Nokea
Which of the following should the nurse include when preparing a client for magnetic resonance imaging (MRI) to evaluate a ruptured disc?
- A. Informing the client that the procedure is painless.
- B. Taking a thorough history of past surgeries.
- C. Checking for previous complaints of claustrophobia.
- D. Starting an I.V. line at keep-open rate.
Correct Answer: C
Rationale: Checking for claustrophobia is essential, as MRI can be distressing for claustrophobic clients.
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Which of the following conditions is the most significant risk factor for the development of type 2 diabetes mellitus?
- A. Cigarette smoking.
- B. High-cholesterol diet.
- C. Obesity.
- D. Hypertension.
Correct Answer: C
Rationale: Obesity is the most significant risk factor for type 2 diabetes due to its impact on insulin resistance.
Which finding indicates effective hemodialysis?
- A. Decreased BUN.
- B. Increased potassium.
- C. Weight gain.
- D. Hypotension.
Correct Answer: A
Rationale: Decreased BUN indicates effective removal of waste products.
The nurse teaches the client how to instill nose drops. Which of the following techniques is correct?
- A. The client uses sterile technique when handling the dropper.
- B. The client blows the nose gently before instilling drops.
- C. The client uses a new dropper for each instillation.
- D. The client sits in a semi-Fowler's position with the head tilted forward after administration of the drops.
Correct Answer: B
Rationale: Blowing the nose gently before instilling nose drops clears the nasal passages, allowing better medication absorption. Sterile technique is not typically required for home use. Using a new dropper each time is impractical. The head should be tilted back, not forward, after administration to allow the drops to spread.
A client post-ureteroscopy reports burning on urination. The nurse should:
- A. Encourage fluids.
- B. Administer antibiotics.
- C. Apply a heating pad.
- D. Notify the physician.
Correct Answer: A
Rationale: Burning is common post-ureteroscopy; fluids dilute urine, reducing irritation.
A client in hospice care is nearing death. Which of the following is an expected physical change the nurse should prepare the family for?
- A. Increased appetite.
- B. Cool, mottled extremities.
- C. Improved mental clarity.
- D. Regular breathing patterns.
Correct Answer: B
Rationale: Cool, mottled extremities are an expected sign of impending death due to decreased circulation, and preparing the family helps reduce distress.