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Extract:


Question 1 of 5

One aspect of implementation related to drug therapy is:

Correct Answer: B

Rationale: Although documentation isn't a step in the nursing process, the nurse is legally required to document activities related to drug therapy, including the time of administration, the quantity, and the client's reaction. Developing a content outline, establishing outcome criteria, and setting realistic client goals are parts of planning rather than implementation.

Question 2 of 5

A factory worker is brought to the nurse's office after a metal fragment enters her right eye. The nurse should:

Correct Answer: D

Rationale: Covering both eyes prevents movement and further damage, and ER transport ensures specialist care. Covering only one eye, attempting removal, or flushing risks worsening the injury.

Question 3 of 5

A nurse is caring for a patient with bipolar disorder who is experiencing a depressive episode. Which of the following interventions is most appropriate?

Correct Answer: C

Rationale: Allowing rest and sleep supports recovery during a depressive episode, as energy is low. Group activities or stimulation may overwhelm, and expression should be encouraged.

Extract:

A patient walked in an extremely busy emergency room. While waiting for his turn to been seen by the nurse, he suddenly became very aggressive and was demanding to see a doctor. He came forward to the nurse in a threatening stance.


Question 4 of 5

Which of the following actions made by the nurse promotes her safety?

Correct Answer: B

Rationale: Creating a safe distance prioritizes the nurse's safety in a threatening situation.

Extract:

Following a successful treatment from hypothyroidism, the patient is discharged with Synthroid.


Question 5 of 5

Which of the following discharged instruction is inappropriate?

Correct Answer: D

Rationale: Synthroid is best taken in the morning to avoid insomnia, making bedtime administration inappropriate.

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