Nokea
Which selection would provide the most calcium for the client who is 4 months pregnant?
- A. A granola bar
- B. A bran muffin
- C. A cup of yogurt
- D. A glass of fruit juice
Correct Answer: C
Rationale: Yogurt is a rich source of calcium, essential for fetal bone development during pregnancy.
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A client has experienced 48 hours of severe repeated bouts of vomiting. Which acid-base imbalance is of most concern?
- A. Respiratory acidosis
- B. Respiratory alkalosis
- C. Metabolic acidosis
- D. Metabolic alkalosis
Correct Answer: D
Rationale: Severe vomiting causes loss of gastric acid, leading to metabolic alkalosis (D). Respiratory imbalances (A, B) and metabolic acidosis (C) are less likely.
The nurse is caring for a client who is receiving continuous bladder irrigation following a transurethral resection of the prostate (TURP). The nurse notes that the urine output is bright red with clots. Which of the following actions should the nurse take FIRST?
- A. Increase the irrigation flow rate.
- B. Notify the physician.
- C. Administer a diuretic as ordered.
- D. Stop the irrigation and assess the catheter.
Correct Answer: B
Rationale: bright red urine with clots indicates potential bleeding, requiring immediate physician notification
The client has an order for FeSO4 liquid. Which method of administration would be best?
- A. Administer the medication with milk
- B. Administer the medication with a meal
- C. Administer the medication with orange juice
- D. Administer the medication undiluted
Correct Answer: C
Rationale: Administering FeSO4 with orange juice enhances iron absorption due to its vitamin C content.
A patient with hypothyroidism states that she takes Synthroid® 0.112 mg daily, but the pharmacy has issued the drug labeled in micrograms. How many micrograms of Synthroid® is equivalent to 0.112 mg? Record your answer using a whole number.
Correct Answer: 112
Rationale: To convert milligrams to micrograms, multiply by 1,000: 0.112 mg X 1,000 = 112 micrograms.
The doctor has ordered antithrombolic stockings to be applied to the legs of the client with peripheral vascular disease. The nurse knows antithrombolic stockings should be applied:
- A. Before rising in the morning
- B. With the client in a standing position
- C. After bathing and applying powder
- D. Before retiring in the evening
Correct Answer: A
Rationale: Applying antithrombic stockings before rising prevents venous pooling, maximizing their effectiveness in improving circulation.