1- A client with multiple sclerosis is receiving beta – 1b interferon every other day. To assess for possible bone marrow suppression caused by the medication, which serum laboratory test findings should the nurse monitor? (Select all that apply)
a- Platelet count
b- White blood cell count (WBC)
c- Sodium and potassium
d- Red blood cell count (RBC)
e- Albumin and protein
2- A male client with hypercholesterolemia wants to change his diet to help reduce his cholesterol levels. When breakfast items should the nurse encourage the client to eat? (Select all that apply)
a- Sausage patties and eggs
b- Whole wheat toast and jam
c- Bagels and cream cheese
d- Toaster pastries and milk
e- Blackberries and oatmeal
3- After an unsuccessful resuscitation attempt, the nurse calls the family of the deceased. The family wish to see the body before it is taken to the funeral home. Which interventions should the nurse take to prepare the body before the family enters the room? (Select all that apply)
a- Take out dentures and place in a labeled cup
b- Apply a body shroud
c- Place a small pillow under the head
d- Remove resuscitation equipment from the room e- Gently close the eyes
4- A client with major depression who is taking fluoxetine calls the psychiatric clinic reporting being more agitated, irritable, and anxious than usual. Which intervention should the nurse implement?
a- Tell the client to have a complete blood count (CBC) drawn
b- Instruct the client to seek medical attention immediately
c- Encourage him to take the medication at night with a snack
d- Explain that these are common side effects of the medication
5- An older adult male is admitted with complications related to chronic obstructive Pulmonary Disease (COPD). He reports progressive dyspnea that worsens on exertion and his weakness has increased over the past month. The nurse notes that he has dependent edema in both lower legs. Based on these assessment findings, which dietary instruction should the nurse provide?
a- Restrict daily fluid intake
b- Eat meals at the same time daily
c- Maintain a low protein diet
d- Limit the intake of the high calorie foods
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