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Question 1 of 5

A nurse assigned to the rural health clinic is to administer a Mantoux test to a group of factory workers. The nurse should administer the test in each client's:

Correct Answer: C

Rationale: The Mantoux test is administered intradermally in the forearm for accurate reading of the tuberculin reaction. Thigh , buttock , and upper arm are incorrect sites.

Question 2 of 5

A client with paranoid personality disorder monopolizes group activities with complaints that the staff is out to get him. The nurse should:

Correct Answer: D

Rationale: One of the most therapeutic actions the nurse can take with the paranoid client is to spend time with him but not challenge his delusions. Answer A would challenge his delusions and make him more convinced that he is right, so it is incorrect. Answers B and C would isolate the client and increase his paranoid thinking, so they're incorrect.

Question 3 of 5

A client has been taking alprazolam (Xanax) for four years to manage anxiety. The client reports taking 0.5 mg four times a day. Which statement indicates that the client understands the nurse's teaching about discontinuing the medication?

Correct Answer: C

Rationale: Gradual tapering, as described, prevents withdrawal symptoms from benzodiazepines like Xanax. The other statements reflect misunderstandings about safe discontinuation. Psychosocial Integrity

Question 4 of 5

A nurse is teaching a patient about the use of an incentive spirometer. Which of the following instructions should the nurse include?

Correct Answer: B

Rationale: Inhaling slowly and deeply maximizes lung expansion, preventing atelectasis. Exhaling forcefully is incorrect, use is routine, and holding breath is secondary.

Question 5 of 5

The nurse is caring for a 16-year-old pregnant client who is taking an iron supplement. Which instruction should the nurse include when teaching the adolescent about ferrous sulfate? Select all that apply:

Correct Answer: C,D,E

Rationale: Because food delays absorption, the nurse should instruct the client to take the supplement between meals to increase absorption. The client should take the supplement with juice (preferably orange juice) or water, but not with milk or antacids. The nurse should also tell the client not to crush or chew extended-release forms of the drug.

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