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Questions 163

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Question 1 of 5

The client has contact dermatitis from poison ivy. Which statement, if made by the client, indicates that he understands how to care for his condition?

Correct Answer: C

Rationale: A cool wet cloth soothes itching and inflammation in contact dermatitis. Hot baths, strong soaps, or wool exacerbate irritation.

Question 2 of 5

The client tells the nurse she is having trouble falling asleep. What initial nursing action is least appropriate?

Correct Answer: A

Rationale: Requesting sleeping medication is premature and least appropriate without exploring non-pharmacologic interventions like back rubs, addressing concerns, or repositioning, which promote sleep naturally.

Question 3 of 5

The nurse is collecting data on a client with hypertension and essential tremor who received the first dose of propranolol 2 hours ago. Which assessment is most concerning to the nurse?

Correct Answer: D

Rationale: Wheezing post-propranolol is concerning for bronchospasm, a serious side effect in a patient with no known respiratory history. Headache , elevated BP , and mild heart rate decrease are less urgent.

Question 4 of 5

The physician has ordered a sterile urine specimen to be collected from a client who has a Foley catheter. To obtain a sterile urine specimen, the nurse should:

Correct Answer: D

Rationale: Withdrawing from the catheter port with a syringe ensures a sterile specimen. Other methods risk contamination.

Question 5 of 5

The nurse is providing home care for a client who is visually impaired. What safety precaution is most appropriate for this client?

Correct Answer: A

Rationale: Removing scatter rugs prevents tripping, the most effective safety measure for a visually impaired client at home.

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