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Question 1 of 5

A client admitted with hepatic encephalopathy continues to attempt ambulation without assistance despite repeated instruction. Which intervention should the nurse take to promote safety?

Correct Answer: D

Rationale: Moving the client closer to the nurses’ station allows frequent monitoring, promoting safety without restraints or sedation, which are less appropriate.

Question 2 of 5

A client has a tentative diagnosis of myasthenia gravis. The nurse recognizes that myasthenia gravis involves:

Correct Answer: B

Rationale: Myasthenia gravis is an autoimmune disorder causing impaired nerve-to-muscle communication, leading to muscle weakness, particularly in voluntary muscles.

Question 3 of 5

The nurse is teaching a client with a new diagnosis of type 2 diabetes mellitus about foot care. Which of the following instructions should the nurse include?

Correct Answer: B

Rationale: daily foot inspection is essential to detect early signs of injury or infection in diabetes

Question 4 of 5

Which of the following factors increase the risk of developing deep vein thrombosis (DVT)? Select all that apply.

Correct Answer: B,C,D,F

Rationale: DVT risk factors include smoking (
B), surgery (
C), oral contraceptives (
D), and immobility (F). Underweight (
A) and high-protein diet (E) are not significant risks.

Question 5 of 5

The client is scheduled to have an intravenous cholangiogram. Before the procedure, the nurse should assess the patient for:

Correct Answer: A

Rationale: Iodinated contrast used in cholangiograms can cause reactions in patients with shellfish or iodine allergies due to potential cross-reactivity.

Similar Questions

An 82-year-old female complains of generalized fatigue and has new onset of urinary incontinence as well as anorexia, hyperventilation, and low-grade fever. The nurse anticipates that the client will be evaluated for which of the following?
The nurse is reviewing a client's PRN pain medications. There is an order for acetaminophen 1,000 mg PO q4 hours as needed for pain. How should the nurse proceed?
The nurse is making assignments for the day. The staff consists of an RN, an LPN, and a nursing assistant. Which client could the nursing assistant care for?
The nurse is assessing an older adult. The client does not appear to always understand the questions, sometimes answering incorrectly, and stares at the nurse's mouth rather than the nurse's eyes when the nurse is speaking. The client answers in an unusually loud voice. Which of the following impairments should the nurse suspect?
The nurse is assessing a trauma client in the emergency room when she notes a penetrating abdominal wound with exposed viscera. The nurse should:

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