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Question 1 of 5

A client with schizophrenia spends much of his time pacing the floor, rocking back and forth, and moving from one foot to another. The client's behaviors are an example of:

Correct Answer: C

Rationale: Akathisia is characterized by restlessness and constant movement, often a side effect of antipsychotic medications, as described.

Question 2 of 5

The nurse is precepting a student nurse who is helping to care for a client with a hip fracture. The client has Buck's traction applied. Which statement by the student nurse indicates a need for further explanation by the primary nurse?

Correct Answer: B

Rationale: Buck’s traction is skin traction, not skeletal traction, which uses pins. The other statements are correct regarding weight, positioning, and pin care (though pin care applies to skeletal traction).

Question 3 of 5

The physician has prescribed Chloromycetin (chloramphenicol) for a client with bacterial meningitis. Which lab report should the nurse monitor most carefully?

Correct Answer: C

Rationale: Chloramphenicol can cause bone marrow suppression, so monitoring the complete blood count is critical.

Question 4 of 5

A client with schizophrenia spends much of his time pacing the floor, rocking back and forth, and moving from one foot to another. The client's behaviors are an example of:

Correct Answer: C

Rationale: Akathisia is characterized by restlessness and constant movement, often a side effect of antipsychotic medications, as described.

Question 5 of 5

Which of the following best describes the language of a 24-month-old?

Correct Answer: C

Rationale: A 24-month-old can verbalize needs using simple words or phrases, reflecting their developing language skills.

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The nurse is preparing to administer the first dose of IV antibiotic to the client. Halfway through the infusion, the nurse realizes that the antibiotic dosage is not the same as ordered by the health care provider. Which action should the nurse take first?
A client with a history of chronic obstructive pulmonary disease (COPD) is admitted with an acute exacerbation. The nurse notes that the client has a respiratory rate of 28 breaths per minute, is using accessory muscles, and has oxygen saturation of 88% on 2 L/min of oxygen via nasal cannula. Which of the following actions should the nurse take FIRST?
The charge nurse is making assignments for the day. After accepting the assignment to a client with leukemia, the nurse tells the charge nurse that her child has chickenpox. Which initial action should the charge nurse take?

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