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The nurse is providing discharge teaching for a client with a history of alcoholism. Which of the following statements, if made by the client, indicates that the client understands the teaching?
- A. I should avoid all products that contain alcohol, including cough medicines.'
- B. I can have one drink a week as long as I dilute it with water.'
- C. I should continue to drink nonalcoholic beer to satisfy my taste for beer.'
- D. I can stop taking disulfiram (Antabuse) once I feel better.'
Correct Answer: A
Rationale: Complete abstinence is required for alcoholism recovery, including avoiding alcohol-containing products like cough medicines, which could trigger relapse. Diluted drinks (B) or nonalcoholic beer (C) risk relapse due to taste cues, and stopping disulfiram prematurely (D) increases relapse risk.
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The nurse is preparing to discharge a client who is receiving Nardil (phenelzine). The nurse should tell the client to:
- A. Wear protective clothing and sunglasses outside.
- B. Avoid medications containing pseudoephedrine.
- C. Drink six to eight glasses of water a day.
- D. Avoid foods that are high in purine.
Correct Answer: B
Rationale: Drug interactions between an MAOI and pseudoephedrine can result in hypertensive crisis. Answer A refers to the client receiving antipsychotic medications such as Thorazine, so it is incorrect. Answers C and D do not apply to MAOIs, so they are incorrect.
Additional assessment on Antoinette include
dehydration and menorrhagia.
- A. buffalo hump and hypertension.
- B. pitting edema and frequent colds.
- C. migraine headache and dymennorhea.
Correct Answer: B
Rationale: Cushing's syndrome results from excess adrenocortical activity. Signs include slow wound healing, buffalo hump, hirsutism, weight gain, hypertension, acne, moon face, thin arms and legs, and behavioral changes.
The nurse is planning care for a client with increased intracranial pressure. The best position for this client is
- A. Trendelenburg
- B. Prone
- C. Semi-Fowlers
- D. Side-lying with head flat
Correct Answer: C
Rationale: Semi-Fowlers. Maintaining the head of the bed at 15-30 degrees reduces cerebral venous congestion, helping to manage increased intracranial pressure.
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.
An adult is to have a paracentesis performed today. What should the nurse do before the procedure?
- A. Encourage the client to drink large amounts of fluids
- B. Ask the client to empty her bladder just before the test
- C. Keep the client NPO until after the procedure
- D. Premedicate the client as ordered
Correct Answer: B
Rationale: Emptying the bladder before paracentesis prevents accidental puncture of the bladder during needle insertion into the abdominal cavity. Fluid intake, NPO status, or premedication are not immediate pre-procedure priorities.