1. A nurse is providing dietary teaching to a client who has celiac disease. Which of the following

choices should the nurse identify as an indication that the client understands the teaching?

= Grilled chicken breast

R: Celiac disease people should avoid gluten. Grilled chicken breast does not have gluten. Chocolate

pudding contains wheat starch.

2. A nurse is developing a teaching plan for a client who has gout. Which of the following

recommendations should the nurse include?

= Decrease intake of purine meats

3. A nurse is assessing a client who has a comminuted fracture ofthe femur. Which ofthe following

should the nurse identify as an early manifestation of a fat embolism?

= Dyspnea

R: Dyspnea, along with tachypnea and a decreased arterial oxygen level are signs of a fat embolism.

4. A nurse is caring for a client who has a cervical spinal cord injury sustained 1 month ago. Which of

the following manifestations indicates that the client is experiencing autonomic dysreflexia?

= heart rate 52/min

R: Other manifestationsinclude significant rise in systolic and diastolic pressures, severe headache,

and flushing.

5. A nurse caring for a client who has pancreatitis. The nurse should expect which of the following

laboratory results to be below the expected reference range?

= Calcium

R: Client with pancreatitisis expected to have decreased calcium and magnesium levels due to fat

necrosis.

6. A nurse is providing teaching to a client who has a recent diagnosis of constipation-predominant

irritable bowel syndrome. Which of the following instructions should the nurse include in the

teaching?

= Consume at least 30 g of fiber daily

7. A nurse is teaching a client who has a cardiac dysrhythmia about the purpose of undergoing

continuous telemetry monitoring. Which of the following statements by the client reflects an

understanding of the teaching?

= “Thisidentifiesifthe pacemaker cells of my heart are working properly.”

8. A nurse is planning care for a client who has community-acquired pneumonia. Which of the

following interventions should the nurse include in the plan of care?

= Monitor the client for confusion

R: Pneumonia is an inflammatory process resulting in increased exudate and a thickening and

narrowing ofthe airways, which causes hypoxia. The reduced oxygen level placesthe client at risk for

confusion.