QUESTION AND ANSWERS GRADES A+
The nurse should instruct clients that handwashing is one way to avoid
organisms that can cause pneumonia. Handwashing after using the
restroom or being in public areas can minimize the risk of developing
pneumonia.
A nurse is discussing lactose-free foods with a client who is experiencing
malabsorption due to lactose intolerance. Which of the following foods
should the nurse recommend?
Sour cream
Soy milk
Ice cream
Plain yogurt - CORRECT ANSWER -Soy milk
The nurse should instruct the client to consume foods that are lactose-
free and are nondairy products. Acceptable foods include soy milk,
almond milk, and soy cheeses.
A nurse is providing dietary teaching for a client who has hyperlipidemia
due to nephrotic syndrome. Which of the following instructions should
the nurse include in the teaching?
Less than 30% of daily calories should come from fat.
,Decrease caloric intake to less than 25 cal/kg/day.
Increase sodium intake.
Limit daily intake of foods high in carbohydrates. - CORRECT
ANSWER -Less than 30% of daily calories should come from fat.
The nurse should instruct the client to choose foods low in fat and
ensure that less than 30% of her daily total caloric intake is from fat.
Limiting daily fat intake will improve lipid levels.
A nurse is assessing a client whose ABG results are pH 7.51, PaCO2 29
mm Hg, and HCO3- 24 mEq/L. Which of the following findings should
the nurse expect?
Paresthesias
Bradycardia
Muscle flaccidity
Respiratory depression - CORRECT ANSWER -Paresthesias
One of the manifestations of respiratory alkalosis is numbness and
tingling, or paresthesia, due to a decrease in calcium ionization. Other
manifestations include lightheadedness, tachycardia, and cardiac
dysrhythmias.
A nurse is teaching the parent of a school-age child who has pediculosis
capitis about treating this parasitic infestation. Which of the following
instructions should the nurse include?
,Wash bedding, clothes, and towels in hot water in a washing machine.
Rinse the child's hair with vinegar three times a day.
Seal items that are not machine washable in plastic bags for 1 week.
Boil the child's combs, brushes, and hair clips for 5 min. - CORRECT
ANSWER -Wash bedding, clothes, and towels in hot water in a
washing machine.
The nurse should instruct the parent to wash all cloth items the child has
been in contact with in hot water and dry them on a hot setting in a
clothes dryer for 20 min. This helps kill any lice or nits in these items.
A nurse is providing teaching to an adolescent client who has methicillin-
resistant Staphylococcus aureus. Which of the following instructions
should the nurse provide to prevent the spread of this infection?
"Expose the infected areas of skin to open air and sunlight as much
as possible."
"Bathe in a tub of warm water using mild soap twice daily."
"Place soiled dressing bandages in a red biohazard bag for disposal."
"Do not return to football practice until the infection has healed." -
CORRECT ANSWER -"Do not return to football practice until the
infection has healed."
, The nurse should instruct the client to avoid close contact with others to
prevent the spread of infections. The client should not participate in
contact sports until the areas of infection are healed.
A nurse in an emergency department is caring for a client who reports
abdominal pain, vomiting, and appears dehydrated. The client's ABG
results are pH 7.28, PaCO2 36 mm Hg, and HCO3-14 mEq/L. Based on
these findings, the nurse should identify that the client has which of the
following acid-base imbalances?
Metabolic acidosis
Metabolic alkalosis
Respiratory acidosis
Respiratory alkalosis - CORRECT ANSWER -Metabolic acidosis
With this acid-base imbalance, the client's pH is below the expected
reference range, the PaCO2 is within or below the expected reference
range, and the HCO3- is below the expected reference range. Diabetic
ketoacidosis is a common cause of metabolic acidosis.
A nurse is teaching about herbal supplements with a group of newly
licensed nurses. Which of the following herbal supplements should the
nurse include in the teaching for treating hyperlipidemia?
Feverfew
Gingko