Nokea
The nurse is creating a discharge plan for a client with cholecystitis. The nurse should encourage the client to follow
- A. a diet low in potassium.
- B. a diet low in fat.
- C. a diet with increased vitamin B12.
- D. a diet low in phosphorus.
Correct Answer: B
Rationale: A low-fat diet reduces gallbladder stimulation and prevents cholecystitis flare-ups. Potassium, B12, and phosphorus are not directly related to cholecystitis management.
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Intra-arterial chemotherapy primarily benefits the client by applying greater concentrations of medication directly to the malignant tumor. An additional benefit of intra-arterial chemotherapy is:
- A. Prevention of nausea and vomiting
- B. Treatment of micro-metastasis
- C. Eradication of bone pain
- D. Prevention of therapy-induced anemia
Correct Answer: B
Rationale: Intra-arterial chemotherapy can treat micro-metastases by delivering high drug concentrations to the tumor and surrounding areas.
The nurse enters a client's room and finds him lying on the floor. The client says to the nurse, 'I fell because I was trying to go to the bathroom and no one answered my call light.' Which of the following actions by the nurse are correct? Select all that apply.
- A. assist the client back to bed
- B. complete an incident report
- C. notify the health care provider
- D. assess the client for any injuries
- E. document in the medical record that the client fell
Correct Answer: A,B,C,D,E
Rationale: All actions are appropriate: assist the client safely, assess for injuries, notify the provider, complete an incident report, and document the fall to ensure proper care and follow-up.
A 4-year-old male is admitted to the unit with nephrotic syndrome. He is extremely edematous. To decrease the discomfort associated with scrotal edema, the nurse should:
- A. Apply ice to the scrotum
- B. Elevate the scrotum on a small pillow
- C. Apply heat to the abdominal area
- D. Administer an analgesic
Correct Answer: B
Rationale: Elevating the scrotum reduces edema by promoting fluid drainage, decreasing discomfort.
Which of the following findings is associated with right-sided heart failure?
- A. Shortness of breath
- B. Nocturnal polyuria
- C. Daytime oliguria
- D. Crackles in the lungs
Correct Answer: B
Rationale: Nocturnal polyuria is a classic sign of right-sided heart failure due to fluid redistribution when lying down.
The nurse is teaching a client with a new colostomy about dietary management. Which of the following foods should the nurse recommend the client avoid to reduce odor and gas?
- A. Broccoli.
- B. Baked chicken.
- C. Rice.
- D. Yogurt.
Correct Answer: A
Rationale: broccoli is a gas-forming food that can increase odor and gas in a colostomy