a nurse is teaching a client who has out about dietary recommendations the nurse should teach the client which of the following beverages can trigger

ATI RN

Multi Dimensional Care | Exam | Rasmusson

1. A nurse is teaching a client who has out about dietary recommendations. The nurse should teach the client which of the following beverages can trigger an attack?

A. Fruit juice
B. Alcohol
C. Milk
D. Coffee

Correct answer: B

Rationale:

2. The nurse is most concerned about which of these findings in a client with systemic lupus erythematous?

A. The client reports chronic fatigue
B. The client has a butterfly rash
C. Blood pressure of 126/85 mm Hg
D. Urine output of 20 mL/hour

Correct answer: D

Rationale:

3. The client states, “the doctor says I am nearsighted. I do not get it.” What would be the best response by the nurse?

A. I am sorry you did not understand. Would you like a different doctor?
B. Nearsighted, or myopia means that you have difficulty seeing things at a distance.
C. You will need to have glasses.
D. This means you won’t ever need glasses.

Correct answer: B

Rationale: The correct response is to explain to the client what nearsightedness means, which is having difficulty seeing distant objects, as known as myopia. Choice A is not helpful as changing doctors is not necessary for this situation. Choice C is premature as wearing glasses is a possible solution but not the only one. Choice D is incorrect as nearsightedness (myopia) often requires glasses for correction.

4. What is a sign of inadequate perfusion?

A. Intact sensation
B. Pallor in toes
C. Bounding pulses
D. Pink fingers

Correct answer: B

Rationale:

5. What is the priority nursing diagnosis after surgery to repair a fracture?

A. Disturbed body image
B. Risk for infection
C. Risk for impaired skin integrity
D. Acute pain

Correct answer: B

Rationale: The correct answer is B: Risk for infection. After surgery to repair a fracture, the priority nursing diagnosis is to monitor for the risk of infection to promote proper healing. Infections can significantly delay the healing process and lead to further complications. Choices A, C, and D are not the priority immediately post-surgery. Disturbed body image, risk for impaired skin integrity, and acute pain may be concerns but are not the priority in the immediate post-operative period following fracture repair.