Nokea
Which of the following positions would be appropriate for a client with severe ascites?
- A. Fowler's.
- B. Side-lying.
- C. Reverse Trendelenburg.
- D. Sims.
Correct Answer: A
Rationale: Fowler's position (A) elevates the head, reducing diaphragm pressure from ascites and aiding breathing. Side-lying (B), Reverse Trendelenburg (C), and Sims (D) are less effective.
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Which stone type is associated with acidic urine?
- A. Calcium oxalate.
- B. Uric acid.
- C. Struvite.
- D. Cystine.
Correct Answer: B
Rationale: Uric acid stones form in acidic urine, requiring alkalinization.
Which intervention is most effective for a client with MS-related vision impairment?
- A. Provide bright lighting.
- B. Use large-print materials.
- C. Limit visual activities.
- D. Wear dark glasses.
Correct Answer: B
Rationale: Large-print materials support clients with MS-related vision impairment by improving readability.
What is the primary goal collaboratively established by the client with Parkinson's disease, nurse, and physical therapist?
- A. To maintain joint flexibility.
- B. To build muscle strength.
- C. To improve muscle endurance.
- D. To reduce ataxia.
Correct Answer: A
Rationale: Maintaining joint flexibility is the primary goal to prevent contractures and maintain mobility in Parkinson's disease. Strength, endurance, and ataxia (less common in Parkinson's) are secondary.
The nurse is caring for a client who has been prescribed infusions of amphotericin b. Which laboratory data is necessary for the nurse to monitor during treatment?
- A. Triglycerides
- B. Hemoglobin A1C
- C. Potassium
- D. High-density lipoprotein (HDL)
Correct Answer: C
Rationale: Amphotericin B can cause electrolyte imbalances, particularly hypokalemia, so monitoring potassium levels (Choice C) is essential. Choices A (triglycerides), B (hemoglobin A1C), and D (HDL) are not directly affected by amphotericin B and are not routinely monitored during treatment.
A client with a hip fracture is receiving heparin to prevent thromboembolism. Which laboratory value should the nurse monitor?
- A. Prothrombin time (PT).
- B. Activated partial thromboplastin time (aPTT).
- C. International Normalized Ratio (INR).
- D. Platelet count.
Correct Answer: B
Rationale: Heparin's effect is monitored via aPTT to ensure therapeutic anticoagulation.