Nokea
The nurse is assessing a client with a suspected urinary tract infection. Which of the following symptoms is most likely to be present?
- A. Flank pain.
- B. Hypotension.
- C. Bradycardia.
- D. Dry skin.
Correct Answer: A
Rationale: Flank pain is a common symptom of a urinary tract infection, especially if it involves the kidneys.
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A client has a total hip replacement. Which of the following client statements indicates a need for further teaching before discharge?
- A. I will implement my exercise program as soon as I get home.'
- B. I will be careful not to cross my legs.'
- C. I will need an elevated toilet seat.'
- D. I can't wait to take a tub bath when I get home.'
Correct Answer: D
Rationale: Tub baths are contraindicated post-hip replacement due to the risk of hip flexion beyond 90 degrees, indicating a need for further teaching.
The nurse is teaching a client with a new diagnosis of gout about dietary management. Which of the following foods should the client include?
- A. Cherries.
- B. Red meat.
- C. Shellfish.
- D. Organ meats.
Correct Answer: A
Rationale: Cherries reduce uric acid levels and inflammation in gout.
A client with a new diagnosis of hypothyroidism is prescribed levothyroxine. What should the nurse include in the teaching plan?
- A. Take the medication at bedtime.
- B. Expect weight gain as a side effect.
- C. Report palpitations or chest pain.
- D. Stop the medication if nausea occurs.
Correct Answer: C
Rationale: Palpitations or chest pain may indicate overmedication or cardiac effects, requiring prompt reporting to adjust the levothyroxine dose.
A client is admitted to the hospital after sustaining a fall from a roof. The client has multiple lacerations and a right leg fracture, which has been treated with a plaster cast. How should the nurse position the client's leg to promote optimal circulation?
- A. Flat or a level position
- B. Flat for 3 hours and elevated for 1 hour
- C. Elevated for 3 hours, and then flat for 1 hour
- D. Elevated on pillows continuously for 24 to 48 hours
Correct Answer: D
Rationale: A casted extremity is elevated continuously for the first 24 to 48 hours to minimize swelling and promote venous drainage. The other options are not part of standard positioning of the newly casted extremity.
A client with a diagnosis of hyperthyroidism is prescribed propylthiouracil (PTU). The nurse should monitor the client for which of the following side effects?
- A. Weight gain.
- B. Agranulocytosis.
- C. Hypertension.
- D. Hyperglycemia.
Correct Answer: B
Rationale: Propylthiouracil can cause agranulocytosis, requiring monitoring of white blood cell counts.