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Question 1 of 5

A client is admitted complaining of chest pain. Which of the following drug orders should the nurse question?

Correct Answer: B

Rationale: Ampicillin, an antibiotic, is not indicated for chest pain, which is typically cardiac-related and treated with nitroglycerin, propranolol, or verapamil.

Question 2 of 5

The client presents to the emergency room with a 'bull's eye' rash. Which question would be most appropriate for the nurse to ask the client?

Correct Answer: A

Rationale: A bull's eye rash is characteristic of Lyme disease, often caused by tick bites, making this the most relevant question.

Question 3 of 5

An 18-month-old is being discharged following hypospadias repair. Which instruction should be included in the nurse's discharge teaching?

Correct Answer: A

Rationale: Avoiding straddling activities like rocking horses prevents strain on the surgical site post-hypospadias repair.

Question 4 of 5

The doctor has ordered a Transcutaneous Electrical Nerve Stimulation (TENS) unit for the client with chronic back pain. The nurse teaching the client with a TENS unit should tell the client:

Correct Answer: B

Rationale: Skin irritation is a common side effect of TENS; reporting it ensures timely management.

Question 5 of 5

The client has recently returned from having a thyroidectomy. The nurse should keep which of the following at the bedside?

Correct Answer: A

Rationale: A tracheotomy set is kept at the bedside post-thyroidectomy due to the risk of airway obstruction from swelling or hematoma.

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A nurse must teach a client how to do wound care and dressing changes prior to discharge. Which of the following are barriers to learning? Select all that apply.
The nurse is caring for a client with advanced heart failure and cardiomyopathy. The nurse understands that involving nursing, nutritional services, cardiology, and pharmacy in the client's care team is an example of which approach?
The nurse is assessing a client upon arrival to the emergency department. Partial airway obstruction is suspected. Which clinical manifestation is a late sign of airway obstruction?

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