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Questions 149

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Question 1 of 5

A client with a history of schizophrenia is seen in the local health clinic for medication follow-up. To maintain a therapeutic level of medication, the nurse should tell the client to avoid:

Correct Answer: A

Rationale: OTC allergy medications, like antihistamines, can interact with antipsychotics, potentially reducing their effectiveness or causing side effects.

Question 2 of 5

The client is admitted to the unit. A vaginal exam reveals that she is 3cm dilated. Which of the following statements would the nurse expect her to make?

Correct Answer: D

Rationale: At 3 cm dilation (early labor), clients often inquire about pain relief options like an epidural.

Question 3 of 5

A client is given morphine 6 mg IV push for postoperative pain. Following administration of this drug, the nurse observes the following: pulse 68, respirations 8, BP 100/68, client sleeping quietly. Which of the following nursing actions is MOST appropriate?

Correct Answer: C

Rationale: IV naloxone (Narcan) should be given to reverse respiratory depression; respiratory rate of 8 is too low and necessitates a nursing action

Question 4 of 5

A nurse who is a friend on a social media site with a coworker finds that the coworker has written on the media site confidential information about a well-known client's health history (information obtained from the client's her). What is the most appropriate response?

Correct Answer: D

Rationale: Reporting to a supervisor (
D) ensures proper handling of a HIPAA violation. Directly confronting the coworker (
A) may not ensure compliance, notifying the client (
B) is premature, and doing nothing (
C) ignores the breach.

Question 5 of 5

A 62-year-old female with osteoarthritis asks the nurse how she can ease her pain and discomfort. The nurse should include which of the following in the discharge plan for the client? Select all that apply.

Correct Answer: A,B,D,E

Rationale: Healthy weight, aspirin, warm compresses, and moderate exercise (e.g., walking) reduce osteoarthritis pain and stiffness. High-impact exercise (
C) can worsen joint damage.

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