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A nurse should teach which of the following clients requiring crutches
about how to use a three point gait?
A. A client who is able to bear full weight on both lower extremities.
B. A client who has bilateral leg braces due to paralysis of the lower
extremities.
C. A client who has a right femur fracture with no weight bearing on the
affected leg.
,D. A client who has bilateral knee-replacements with partial weight
bearing on both legs. - answer- c. A client who has a r femur fracture
with no weight bearing on the affected leg
(bears all weight on one foot, then both shoulders on crutches, and
uninvolved leg, the affected leg does not touch the ground)
A nurse is providing teaching about the Mediterranean diet to a client
newly who has a new diagnosis of hypertension. What statement
indicates need for further teaching?
A. "I will limit my intake of red meat to twice weekly."
B. "I can have dairy in moderate portions daily."
C. "I can have fish two times a week."
D. "I can drink wine in moderation." - ANSWER- a. I will limit my
intake of red meat to 2x weekly
(should be limited to 2x monthly)
,A nurse is providing dietary education to a client with cholecystitis who
has been prescribed a low-fat diet. Which of the following meal
selections by the client indicates understanding of education?
A. Roast beef with gravy, mashed potatoes, ice cream
B. Macaroni and cheese, salad, pudding
C. Creamed chicken on a roll with peas
D. Roast turkey, rice pilaf, green beans - ANSWER- D. Roast turkey,
rice pilaf, green beans
Rationale: Roast turkey is a low-fat protein option that would be an
excellent choice for a low-fat diet.
A client with cystocele is encouraged to exercise to strengthen pelvic
floor muscles and prevent pelvic organ prolapse. What exercise will
the client need to perform. A. Kegel exercises
B. Isometric exercises
C. Circumduction exercises
D. Uterine extension exercises - ANSWER- A. Kegals exercise
(reduce pelvic prolapse and stress urinary incontinence)
A nurse is caring for an older adult client with delirium. Which
intervention will most likely reduce the client's risk for falls? A.
Use of a night-light.
B. Demonstrate how to use the call light.
, C. Place bedside table in close proximity.
D. Hourly rounding by the nurse. - ANSWER- D. Hourly rounding by
the nurse
A nurse is caring for a client who has been prescribed furosemide.
Which of the following foods should the nurse encourage this to include
in his diet? A. Table salt
B. Egg yolks
C. White wine
D. Oranges - ANSWER- D. Oranges
(along with dried fruits, tomatoes, avocados, dried peas, meats, broccoli,
bananas are good for a potassium wasting diuretic)
A nurse is completing a nutritional assessment on a client and measures
BMI, which of the following readings correlates with a BMI of an
overweight client?
A. 18.5
B. 24.9
C. 25
D. 32 - ANSWER- C. 25
(25-29.9)