Nokea
Which food is most important for the nurse to encourage a male client with osteomalacia to include in his daily diet?
- A. Fortified milk and cereals
- B. Lean red meat and poultry
- C. Fresh fruits and vegetables
- D. Whole grains and legumes
Correct Answer: A
Rationale: Fortified foods rich in vitamin D and calcium are crucial for the client with osteomalacia to help in bone mineralization.
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The following drugs cause hypokalaemia:
- A. Commencement of digoxin for atrial fibrillation
- B. ACE (angiotensin converting enzyme) inhibitors
- C. Salbutamol for asthma
- D. Vitamin B1 for the treatment of pernicious anaemia
Correct Answer: C
Rationale: Salbutamol can cause hypokalaemia. Digoxin, ACE inhibitors, and vitamin B1 do not typically cause hypokalaemia.
The nurse is finishing her shift on the pediatric unit. Because her shift is ending, which intervention takes top priority?
- A. Changing the linens on the clients’ beds
- B. Restocking the bedside supplies needed for a dressing change on the upcoming shift
- C. Documenting the care provided during her shift
- D. Emptying the trash cans in the assigned client room
Correct Answer: C
Rationale: Documenting care is a legal and professional responsibility that ensures continuity of care and accurate communication between shifts.
An adult female client is diagnosed with restless leg syndrome and is referred to the sleep clinic. The healthcare provider prescribes ferrous sulfate (Feosol) 325 mg PO daily. Which laboratory values should the nurse monitor?
- A. Serum electrolytes
- B. Neutrophils and eosinophils
- C. Serum iron and ferritin
- D. Platelet count and hematocrit
Correct Answer: C
Rationale: Serum iron and ferritin levels should be monitored because they are indicators of iron deficiency, which is a common cause of restless leg syndrome.
A nurse auscultated heart tones on an older adult client. Which action should the nurse take based on the heart tones heard?
- A. Administer a diuretic.
- B. Document the finding.
- C. Decrease the IV flow rate.
- D. Evaluate the client’s medications.
Correct Answer: B
Rationale: Documenting the findings is the appropriate action unless the heart tones indicate an abnormality requiring intervention.
The main risk factor for developing deep vein thrombosis is:
- A. Prolonged immobility
- B. Age
- C. Obesity
- D. Family history
Correct Answer: A
Rationale: Prolonged immobility, such as during long flights or post-surgery, is a significant risk factor for developing deep vein thrombosis (DVT).