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Questions 164

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Question 1 of 5

The 11:00 AM routine fingerstick (glucose monitoring) test for a client was assigned to the unlicensed assistive personnel by the nurse. At 11:15 AM, the client tells the nurse that no one checked the blood level. The nurse should take what action first?

Correct Answer: C

Rationale: Performing the test ensures timely glucose monitoring, which is critical for the client's care.

Question 2 of 5

The mother of a 1-week-old infant says to the nurse, 'When will that ugly black cord thing come off?' How should the nurse reply?

Correct Answer: B

Rationale: The umbilical cord typically detaches in 10 days to 3 weeks, providing accurate information. Other responses are irrelevant or incorrect.

Question 3 of 5

The daughter of an 80-year-old client recently diagnosed with Alzheimer disease (AD) says to the nurse, 'I guess I can anticipate getting this disease myself at some point.' What is an appropriate response by the nurse?

Correct Answer: A

Rationale: Regular exercise is associated with a reduced risk of Alzheimer disease. Family history is a risk factor, and aluminum is not a proven cause.

Question 4 of 5

The nurse is reviewing new medication prescriptions for assigned clients. The nurse should clarify the prescription for?

Correct Answer: C

Rationale: Transdermal fentanyl is typically reserved for chronic pain, not acute postoperative pain, and requires clarification.

Question 5 of 5

The nurse is conducting intake interviews at the clinic. Which client situations would require the nurse to intervene? Select all that apply.

Correct Answer: A,D,E

Rationale: Milk reduces iron absorption, metronidazole with alcohol can cause severe reactions, and diphenhydramine can worsen closed-angle glaucoma.

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