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NEW QUESTION 33

Because a client is taking an MAO inhibitor, it is necessary to discuss the need for adherence to a low- tyramine diet. Which of the following are foods that she should avoid?

  • A. Broiled fresh fish and fowl
  • B. Fresh fruit such as apples and oranges
  • C. Pickled, aged, smoked, and fermented foods
  • D. Fresh vegetables

Answer: C

Explanation:

Explanation/Reference:

Explanation:

(A) These foods may produce elevation in blood pressure when consumed during MAO inhibition therapy.

(B) These foods have not been pickled, fermented, smoked, or aged. They contain very little, if any, tyramine or tryptophan. (C) As long as the meat has not been aged or smoked, it is within the dietary regimen. (D) Fresh fruits can be consumed as desired. However, the consumption of bananas is limited.

NEW QUESTION 34

A newborn has been delivered with a meningomyelocele. The nursery nurse should position the newborn:

  • A. Supine
  • B. Prone
  • C. Semi-Fowler
  • D. Side lying

Answer: B

Explanation:

(A) The prone position reduces pressure and tension on the sac. Primary nursing goals are to prevent trauma and infection of the sac. (B) The supine position exerts pressure on the sac. (C) Newborns usually cannot maintain side-lying position. (D) The semi- Fowler position exerts pressure on the sac.

NEW QUESTION 35

The healthcare team determines that an elderly client has had progressive changes in memory over the last 2 years that have interfered with her personal, social, or occupational functioning. Her memory, learning, attention, and judgment have all been affected in some way. These symptoms describe which of the following conditions?

  • A. Dementia
  • B. Delirium
  • C. Mania
  • D. Parkinsonism

Answer: A

Explanation:

Explanation/Reference:

Explanation:

(A) These changes are common characteristics of dementia. (B) Parkinson's disease affects the muscular system. Progressive memory changes are not presenting symptoms. (C) Delirium includes an altered level of consciousness, which is not found in dementia. (D) Mania includes symptoms of hyperactivity, flight of ideas, and delusions of grandeur.

NEW QUESTION 36

A 23-year-old borderline client is admitted to an inpatient psychiatric unit following an impulsive act of self-mutilation. A few hours after admission, she requests special privileges, and when these are not granted, she stands up and angrily shouts that the people on the unit do not care, and she storms across the room. The nurse should respond to this behavior by:

  • A. Placing her in seclusion until the behavior is under control
  • B. Communicating a desire to assist the client to regain control, offering a one-to-one session in a quiet area
  • C. Confronting the client, letting her know the consequences for getting angry and disrupting the unit
  • D. Walking up to the client and touching her on the arm to get her attention

Answer: B

Explanation:

(A) Threatening a client with punitive action is violating a client's rights and could escalate the client's anger. (B) Angry clients need respect for personal space, and physical contact may be perceived as a threatening gesture escalating anger. (C) Client lacks sufficient self-control to limit own maladaptive behavior; she may need assistance from staff. (D) Confronting an angry client may escalate her anger to further acting out, and consequences are for acting out anger aggressively, not for getting angry or feeling angry.

NEW QUESTION 37

Prior to his discharge from the hospital, a cardiac client is started on digoxin (Lanoxin) 25 mg po qd. The nurse initiates discharge teaching. Which of the following statements by the client would validate an understanding of his medication?

  • A. "I would notify my physician immediately if I experience nausea, vomiting, and double vision."
  • B. "I could stop taking this medication when I begin to feel better."
  • C. "I should always take this medication with an antacid."
  • D. "I should only take the medication if my heart rate is greater than 100 bpm."

Answer: A

Explanation:

Section: Questions Set G

Explanation:

(A) The first signs of digoxin toxicity include abdominal pain, anorexia, nausea, vomiting, and visual disturbances. The physician should be notified if any of these symptoms are experienced. (B) The positive inotropic effects of digoxin increase cardiac output and result in an enhanced activity tolerance. "Feeling better" indicates the drug is working and medication therapy must be continued. (C) Clients should be taught to take their pulse prior to taking the digoxin. If their pulse rate becomes irregular, slows significantly, or is >100 bpm the physician should be notified. (D) Antacids decrease the effectiveness of digoxin.

NEW QUESTION 38

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