During preadmission testing for same-day surgery, a client states that

NCLEX RN Med Surg Questions

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Question 1 of 5.

During preadmission testing for same-day surgery, a client states that she has added two cloves of garlic each day to her diet to help control her blood pressure. The nurse should further inquire about which of the following?

A. The type of surgery the client is having.

B. What her blood pressure has been running.

C. The amount of garlic she is eating.

D. Her preference for the type of anesthesia.

Explanation: Garlic can affect blood pressure and has anticoagulant properties, which may increase bleeding risk during surgery. Inquiring about the client's blood pressure helps assess the impact of garlic on her condition and informs surgical planning. The type of surgery, amount of garlic, or anesthesia preference are less directly relevant to this concern.

Question 2 of 5.

A 65-year-old client is admitted to the emergency department with a fractured hip. The client has chest pain and shortness of breath. The health care provider orders nitroglycerin tablets. Which should the nurse instruct the client to do?

A. Put the tablet under the tongue until it is dissolved.

B. Swallow the tablet with 120 mL of water.

C. Chew the tablet until it is dissolved.

D. Place the tablet between his cheek and gums.

Explanation: Sublingual nitroglycerin is administered under the tongue for rapid absorption to relieve chest pain. Other methods (swallowing, chewing, or buccal placement) are incorrect for this medication.

Question 3 of 5.

After a myocardial infarction, the hospitalized client is taught to move the legs while resting in bed. This type of exercise is recommended primarily to help:

A. Prepare the client for ambulation.

B. Promote urinary and intestinal elimination.

C. Prevent thrombophlebitis and blood clot formation.

D. Decrease the likelihood of pressure ulcer formation.

Explanation: Leg exercises prevent venous stasis, reducing the risk of thrombophlebitis and deep vein thrombosis, common complications post-MI due to immobility.

Question 4 of 5.

The client who experiences angina has been told to follow a low-cholesterol diet. Which of the following meals should the nurse tell the client would be best on her low-cholesterol diet?

A. Hamburger, salad, and milkshake.

B. Baked liver, green beans, and coffee.

C. Spaghetti with tomato sauce, salad, and coffee.

D. Fried chicken, green beans, and skim milk.

Explanation: Spaghetti with tomato sauce, salad, and coffee is low in cholesterol, unlike hamburger, liver, or fried chicken, which contain higher cholesterol or saturated fats.

Question 5 of 5.

Which of the following foods should the nurse teach a client with heart failure to limit when following a 2-g sodium diet?

A. Apples.

B. Tomato juice.

C. Whole wheat bread.

D. Beef tenderloin.

Explanation: Tomato juice is high in sodium, which should be limited on a 2-g sodium diet to prevent fluid retention in heart failure.