Question 1

A client was exhibiting signs of mania and was recently started on lithium carbonate. She has no known physical problems. A teaching plan for this client would include which of the following?

Options :

A : Regular foods should be eaten, including those that contain salt, such as bacon, ham, V-8 juice, and tomato juice.

B : Restrict fluids to 1000 mL/day.

C : Restrict foods that contain salt or sodium.

D : Discontinue the medication if nausea occurs.

Answer: A

Question 2

A client is being discharged from the hospital tomorrow following a colon resection with a left colostomy. The
nurse knows that the client understands the discharge teaching about care of her colostomy when she says:

Options :

A : “I know that I am not supposed to irrigate my colostomy.”

B : “My stool will be soft like paste.”

C : My stoma should be red and slightly raised.

D :

“The skin around my stoma may become irritated from the enzymes in my stool.”

Answer: C

Question 3

Which of the following would have the physiological effect of decreasing intracranial pressure (ICP)?

Options :

A : Increased core body temperature

B : Decreased serum osmolality

C : Administration of hypo-osmolar fluids

D : Decreased PaCO2

Answer: D

Question 4

A violent client remains in restraints for several hours. Which of the following interventions is most appropriate while he is in restraints?

Options :

A : Give fluids if the client requests them.

B : Assess skin integrity and circulation of extremities before applying restraints and as they are removed.

C : Measure vital signs at least every 4 hours.

D : Release restraints every 2 hours for client to exercise.

Answer: D

Question 5

A client is taught to eat foods high in potassium. Which food choices would indicate that this teaching has been successful?

Options :

A : Pork chop, baked acorn squash, brussel sprouts

B : Chicken breast, rice, and green beans

C : Roast beef, baked potato, and diced carrots

D : Tuna casserole, noodles, and spinach

Answer: A