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Questions 149

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Question 1 of 5

The charge nurse is making assignments for the day shift. One of the nurses is 5 months pregnant. Which of the following clients is the most appropriate assignment for this expectant nurse?

Correct Answer: C

Rationale: Pneumonia is less likely to pose a risk to a pregnant nurse compared to shingles, measles (both vaccine-preventable and highly contagious), or C. difficile (requiring strict contact precautions).

Question 2 of 5

Which of the following factors increase the risk of developing deep vein thrombosis (DVT)? Select all that apply.

Correct Answer: B,C,D,F

Rationale: DVT risk factors include smoking (
B), surgery (
C), oral contraceptives (
D), and immobility (F). Underweight (
A) and high-protein diet (E) are not significant risks.

Question 3 of 5

The nurse is assisting a client with diverticulosis to select appropriate foods. Which food should be avoided?

Correct Answer: C

Rationale: Cucumber salad contains seeds and roughage, which can irritate the colon in diverticulosis and should be avoided.

Question 4 of 5

A schizophrenic client has been taking haloperidol (Haldol) for 20 months and has developed moderate extrapyramidal symptoms (EPS). The nurse anticipates the physician will likely prescribe what medication for EPS?

Correct Answer: D

Rationale: Benztropine, an anticholinergic, treats EPS (e.g., dystonia, parkinsonism) caused by antipsychotics like haloperidol.

Question 5 of 5

The nurse is caring for a client with dementia who tends to wander. Which of the following actions can help with this behavior? Select all that apply.

Correct Answer: A, B, C, D

Rationale: Frequent toileting, pain management, reorientation, and close monitoring address wandering causes and promote safety. Restraints are a last resort and not ideal for wandering.

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