1.The nurse provides instructions to a malnourished client regarding iron supplementation during pregnancy.Which statement if made by the client would indicate an understanding of the instructions?
 1.”The iron is best absorbed if taken with orange juice”
2.”Mate does not provide iron and should be avoided”
3.”Iron supplements will give me diarrhea”
4.”My body has all the iron it needs,and I don’t need to take supplements”
2.The nurse has given discharge instructions to the client who has underwent vein ligation and stripping early in the day.The nurse evaluates that the client understands activity and positioning limitations if the client states that it is most appropriate to
1.Lie down with the legs elevated and avoid sitting
2.Cross the legs at the ankle only but not at the knee
3.Sit in the chair 3 times a day for 3 hours at a time
4.Walk upright for as much as possible each day
3.Octreotide acetate(Sandostatin)is prescribed for the client with acromegaly.The nurse monitors the client,knowing that which side effect is associated with the administration of this medication?
1.Constipation
2.Polyuria
3.Abdominal pain
4.Hypotension
4.Levothyroxine(Synthroid)is prescribed for a client diagnosed with hypothyroidism.The nurse reviews the client’s record and notes that the client presently is taking warfarin(Coumadin).The nurse contacts the physician,anticipating that the physician will prescribe which of the following?
1.An increased dosage of warfarin.
2.A decreased dosage of warfarin
3.An increased dosage of levothyroxine
4.A decreased dosage of levothyroxine
5.The nurse is teaching the client with emphysema about positions that help breathing during dyspneic episodes.The nurse instructs the client to avoid which of the following positions,which will aggravate breathing?
1.Sitting up with the elbows resting on knees.
2.Standing and leaning against a wall.
3.Lying on the back in low Fowler’s position.
4.Sitting up and leaning on a table.
6.The client is about to undergo a lumbar puncture.The nurse describes to the client that which of the following positions will be used during the procedure?
1.Side-lying with the legs pulled up and the head bent down onto the chest.
2.Side-lying with a pillow under the hip.
3.Prone with a pillow under the abdomen.
4.Prone in slight Trendelenburg’s position
7. The nurse recognizes that which of the following interventions is unlikely to facilitate effective communication between the dying client and his or her family?
1. The nurse encourages the client and family to identify and discuss feelings openly.
2. The nurse makes decisions for the client and family to relieve them of unnecessary demands.
3．The nurse assists the client and family in carrying out spiritually meaningful practices.
4．The nurse maintains a calm attitude and one of acceptance when the family or client expresses anger.
8．The client with acute pancreatitis is experiencing severe pain from the disorder, The nurse determines that the client understood suggestions for positioning to reduce pain if the client avoided.
1. Leaning forward.
2. Drawing the legs up to the chest.
3. Sitting up.
4. Lying flat.
9. The client has had surgery to repair a fractured left hip. The nurse obtains which of the following most important items from the unit storage area to use when repositioning the dient from side to side in bed?
1. Abductor splint
2. Adductor splint
3. Bed pillow
4. Overhead trapeze
10. The nurse is preparing to care for a client who has undergone a myelogram using a oil-based contrast agent. The nurse plans to position the client on bedrest for
1.6 to 8 hours with the head of bed flat.
2. 6 to 8 hours with the head of bed elevated 15 to 30 degrees.
3. 2 to 4 hours with the head of bed flat.
4. 2 to 4 hours with the head of bed elevated 15 to 30 degrees.
11. The nurse has given activity guidelines to the client with chronic lower back pain. The nurse determines that the client understood the instructions if the client states to avoid which of the following positions?
1. Lying on the side with knees and hips bent
2. Lying prone
3. Standing with one foot on a step or stool
4. Sitting using a lumbar roll or pillow
12. The nurse has just admitted to the nursing unit a client with a basilar skull fracture who is at risk for increased intracranial pressure. Pending specific physician orders, the nurse would avoid placing the client in which of the following positions?
1. Neck in neutral position
2. Head of bed elevated 30 to 45 degrees
3. Flat with head turned to the side
4. Head midline
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