Question

A nurse is reinforcing teaching with a client who wants to lose 0.9 kg (2 lb) of body fat per week.The nurse knows that 0.45 kg (1 lb) of body fat is equal to 3,500 calories.The nurse should instruct the client to reduce his daily caloric intake by how many calories?

Answer 1

Correct Answers:

1000

Rationale :

💎 Each pound of body fat equals approximately 3,500 calories, so to lose 2 pounds (0.9 kg) per week, the client must create a total weekly deficit of 7,000 calories.

💎 To determine the daily calorie reduction, divide 7,000 calories by 7 days, which equals 1,000 calories per day.

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Answer 2

Correct Answers:

Provide a high-calorie diet.

Rationale :

🔷 Clients with AIDS often experience wasting syndrome and increased metabolic demands, requiring a diet high in calories.

🔷 Malnutrition weakens the immune system, which is already compromised in AIDS, making calorie-rich foods essential for immune support.

🔷 Weight loss and muscle wasting are common, so calorie-dense nutrition helps preserve lean body mass.

🔷 A high-calorie diet also supports better wound healing and energy levels, promoting overall functional status.

🔷 This dietary approach aligns with clinical priorities to optimize nutritional intake and improve outcomes in immunocompromised clients

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Answer 3

Correct Answers:

3 oz ground beef.

Rationale :

🔶 Ground beef is a rich source of heme iron, which is the most bioavailable form and best absorbed by the body.

🔶 Iron-deficiency anemia requires increasing intake of iron-rich foods, especially animal proteins like beef.

🔶 Compared to chicken, tuna, or pork, beef contains significantly higher iron content per serving.

🔶 It’s especially important for patients with anemia to prioritize foods that provide concentrated iron sources.

🔶 Red meat enhances overall iron levels and improves hemoglobin synthesis more effectively than lighter meats.

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Answer 4

Correct Answers:

Align the client's joints with the joints on the frame.

Rationale :

💠 Proper joint alignment ensures smooth, safe movement of the limb through the device’s range of motion.

💠 Misalignment can lead to joint strain, pain, or delayed rehabilitation following knee arthroplasty.

💠 The CPM device must mirror anatomical joint position to prevent complications like ligament damage.

💠 This alignment maximizes the benefits of passive motion, helping reduce stiffness and enhance mobility.

💠 Accurate setup reflects adherence to postoperative physical therapy protocols and promotes recovery.

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Answer 5

Correct Answers:

Absence of nausea.

Rationale :

◈ Aprepitant is a neurokinin-1 receptor antagonist used to prevent chemotherapy-induced nausea and vomiting.

◈ Its effectiveness is marked by the client’s ability to tolerate food and fluids without emesis.

◈ Controlling nausea improves nutritional intake and comfort, crucial in oncology care.

◈ It is most often used in combination with other antiemetics for synergistic relief.

◈ Successful response to aprepitant enhances adherence to cancer treatment by minimizing side effects.

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Answer 6

Correct Answers:

"I will attend a support group to help me handle difficulties when they occur.”.

Rationale :

🟢 Attending a support group demonstrates psychological acceptance and active coping.

🟢 It shows readiness to seek peer support, resources, and emotional expression, essential in long-term adaptation.

🟢 Acceptance is critical for clients with new ostomies to develop independence and body image adjustment.

🟢 The statement reflects proactive behavior in managing potential stress or depression associated with an ileostomy.

🟢 Support groups provide education, normalize experiences, and enhance adjustment to lifestyle changes.

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Answer 7

Correct Order:

Order : 1 : No answer text available
Order : 2 : No answer text available
Order : 3 : No answer text available
Order : 4 : No answer text available
Order : 5 : No answer text available

Rationale :

✅ Clamp tubing to allow urine to accumulate for sample collection.

✅ Wipe port with alcohol to maintain sterility and prevent contamination.

✅ Attach syringe and aspirate to collect sterile urine directly from the sampling port.

✅ Empty into labeled container to ensure proper identification and transfer.

✅ Document procedure in the record to complete the protocol and ensure lab follow-up.

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Answer 8

Correct Answers:

Replace the unit when the drainage chamber is full.

Rationale :

🟣 A full drainage chamber compromises suction function and can lead to respiratory complications.

🟣 Replacing the unit prevents fluid backflow and possible infection or contamination.

🟣 Regular monitoring ensures that the chest tube remains functionally effective and safe.

🟣 Maintaining negative pressure is critical for lung re-expansion and air/fluid removal.

🟣 This practice aligns with closed drainage system protocols to promote optimal outcomes.

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Answer 9

Correct Answers:

Apply a motion sensor mat to the client's bed.

Rationale :

🔵 Motion sensor mats detect client movement, alerting staff to prevent falls.

🔵 This intervention is non-restrictive and enhances safety for dementia patients.

🔵 Clients with dementia have poor judgment and impaired perception of safety, increasing fall risk.

🔵 It allows prompt staff response when the client attempts to exit the bed.

🔵 This is a proactive fall prevention strategy used in long-term care.

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Answer 10

Correct Answers:

The client takes ibuprofen for headaches.

Rationale :

♦ Ibuprofen can cause GI irritation and occult bleeding, resulting in false-positive fecal occult blood tests.

♦ Clients should be advised to avoid NSAIDs before testing, as they can compromise result accuracy.

♦ False positives can lead to unnecessary diagnostic procedures, increasing patient risk and cost.

♦ The test detects peroxidase activity in blood; NSAID-induced bleeding interferes with this detection.

♦ Accurate screening depends on the absence of blood from non-cancer-related sources.

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QLexNursing

1 :
A nurse is reinforcing teaching with a client who wants to lose 0.9 kg (2 lb) of body fat per week.The nurse knows that 0.45 kg (1 lb) of body fat is equal to 3,500 calories.The nurse should instruct the client to reduce his daily caloric intake by how many calories?

2 :
A nurse is contributing to the plan of care for a client who has AIDS and has malnutrition. Which of the following actions should the nurse include in the plan of care?

3 :
A nurse is reinforcing teaching with a client who has iron-deficiency anemia.The nurse should instruct the client that which of the following foods has the highest iron content?

4 :
A nurse is initiating the use of a continuous passive motion (CPM) device for a client following a total knee arthroplasty. Which of the following actions should the nurse take?

5 :
A nurse on the oncology unit is evaluating a client's response after receiving a dose of aprepitant. Which of the following therapeutic effects should the nurse expect?

6 :
A nurse is evaluating a client's acceptance of having a new ileostomy. Which of the following statements by the client indicates acceptance?

7 :
A nurse is obtaining a sterile urine specimen from a client who has an indwelling urinary catheter. Identify the sequence the nurse should follow.

Available Items

Arrange Your Answers

8 :
A nurse is assisting with the care of a client who has a closed-chest tube drainage system.Which of the following actions should the nurse take?

9 :
A nurse working the night shift is caring for an older adult client who has dementia and is at risk for falls.Which of the following actions should the nurse take?

10 :
A nurse is reviewing the results of a client's fecal occult blood screening test.Which of the following findings from the client's history should the nurse identify as potentially causing a false-positive result?

QLexNursing

1 : A nurse is reinforcing teaching with a client who wants to lose 0.9 kg (2 lb) of body fat per week.The nurse knows that 0.45 kg (1 lb) of body fat is equal to 3,500 calories.The nurse should instruct the client to reduce his daily caloric intake by how many calories?

2 : A nurse is contributing to the plan of care for a client who has AIDS and has malnutrition. Which of the following actions should the nurse include in the plan of care?

3 : A nurse is reinforcing teaching with a client who has iron-deficiency anemia.The nurse should instruct the client that which of the following foods has the highest iron content?

4 : A nurse is initiating the use of a continuous passive motion (CPM) device for a client following a total knee arthroplasty. Which of the following actions should the nurse take?

5 : A nurse on the oncology unit is evaluating a client's response after receiving a dose of aprepitant. Which of the following therapeutic effects should the nurse expect?

6 : A nurse is evaluating a client's acceptance of having a new ileostomy. Which of the following statements by the client indicates acceptance?

7 : A nurse is obtaining a sterile urine specimen from a client who has an indwelling urinary catheter. Identify the sequence the nurse should follow.

Available Items

Arrange Your Answers

8 : A nurse is assisting with the care of a client who has a closed-chest tube drainage system.Which of the following actions should the nurse take?

9 : A nurse working the night shift is caring for an older adult client who has dementia and is at risk for falls.Which of the following actions should the nurse take?

10 : A nurse is reviewing the results of a client's fecal occult blood screening test.Which of the following findings from the client's history should the nurse identify as potentially causing a false-positive result?

1 :
A nurse is reinforcing teaching with a client who wants to lose 0.9 kg (2 lb) of body fat per week.The nurse knows that 0.45 kg (1 lb) of body fat is equal to 3,500 calories.The nurse should instruct the client to reduce his daily caloric intake by how many calories?

2 :
A nurse is contributing to the plan of care for a client who has AIDS and has malnutrition. Which of the following actions should the nurse include in the plan of care?

3 :
A nurse is reinforcing teaching with a client who has iron-deficiency anemia.The nurse should instruct the client that which of the following foods has the highest iron content?

4 :
A nurse is initiating the use of a continuous passive motion (CPM) device for a client following a total knee arthroplasty. Which of the following actions should the nurse take?

5 :
A nurse on the oncology unit is evaluating a client's response after receiving a dose of aprepitant. Which of the following therapeutic effects should the nurse expect?

6 :
A nurse is evaluating a client's acceptance of having a new ileostomy. Which of the following statements by the client indicates acceptance?

7 :
A nurse is obtaining a sterile urine specimen from a client who has an indwelling urinary catheter. Identify the sequence the nurse should follow.

8 :
A nurse is assisting with the care of a client who has a closed-chest tube drainage system.Which of the following actions should the nurse take?

9 :
A nurse working the night shift is caring for an older adult client who has dementia and is at risk for falls.Which of the following actions should the nurse take?

10 :
A nurse is reviewing the results of a client's fecal occult blood screening test.Which of the following findings from the client's history should the nurse identify as potentially causing a false-positive result?