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Question 1 of 5

A client is being discharged on warfarin (Coumadin), an oral anticoagulant. The nurse instructs him about using this drug. Which following response by the client indicates the need for further teaching?

Correct Answer: C

Rationale: Using an electric razor prevents the risk of cuts while shaving. Any physician or dentist should be informed of anticoagulant therapy because of the risk of bleeding due to a prolonged PT. The client should be instructed to consult with his physician. Aspirin is avoided because it potentiates the effects of oral anticoagulants by interfering with platelet aggregation. Identification bracelets are necessary to direct treatment, especially in an emergency situation.

Question 2 of 5

Following eruption of the primary teeth, the mother can promote chewing by giving the toddler:

Correct Answer: C

Rationale: Pieces of cereal are soft, small, and safe for a toddler to chew, promoting jaw development without posing a choking hazard, unlike hot dogs, carrot sticks, or raisins.

Question 3 of 5

The nurse is evaluating the client who was admitted eight hours ago for induction of labor. The following graph is noted on the monitor. Which action should be taken first by the nurse?

Question Image

Correct Answer: C

Rationale: The most immediate action in cases of suspected fetal distress or hyperstimulation during labor induction with Pitocin is to stop the Pitocin infusion to reduce uterine stimulation and improve fetal oxygenation. Other actions like vaginal exams or pushing are inappropriate without further assessment, and positioning is secondary.

Question 4 of 5

The nurse is caring for a client with a history of diverticulitis. Which meal selection is best suited for the client?

Correct Answer: A

Rationale: Diverticulitis requires a low-fiber diet during acute phases. Broiled fish, steamed carrots, and gelatin are low-fiber and suitable. The other options contain high-fiber or irritating foods.

Question 5 of 5

In client teaching, the nurse should emphasize that fetal damage occurs more frequently with ingestion of drugs during:

Correct Answer: A

Rationale: The first trimester is the period of organogenesis, when the fetus is most susceptible to teratogenic effects of drugs.

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