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Question 1 of 5

A client with prostate cancer has been given the option of various treatments and asks the nurse for advice. Which of the following is the most appropriate response?

Correct Answer: A

Rationale: Discussing options and feelings (
A) supports the client's decision-making without giving direct advice. Other responses (B, C,
D) dismiss the client's request or overstep the nurse's role.

Question 2 of 5

During which stage of injury repair does the wound show evidence of erythema and edema, and phagocytosis begins?

Correct Answer: B

Rationale: The inflammation stage (
B) involves erythema, edema, and phagocytosis as the body responds to injury. Other stages (A, C,
D) have different processes.

Question 3 of 5

The nurse is caring for a client receiving IV heparin therapy for a pulmonary embolism. Which lab values would the nurse expect to order on this client?

Correct Answer: C

Rationale: PT, PTT, and INR are monitored to assess the therapeutic effect and safety of heparin, which affects blood clotting.

Question 4 of 5

The nurse is making a home visit to an elderly client during the summer. Upon arrival, the nurse notices the refrigerator and freezer doors are open as the client is using both for air conditioning. Which of the following actions by the nurse are most appropriate?

Correct Answer: B

Rationale: Discussing the risks (e.g., food spoilage, electrical hazards) with the client and family promotes safety and education.

Question 5 of 5

The child with seizure disorder is being treated with phenytoin (Dilantin). Which of the following statements by the patient's mother indicates to the nurse that the patient is experiencing a side effect of Dilantin therapy?

Correct Answer: C

Rationale: Gingival hyperplasia is a common side effect of phenytoin therapy.

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The nurse is caring for a client with dementia who tends to wander. Which of the following actions can help with this behavior? Select all that apply.
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The nurse is caring for a client on airborne precautions. Which of the following would the nurse expect to see in the client's medical record?

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