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Questions 148

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Question 1 of 5

The charge nurse notices another nurse on the floor reading the chart of a client who is not under her care. When confronted, the nurse says, 'This client is my neighbor, and I'm just concerned about him.' Which is the correct response by the charge nurse?

Correct Answer: C

Rationale: Accessing a chart without a care-related purpose violates HIPAA and patient privacy, regardless of personal relationships.

Question 2 of 5

A client with Alzheimer's disease is awaiting placement in a skilled nursing facility. Which long-term plans would be most therapeutic for the client?

Correct Answer: C

Rationale: Simple signs help orient clients with Alzheimer's, reducing confusion and promoting independence in a new environment.

Question 3 of 5

A client with AIDS complains of a weight loss of 20 pounds in the past month. Which diet is suggested for the client with AIDS?

Correct Answer: D

Rationale: A high-calorie, high-protein, low-fat diet helps maintain weight and muscle mass in clients with AIDS while minimizing gastrointestinal complications.

Question 4 of 5

When planning the care for a client after a posterior fossa (infratentorial) craniotomy, which action is contraindicated?

Correct Answer: B

Rationale: Elevating the head of the bed can increase intracranial pressure in posterior fossa craniotomy clients due to disruption of cerebrospinal fluid flow, making it contraindicated.

Question 5 of 5

A student nurse is assigned to care for a client in a protective environment room. The nurse knows to intervene upon observing which of the following deliveries by the nursing student?

Correct Answer: B

Rationale: Flowers can introduce allergens or pathogens, which are contraindicated in a protective environment. Other items are safe if sterile or disposable.

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