A client asks about maintaining taste and smell. Which of the following statements should the nurse make?

Avoid smoking and exposure to strong odors.

Brush your teeth twice per day.

See your dentist every 2 years.

Use salt sparingly on foods.

Answer and Explanation

The Correct Answer is A

Choice A reason:

Avoiding smoking and exposure to strong odors is essential for maintaining the senses of taste and smell. Smoking and strong odors can damage sensory receptors and impair these senses. By avoiding these harmful factors, individuals can help preserve their ability to taste and smell.

Choice B reason:

Brushing your teeth twice per day is important for dental hygiene but does not directly address maintaining taste and smell. While oral hygiene can contribute to a healthy mouth, it does not significantly impact the sensory receptors for taste and smell.

Choice C reason:

Seeing your dentist every 2 years is insufficient for regular dental care, as most recommendations suggest biannual visits. Moreover, it does not directly correlate with maintaining taste and smell. Regular dental check-ups help maintain oral health, but they are not a primary factor in preserving taste and smell.

Choice D reason:

Using salt sparingly on foods is beneficial for overall health, particularly in managing blood pressure, but it does not directly address maintaining taste and smell. This advice is more relevant to dietary management rather than sensory preservation.

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Correct Answer is D

Explanation

Choice A reason:

Hypoglycemia, or low blood sugar, is not a typical adverse effect of furosemide. While careful monitoring of blood glucose levels may be necessary in general, furosemide primarily affects electrolyte and fluid balance rather than glucose metabolism.

Choice B reason:

Hypertension is not an adverse effect of furosemide; rather, this medication is used to treat conditions like hypertension and edema by promoting the excretion of sodium and water. The intended effect of furosemide is to lower blood pressure, not increase it.

Choice C reason:

Hypervolemia, or fluid overload, is contrary to the action of furosemide, which is a diuretic intended to reduce excess fluid in the body. Monitoring for hypervolemia would not be a primary concern with this medication; instead, the nurse should watch for signs of dehydration or electrolyte imbalance.

Choice D reason:

Hypokalemia, or low potassium levels, is a well-known adverse effect of furosemide. This diuretic can lead to significant potassium loss through increased urine output, making it crucial to monitor the client's potassium levels to prevent complications such as muscle weakness, cramping, and cardiac arrhythmias.

A. 600 mL B. 740 mL C. 800 mL D. 900 mL E. None F. None

Correct Answer is B

Explanation

Choice A reason:

Calculating the total intake includes converting ounces to milliliters and adding all fluid intakes. 4 oz juice equals 120 mL, 6 oz hot tea equals 180 mL, ice chips are counted as half their volume, so 100 mL ice chips equals 50 mL, 150 mL IV bolus, and 8 oz broth equals 240 mL. Adding these up: 120 + 180 + 50 + 150 + 240 = 740 mL. Choice A, 600 mL, underestimates the total intake, excluding necessary details in the calculation.

Choice B reason:

Let’s calculate step by step:

Juice: 4 oz × 30 mL = 120 mL
Tea: 6 oz × 30 mL = 180 mL
Ice chips: 100 mL × 0.5 = 50 mL (since only half of the volume of ice is counted as fluid)
IV bolus: 150 mL
Broth: 8 oz × 30 mL = 240 mL

Now add them:
120 + 180 + 50 + 150 + 240 = 740 mL

Choice C reason:

800 mL inaccurately inflates the total intake. Accurate calculation yields 740 mL as the total fluid intake, considering all conversions and additions. Choice C misrepresents this value.

Choice D reason:

900 mL is another overestimate. Proper conversion and summation of all fluids indicate the total intake is 740 mL. Choice D is significantly higher than this calculated total, demonstrating the importance of precise conversion and addition for accurate records.

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A client asks about maintaining taste and smell. Which of the following statements should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has heart failure and a new prescription for the diuretic furosemide. For which adverse effect should the nurse monitor?

Correct Answer is D

Explanation

A nurse is completing an 8-hour intake and output (I&O) record for a client who consumed 4 oz juice, 6 oz hot tea, 100 mL ice chips, an IV bolus of 150 mL, and 8 oz broth. The nurse should record how many mL of intake on the client's record?

Correct Answer is B

Explanation

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