The nurse has been teaching an adult who has iron deficiency anemia about those foods that she needs to include in her meal plans. Which of the following, if selected, would indicate to the nurse that the client understands the dietary instructions?
- A. Citrus fruits and green leafy vegetables
- B. Bananas and nuts
- C. Coffee and tea
- D. Dairy products
Correct Answer: A
Rationale: The correct answer is A: Citrus fruits and green leafy vegetables. Citrus fruits and green leafy vegetables are good sources of Vitamin C and iron, which are essential for individuals with iron deficiency anemia. Vitamin C enhances the absorption of iron from plant-based sources, while green leafy vegetables provide iron. Bananas and nuts (choice B) are not significant sources of iron. Coffee and tea (choice C) can inhibit iron absorption. Dairy products (choice D) are not high in iron and can also inhibit iron absorption. Therefore, choosing citrus fruits and green leafy vegetables indicates understanding of the dietary instructions for managing iron deficiency anemia.
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A patient is admitted with a diagnosis of renal failure. He also mentions that he has stomach distress and ha ingested numerous antacid tablets over the past 2 days. His blood pressure is 110/70, his face is flushed, and he is experiencing generalized weakness. Choose the most likely magnesium (Mg ) value.
- A. 11mEq/L
- B. 2mEq/L
- C. 5mEq/L
- D. 1mEq/L ⁺
Correct Answer: A
Rationale: The correct answer is A: 11mEq/L. In renal failure, the kidneys are unable to excrete excess magnesium, leading to hypermagnesemia. The patient's symptoms of stomach distress and ingesting antacids suggest magnesium intake. A Mg level of 11mEq/L aligns with symptoms like flushed face and weakness. Choices B, C, and D are too low for hypermagnesemia symptoms and would not explain the patient's presentation.
Which of the ff is an initial sign or symptom of acute bronchitis?
- A. Nonproductive cough
- B. Anorexia
- C. Labored breathing
- D. Gastric ulceration
Correct Answer: A
Rationale: Step-by-step rationale:
1. Acute bronchitis is characterized by inflammation of the bronchial tubes.
2. An initial sign of acute bronchitis is a nonproductive cough due to irritation of the bronchial tubes.
3. Anorexia and labored breathing may occur later as the condition progresses.
4. Gastric ulceration is not typically associated with acute bronchitis.
Therefore, choice A (Nonproductive cough) is the correct answer as it aligns with the characteristic symptom of acute bronchitis, while the other choices are not typically observed in the initial stages of the condition.
What instruction should the nurse give to then patient taking propan0lol (Inderal) for hypertension?
- A. Have potassium level checked
- B. Do not stop medication abruptly
- C. Report any changes in appetite
- D. Resume usual daily activities
Correct Answer: B
Rationale: The correct answer is B: Do not stop medication abruptly. Abruptly stopping propranolol can lead to rebound hypertension and potentially life-threatening complications. The nurse should emphasize the importance of gradual tapering under medical supervision to avoid adverse effects.
A: Having potassium levels checked is not directly related to propranolol use for hypertension management.
C: Changes in appetite are not specific to propranolol use and may not be a significant concern compared to abrupt cessation of the medication.
D: Resuming usual daily activities is important but not as crucial as the correct instruction to avoid abrupt discontinuation of propranolol.
Which of the ff. subjective data questions would assist the nurse in assessing the patient’s eye health?
- A. “Have you had any recent upper respiratory infections?”
- B. “Have you ridden in a car recently?”
- C. “Have you been scuba diving lately?”
- D. “Have you seen halos around lights?”
Correct Answer: D
Rationale: The correct answer is D. Asking about seeing halos around lights is relevant to assessing the patient's eye health as it could indicate conditions like glaucoma or cataracts. Upper respiratory infections (A), riding in a car (B), and scuba diving (C) are not directly related to eye health assessment. By focusing on symptoms directly related to the eyes, the nurse can gather relevant information for a more accurate assessment.
A nurse is collecting data from a home care client. In addition to information about the client’s health status, what is another observation the nurse should make?
- A. Number of rooms in the house
- B. Safety of the immediate environment
- C. Frequency of home visits to be made
- D. Friendliness of the client and family
Correct Answer: B
Rationale: The correct answer is B: Safety of the immediate environment. This is crucial for the client's well-being and can impact their health. The nurse should assess for hazards like loose rugs, clutter, or slippery floors. This ensures a safe living environment for the client. The other choices (A, C, D) are not directly related to the client's immediate safety or well-being. The number of rooms in the house (A) is not as important as ensuring the safety of the environment. The frequency of home visits (C) can be planned later based on the initial assessment. The friendliness of the client and family (D) is important for building rapport but does not address the immediate safety concerns of the client.