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NEW QUESTION 20 The nurse is admitting a client with folic acid deficiency anemia. Which of the following questions is most important for the nurse to ask the client?

• A. "Do you eat red meat?"
• B. "Have your stools been normal?"
• C. "Do you drink alcohol on a regular basis?"
• D. "Do you take aspirin on a regular basis?"

Answer: C Explanation: Explanation/Reference: Explanation: (A) Aspirin does not affect folic acid absorption. (B) Folic acid deficiency is strongly associated with alcohol abuse. (C) Because folic acid is a coenzyme for single carbon transfer purines, calves liver or other purines are the meat sources. (D) Folic acid does not affect stool character.   NEW QUESTION 21 The nurse is interviewing a client with a diagnosis of possible abdominal aortic aneurysm. Which of the following statements will be reflected in the client's chief complaint?

• A. "I've been having a dull pain at the upper left shoulder."
• B. "I don't remember anything in particular, I just haven't felt well."
• C. "My legs have been numb for three months."
• D. "I've only been urinating three times a day lately."

Answer: B Explanation: Explanation/Reference: Explanation: (A, B, C) These complaints are not specific signs and symptoms associated with abdominal aortic aneurysm. If symptoms are present, the aneurysm is expanding or rupture is imminent. (D) Many clients may experience no symptoms. The only symptom may be a pulsation noted in the abdomen in the reclining position.   NEW QUESTION 22 The primary focus of nursing interventions for the child experiencing sickle cell crisis is aimed toward:

• A. Preventing infection
• B. O2 therapy
• C. Providing pain relief
• D. Maintaining an adequate level of hydration

Answer: D Explanation: (A) Maintaining the hydration level is the focus for nursing intervention because dehydration enhances the sickling process. Both oral and parenteral fluids are used. (B) The pain is a result of the sickling process. Analgesics or narcotics will be used for symptom relief, but the underlying cause of the pain will be resolved with hydration. (C) Serious bacterial infections may result owing to splenic dysfunction. This is true at all times, not just during the acute period of a crisis. (D) O2 therapy is used for symptomatic relief of the hypoxia resulting from the sickling process. Hydration is the primary intervention to alleviate the dehydration that enhances the sickling process.   NEW QUESTION 23 A client's physician has prescribed theophylline (Theo- Dur) to help control the bronchospasm associated with the client's COPD. Instructions that should be given to the client include:

• A. "Take this medication on an empty stomach.''
• B. "Do not take your medicine if your pulse is less than 60 beats per minute.''
• C. "Call your physician if you develop palpitations, dizziness, or restlessness.''
• D. "Cigarette smoking may significantly increase the risk for theophylline toxicity.''

Answer: C Explanation: Explanation/Reference: Explanation: (A) Indications of theophylline toxicity include palpitations, dizziness, restlessness, nausea, vomiting, shakiness, and anorexia. (B) Cigarette smoking significantly lowers theophylline plasma levels. (C) Theophylline should be taken with food to decrease stomach upset. (D) These instructions are appropriate for someone taking digoxin.   NEW QUESTION 24 ...... DOWNLOAD the newest Pass4cram NCLEX-RN PDF dumps from Cloud Storage for free: https://drive.google.com/open?id=1CxDx7aIjadwy0HD-jeo-x7fC3FfHXxDB