Nokea
When the client complains about the bland taste of the food, the nurse appropriately recommends substituting salt with a bloodiness?
- A. Catsup
- B. Mustard
- C. Soy sauce
- D. Lemon juice
Correct Answer: D
Rationale: Lemon juice is a low-sodium flavor enhancer, suitable for a sodium-restricted diet, unlike catsup, mustard, or soy sauce.
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Which nursing intervention is most important before attempting to catheterize a client?
- A. Determine the client’s history of catheter use.
- B. Evaluate the level of anxiety of the client.
- C. Verify the client is not allergic to latex.
- D. Assess the client’s sensation level and ability to void.
Correct Answer: C
Rationale: Verifying latex allergy prevents allergic reactions during catheterization, as many catheters are latex-based. Catheter history, anxiety, and sensation/voiding ability are important but secondary to safety.
Which nursing intervention promotes the spontaneous passage of ureteral stones?
- A. Encouraging ambulation as tolerated
- B. Restricting fluid intake
- C. Administering diuretics
- D. Keeping the client on bed rest
Correct Answer: A
Rationale: Encouraging ambulation promotes gravity-assisted stone movement through the ureter, facilitating spontaneous passage.
Which of the following findings is the most significant information to report when caring for a client undergoing peritoneal dialysis?
- A. Loss of body weight
- B. Decreased serum creatinine
- C. Elevated body temperature
- D. Output that exceeds intake
Correct Answer: C
Rationale: An elevated body temperature may indicate infection, a serious complication of peritoneal dialysis, and must be reported.
When the nurse reviews the results of the client's urinalysis, which substance in the urine is most suggestive of a bladder infection?
- A. Glucose
- B. Blood
- C. Bilirubin
- D. Protein
Correct Answer: B
Rationale: Blood in the urine (hematuria) is a common sign of a bladder infection due to inflammation and irritation of the bladder lining.
The nurse and a licensed practical nurse (LPN) are caring for a group of clients. Which intervention should be assigned to the LPN?
- A. Assessment of the client who has had a Kock pouch procedure.
- B. Monitoring of the postop client with a WBC of 22,000/mm3.
- C. Administration of the prescribed antineoplastic medications.
- D. Care for the client going for an MRI of the kidneys.
Correct Answer: D
Rationale: Caring for a client going for an MRI involves routine tasks (e.g., transport, preparation) within an LPN’s scope. Assessment, monitoring high WBC, and administering chemotherapy require RN judgment.