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NEW QUESTION 35
An 82-year-old former restaurant owner walks to the nursing station and states, "I have to go. The restaurant opens at 11 am." Which response by the nurse is the most appropriate?

  • A. "You are in the hospital now. Calm down."
  • B. "Go back to your room. You do not own a restaurant."
  • C. "You once owned a restaurant. Tell me about it."
  • D. "It is snowing outside. The restaurant is closed."

Answer: C

Explanation:
Explanation/Reference:
Explanation:
(A) This response cuts off communication with the client. It does not address her feelings. (B) Reality orientation frequently does not work alone. Feelings must be addressed. Telling a client to calm down is frequently ineffective. (C) Reminiscence is used here to reorient and recall past pleasant events. Talking about the restaurant will allay anxiety. (D) This response may confirm to the client that she indeed does still own a restaurant, buying into her confusion. Her feelings and anxiety require nursing intervention.

 

NEW QUESTION 36
A client with emphysema is placed on diuretics. In order to avoid potassium depletion as a side effect of the drug therapy, which of the following foods should be included in his diet?

  • A. Tomatoes
  • B. Potatoes
  • C. Celery
  • D. Liver

Answer: B

Explanation:
Explanation/Reference:
Explanation:
(A) Celery is high in sodium. (B) Potatoes are high in potassium. (C) Tomatoes are high in sodium. (D) Liver is high in iron.

 

NEW QUESTION 37
A client is diagnosed with diabetic ketoacidosis. The nurse should be prepared to administer which of the following IV solutions?

  • A. D5W
  • B. D5in lactated Ringer's
  • C. D5in normal saline
  • D. 0.9 normal saline

Answer: D

Explanation:
(A) D5in normal saline would increase serum glucose. (B) D5W would increase serum glucose. (C) A concentration of 0.9 NS is used to correct extracellular fluid depletion. (D) D5in Ringer's lactate would increase serum glucose.

 

NEW QUESTION 38
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