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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

There has been a large-scale community disaster and clients must be roomed together at the hospital. Who are appropriate roommates in light of infection risk principles?

Correct Answer: D

Rationale: PID and coffee ground emesis (
D) are non-infectious, making them suitable roommates. Varicella, pertussis, TB (A, E), and COPD with sputum (
C) pose infection risks. AIIR (
B) is for airborne infections, incompatible with heart failure.

Question 3 of 5

The nurse is caring for a client with rheumatoid arthritis. Which of the following lifestyle modifications should the nurse recommend to the client?

Correct Answer: B,C,E

Rationale: Rest (
B), range-of-motion exercises (
C), and moist heat (E) manage rheumatoid arthritis symptoms. Ice (
A) can reduce inflammation, and a pillow under knees (
D) may worsen stiffness.

Question 4 of 5

A client with a 10-year history of major depressive disorder has relapsed and is now hospitalized. The client is currently on phenelzine and weighs 115 lb (52.2 kg) but weighed 150 lb (68 kg) 3 months before admission. Which foods would be best for this client?

Correct Answer: C

Rationale: Phenelzine, an MAOI, requires avoiding tyramine-rich foods like cheese (
A) to prevent hypertensive crisis. Fish and potatoes (
C) are safe and nutritious. Eggs (
B) and avocado (
D) are safe but less balanced.

Question 5 of 5

The nurse caring for a terminally ill client asks if the client has an advance directive. The client states, 'I already have a power of attorney.' What is the best response by the nurse?

Correct Answer: D

Rationale: Clarifying if the POA includes healthcare decisions (
D) ensures proper advance directive planning. Vague affirmations (A,
B) or suggesting a lawyer (
C) do not address the need for a healthcare-specific POA.

Similar Questions

The charge nurse observes a student nurse administering a tuberculin skin test using the intradermal route. Which action by the student nurse requires intervention and additional teaching from the charge nurse?
The nurse is observing a nursing assistant move a client from bed to chair. Which action by the nursing assistant indicates a lack of understanding about transfer techniques?
The nurse is caring for a client diagnosed with a deep venous thrombosis 1 day ago. Which action by the client would require an immediate intervention by the nurse?
The nurse is talking with a client with hypertension and hyperlipidemia who is receiving nifedipine and simvastatin. Which of the following statements by the client would require follow-up?
A housekeeping employee tells the staff nurse of having a headache and asks for acetaminophen. How should the nurse respond?

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