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Questions 149

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Question 1 of 5

A client has been prescribed tetracycline (Sumycin) for Lyme disease. All of the following statements indicate successful client teaching regarding this medication EXCEPT

Correct Answer: A

Rationale: Tetracycline should not be taken with antacids, as they reduce absorption. The other statements are correct: pregnancy is a contraindication, photosensitivity requires sunscreen, and dairy products interfere with absorption.

Question 2 of 5

Which observation would the nurse expect to make after an amniotomy?

Correct Answer: B

Rationale: Clear amniotic fluid is expected after an amniotomy, indicating no complications like meconium or bleeding.

Question 3 of 5

A client with a history of abusing barbiturates abruptly stops taking the medication. The nurse should give priority to assessing the client for:

Correct Answer: B

Rationale: Abrupt cessation of barbiturates can cause withdrawal symptoms like tachycardia and diarrhea due to central nervous system hyperactivity.

Question 4 of 5

A nurse is preparing to administer a MMR vaccine to a 35-year-old male. The nurse should

Correct Answer: D

Rationale: MMR is an intramuscular vaccine, requiring a 90-degree angle injection (typically deltoid). Dorsogluteal is not preferred, and pinching is for subcutaneous injections.

Question 5 of 5

The nurse’s INITIAL priority when managing a physically assaultive client is to

Correct Answer: C

Rationale: most important priority in the nursing management of an assaultive client is to maintain milieu safety by restoring the client’s self-control; a quick assessment of situation, psychological intervention, chemical intervention, and possibly physical control are important when managing the physically assaultive client

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