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Question 1 of 5

A middle-aged adult is seen in the emergency room for complaints of severe right-flank pain. The client is twenty pounds overweight, lives a sedentary lifestyle, and was treated for renal calculi four years ago. Which of the following actions, if performed by the nurse, is MOST important?

Correct Answer: D

Rationale: will document passage of stone and allow composition to be analyzed

Question 2 of 5

A child comes to the school nurse with a honey-colored crusted lesion below her right nostril. Which of the following actions should the nurse take FIRST?

Correct Answer: C

Rationale: describes impetigo, highly infectious superficial bacterial infection; notify parents so they can contact the physician

Question 3 of 5

The physician orders cholestyramine (Questran) 4 g PO qid for a 40-year-old client. The medication is provided in single-dose 4 g packets. The client asks the office nurse how to take the medication. The nurse should instruct the client to

Correct Answer: D

Rationale: ensures uniform suspension

Question 4 of 5

The nurse is preparing a patient for an 8:00 AM outpatient electroconvulsive (ECT) treatment. Which of the following questions is the MOST important for the nurse to ask?

Correct Answer: A

Rationale: client given general anesthesia for ECT; NPO after midnight

Question 5 of 5

The nurse is teaching a client with a new diagnosis of depression about citalopram (Celexa). Which of the following statements by the client indicates a need for further teaching?

Correct Answer: D

Rationale: Stopping citalopram when feeling better is incorrect, as depression requires prolonged treatment to prevent relapse. Options A, B, and C are correct: suicidal thoughts require immediate reporting, morning dosing minimizes insomnia, and alcohol increases sedation.

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