Nokea
Which information is a priority for the client to reinforce after intravenous pyelography?
- A. Eat a light diet for the rest of the day
- B. Rest for the next 24 hours as the preparation and test are tiring.
- C. During waking hours, drink at least 1 8-ounce glass of fluid every hour for the next 2 days
- D. Measure urine output for the next day and immediately notify the healthcare provider if it decreases.
Correct Answer: D
Rationale: After intravenous pyelography, monitoring urine output is crucial to assess kidney function and detect any early signs of complications. Decreased urine output could indicate a problem with kidney function or potential complications from the procedure. While rest and hydration are important, the priority lies in monitoring urine output for any abnormalities. Eating a light diet may be recommended, but it is not the priority post-procedure instruction.
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A client with a history of pancreatitis should avoid which of the following food choices?
- A. Noodles
- B. Vegetable soup
- C. Baked fish
- D. Cheddar cheese
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
For a client with chronic kidney disease having a hemoglobin level of 8.0 g/dL, which intervention should the nurse perform first?
- A. Administer erythropoietin as ordered
- B. Monitor the client's blood pressure
- C. Monitor the client's oxygen saturation level
- D. Assess the client for signs of fatigue
Correct Answer: A
Rationale: Administering erythropoietin is the priority intervention for a client with chronic kidney disease and a low hemoglobin level. Erythropoietin stimulates red blood cell production, helping to manage anemia in these clients. Monitoring blood pressure, oxygen saturation level, and assessing for signs of fatigue are important aspects of care but addressing the anemia by administering erythropoietin takes precedence to improve oxygen-carrying capacity and overall well-being.
The nurse has been teaching a client with Insulin Dependent Diabetes Mellitus. Which statement by the client indicates a need for further teaching?
- A. I use a sliding scale to adjust regular insulin to my sugar level.
- B. Since my eyesight is so bad, I ask the nurse to fill several syringes.
- C. I keep my regular insulin bottle in the refrigerator.
- D. I always make sure to shake the NPH bottle hard to mix it well.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
After a client was taken off the ventilator following surgery, they have a nasogastric tube draining bile-colored liquids. Which nursing measure will provide the most comfort to the client?
- A. Allow the client to suck on ice chips
- B. Provide mints to freshen the breath
- C. Perform frequent oral care with a tooth sponge
- D. Swab the mouth with glycerin swabs
Correct Answer: C
Rationale: Performing frequent oral care with a tooth sponge is the most appropriate nursing measure to provide comfort to a client with a nasogastric tube draining bile-colored liquids. This measure helps to maintain oral hygiene, prevent dryness, and enhance overall comfort. Allowing the client to suck on ice chips may not address oral hygiene needs, providing mints focuses more on breath freshness rather than comfort, and swabbing the mouth with glycerin swabs may not effectively address oral care needs.
A healthcare provider is collecting data from a client who is receiving chemotherapy and is showing manifestations of malnutrition. Which of the following indicates a Vitamin C deficiency?
- A. Dry, red conjunctiva
- B. Swollen, bleeding gums
- C. Inflammation of the tongue
- D. Pale, brittle nails
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.