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Questions 164

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Question 1 of 5

A client with type 2 diabetes, coronary artery disease, and peripheral arterial disease developed hospital-acquired pneumonia (HAP) and has been receiving intravenous (IV) antibiotics for 4 days. Which parameter monitored by the nurse best indicates the effectiveness of treatment?

Correct Answer: D

Rationale: A decreasing WBC count indicates resolving infection, as HAP elevates WBCs. Sputum color is unreliable, lung sounds improve later, and oxygen saturation reflects oxygenation, not infection status.

Question 2 of 5

The nurse, assisting in applying a cast to a client with a broken arm, knows that the

Correct Answer: C

Rationale: Wet cast should be handled with the palms of hands. This prevents damage to the cast and ensures proper setting.

Question 3 of 5

The nurse is planning care for a group of senior citizens. The nurse should plan activities that promote achievement of which developmental task?

Correct Answer: D

Rationale: Ego integrity, accepting one's life as meaningful, is the developmental task for seniors per Erikson's theory. Identity, intimacy, and generativity apply to younger stages.

Question 4 of 5

The nurse is preparing teaching for a client with Parkinson disease. Which of the following techniques are appropriate when communicating with a client with Parkinson disease? Select all that apply.

Correct Answer: A,B,C,E

Rationale: Speaking slowly aids clarity, promoting strengths builds confidence, teaching during high-energy times optimizes learning, and uninterrupted sessions enhance focus. Complex teaching should include the client, not just the caregiver, to respect autonomy.

Question 5 of 5

An adult is taking phenazopyridine hydrochloride (Pyridium) 200 mg PO tid after meals. Which comment by the client indicates a lack of understanding about the medication?

Correct Answer: B

Rationale: Bright orange urine is a normal effect of Pyridium, so concern about it indicates a lack of understanding of the medication's side effects.

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