steatorrhea involves greasy, fatty stools due to fat malabsorption.
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Liquid iron preparation
Liquid iron preparation, which of the following directions would be appropriate for the nurse to teach?
- A. Administer at least one hour before meals.
- B. Inform the patient about the loose stools.
- C. Liquid iron must be taken with a straw.
- D. Avoid juices with iron.
Correct Answer: C
Rationale: Using a straw prevents tooth staining from liquid iron.
The nurse is assessing a client with a history of asthma who presents with decreased breath sounds and prolonged expiration. The nurse should prioritize which of the following actions?
- A. Administer a bronchodilator as ordered.
- B. Encourage the client to cough and deep breathe.
- C. Obtain a chest X-ray.
- D. Position the client supine.
Correct Answer: A
Rationale: Decreased breath sounds and prolonged expiration indicate an asthma exacerbation with bronchoconstriction, requiring a bronchodilator to open airways. Coughing (B) is ineffective during an attack, X-rays (C) are diagnostic, and supine positioning (D) worsens breathing.
The nurse is teaching a client and family about phenelzine (Nardil).
Which of the following foods would the nurse urge the client to avoid?
- A. Eggs
- B. Vegetables
- C. American cheese
- D. Fruits
Correct Answer: C
Rationale: Cheese is one of the foods that may cause a hypertensive crisis when taken with Nardil, a monoamine oxidase inhibitor (MAOI).
An 8-year-old client is returned to the recovery room after a bronchoscopy. The nurse should position the client
- A. in semi-Fowler's position.
- B. prone, with the head turned to the side.
- C. with the head of the bed elevated 45° and the neck extended.
- D. supine, with the head in the midline position.
Correct Answer: A
Rationale: Semi-Fowler’s position (30°–45° elevation) promotes lung expansion and reduces the risk of airway obstruction or aspiration post-bronchoscopy. Prone (B) limits respiratory assessment, neck extension (C) risks airway obstruction, and supine (D) is less optimal for breathing.
Mr. Smith is 67-year-old black male brought to the hospital by his wife, who stated that he fell down 20 minutes ago and has been unable to speak or move his right side since then, Mr. Smith has no significant past medical history. On exam, Mr. Smith is conscious, very anxious, his speech is garbed and unintelligible, he has a left facial droop, and he is completely right hemiphlegic.
The most likely etiology for his symptoms is:
- A. CVA
- B. Traumatic brain injury
- C. Brain tumor
- D. Alzheimer's disease
Correct Answer: A
Rationale: Symptoms of sudden speech loss, facial droop, and hemiplegia strongly suggest a cerebrovascular accident (stroke).