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Question 1 of 5

Teaching the client with gonorrhea how to prevent reinfection and further spread is an example of:

Correct Answer: B

Rationale: Secondary prevention targets the reduction of disease prevalence and disease morbidity through early diagnosis and treatment. Physiological Adaptation

Question 2 of 5

The nurse is admitting a 3-year-old child who is thought to have meningococcal meningitis. What type of room assignment is most appropriate?

Correct Answer: C

Rationale: Meningococcal meningitis is highly contagious, requiring droplet isolation in an isolation room to prevent spread, unlike private or semi-private rooms.

Question 3 of 5

A 25 year-old client, unresponsive after a motor vehicle accident, is being transferred from the hospital to a long term care facility. To which staff member should the charge nurse assign the client?

Correct Answer: D

Rationale: The RN is responsible for teaching and assessment associated with discharge and these activities cannot be delegated to the others listed.

Question 4 of 5

A client in the ICU is given procainamide HCl (Pronestyl) slowly IV push. The nurse should withhold the next dose if which of the following was observed?

Correct Answer: B

Rationale: Procainamide treats ventricular and atrial arrhythmias, but severe hypotension is an adverse reaction requiring the dose to be withheld. PVCs (
A) and atrial tachycardia (
C) are indications for use, and a normal sedimentation rate (
D) is irrelevant.

Question 5 of 5

A client on warfarin therapy following coronary artery stent placement calls the clinic to ask if he can take Alka-Seltzer for an upset stomach. What is the best response by the nurse?

Correct Answer: A

Rationale: Avoid Alka-Seltzer because it contains aspirin. Alka-Seltzer is an over-the-counter aspirin-antacid combination. Aspirin, an antiplatelet drug, will potentiate the anticoagulant effect of warfarin, which may result in excess bleeding.

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