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Questions 164

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Question 1 of 5

A 43-year-old woman with lupus erythematosus expresses frustration about the unpredictable course of her illness and the change in her physical appearance. Which nursing intervention would be most appropriate?

Correct Answer: A

Rationale: Exploring lupus' impact on her life validates her frustrations, addressing emotional and social effects therapeutically.

Question 2 of 5

A client who has been waiting for several hours in the clinic waiting room suddenly begins to shout, 'I need some attention and I need it now!' How should the nurse respond initially?

Correct Answer: C

Rationale: Engaging the client to assess her needs de-escalates agitation and addresses concerns. Silencing, calling security, or explaining delays may escalate tension.

Question 3 of 5

A client receiving end-of-life care is no longer able to make decisions. The client's appointed medical power of attorney (MPOA) is considering placement of a percutaneous enterogastric feeding tube. The MPOA asks the nurse, 'What would you do if this was your family member?' How should the nurse respond?

Correct Answer: C

Rationale: Exploring pros and cons (
C) empowers the MPOA to make an informed decision. Personal opinions (
A), chaplain referral (
B), or family meetings (
D) are less direct.

Question 4 of 5

A nurse who is evaluating a developmentally challenged 2 year-old should stress which goal when talking to the child's mother?

Correct Answer: C

Rationale: Promoting the child's optimal development. The primary goal is to promote the child's optimum development.

Question 5 of 5

The nurse has delegated the task of taking the temperature of a client with a new tympanic thermometer to a certified nursing assistant. The nursing assistant says, 'This looks easy. I am good at figuring things out.' What is the nurse's responsibility?

Correct Answer: D

Rationale: Demonstrating and observing ensures the CNA uses the tympanic thermometer correctly, maintaining accuracy and safety.

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