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Questions 149

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Question 1 of 5

A home health nurse is planning for her daily visits. Which client should the home health nurse visit first?

Correct Answer: A

Rationale: Foscarnet requires monitoring for toxicity, making this client a priority.

Question 2 of 5

A nurse is caring for a client who has just undergone an ileostomy procedure. The nurse expects how much drainage from the ileostomy during the first 24 hours post-op?

Correct Answer: B

Rationale: Ileostomy drainage in the first 24 hours post-op is typically 500-1,000 mL due to liquid stool output. 800 mL is the most reasonable estimate.

Question 3 of 5

A young adult patient constantly seeks attention from the nurses, stomping away from the nurses’ station and pouting when her requests are refused. Which of the following responses by the nurse is MOST appropriate?

Correct Answer: B

Rationale: reward nonseeking attention behaviors by giving the patient unsolicited attention

Question 4 of 5

The nurse is teaching a client with a new diagnosis of type 2 diabetes mellitus about foot care. Which of the following instructions should the nurse include?

Correct Answer: B

Rationale: daily foot inspection is essential to detect early signs of injury or infection in diabetes

Question 5 of 5

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?

Correct Answer: A

Rationale: Measles requires airborne precautions due to its highly contagious nature via respiratory droplets, unlike the other conditions listed.

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