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Question 1 of 5

In working with mental health clients who are prescribed medication that must be taken on a routine basis, it is important for education to begin when the drug therapy is initiated. One of the first steps in the teaching process is to:

Correct Answer: D

Rationale: (A, B,
C) The nurse must first obtain information regarding the client's perception of the medication regimen. The first step in the teaching process is to determine the client's perception.

Question 2 of 5

The nurse is teaching a client with a history of kidney stones about dietary modifications. The nurse should tell the client to:

Correct Answer: A

Rationale: Increasing fluid intake dilutes urine, reducing the risk of kidney stone formation.

Question 3 of 5

A client is scheduled to undergo a bone marrow aspiration from the sternum. What position would the nurse assist the client into for this procedure?

Correct Answer: B

Rationale: Supine position provides access to the sternum for bone marrow aspiration. Dorsal recumbent (
A) is for abdominal exams, High Fowler’s (
C) is for breathing, and lithotomy (
D) is for pelvic procedures.

Question 4 of 5

The client is admitted with a diagnosis of acute leukemia. Which nursing intervention is the priority?

Correct Answer: B

Rationale: Acute leukemia causes immunosuppression, making infection prevention (e.g., hand hygiene, protective isolation) the priority to avoid life-threatening complications. Pain, glucose, and diet are secondary.

Question 5 of 5

A client is admitted with symptoms of pseudomembranous colitis. Which finding is associated with Clostridium difficile?

Correct Answer: A

Rationale: Clostridium difficile causes pseudomembranous colitis, characterized by diarrhea with blood and mucus due to toxin-mediated inflammation of the colon.

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