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Questions 158

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Question 1 of 5

The charge nurse of a medical surgical unit is assigning tasks for the day. Which client care assignments are most appropriate for the unlicensed assistive personnel?

Correct Answer: A, C, E

Rationale: UAPs can feed (
A), ambulate (
C), and bathe (E) clients, as these are within their scope. Vital signs on unstable clients (
B) and checking stools for blood (
D) require nursing assessment.

Question 2 of 5

Parents of a toddler are dismayed when they learn that their child has Duchenne's muscular dystrophy. Which statement describes the inheritance pattern of the disorder?

Correct Answer: D

Rationale: Duchenne's muscular dystrophy is an X-linked recessive disorder, with the affected gene on the mother's X chromosome, primarily affecting males.

Question 3 of 5

A client with a history of chronic venous insufficiency is admitted with complaints of leg swelling. The nurse should give priority to:

Correct Answer: A

Rationale: Elevating the legs reduces venous pooling and edema in chronic venous insufficiency, improving circulation and relieving swelling.

Question 4 of 5

The nurse is teaching a client with a history of hypertension about dietary modifications. The nurse should tell the client to avoid:

Correct Answer: C

Rationale: Processed foods are high in sodium, which can exacerbate hypertension by increasing blood volume, so they should be avoided.

Question 5 of 5

A 75-year-old client is hospitalized with pneumonia caused by gram-positive bacteria. Which one of the following best describes a gram-positive bacterial pneumonia?

Correct Answer: B

Rationale: Klebsiella pneumonia is caused by gram-negative bacteria. Pneumococcal pneumonia is caused by gram-positive bacteria. Legionella pneumophila pneumonia is a nonbacterial pneumonia. E. coli pneumonia is caused by gram-negative bacteria.

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