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Questions 157

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Question 1 of 5

The client is admitted into the medical unit diagnosed with heart failure and is prescribed the thyroid hormone levothyroxine (Synthroid) orally. Which intervention should the nurse implement?

Correct Answer: A

Rationale: Synthroid is not indicated for heart failure and may worsen cardiac strain; clarifying the order ensures safety.

Question 2 of 5

The nurse and the unlicensed assistive personnel are performing postmortem care on a client. Two (2) of the family members are seen laughing about a memory of the client. What explanation of this behavior would be best for the nurse to give the unlicensed assistive personnel?

Correct Answer: C

Rationale: Laughter about memories is a coping mechanism for grief, per cultural and psychological norms. Assuming lack of love, inappropriateness, or lack of education is judgmental.

Question 3 of 5

The nurse is assisting the client diagnosed with chronic pain to identify methods of complementary and alternative medicine (CAM). Which would indicate an expected outcome was achieved?

Correct Answer: D

Rationale: Performing ADLs without pain indicates effective CAM, improving function. Bed rest, increased pain, or routine medication are not CAM-specific outcomes.

Question 4 of 5

The unlicensed assistive personnel asked the wound care nurse why a client has cabbage leaves on the wound. Which statement would be the best response by the nurse?

Correct Answer: A

Rationale: Cabbage leaves have documented anti-inflammatory properties, used in folk medicine. Calling it ignorance, placebo, or only moisture is dismissive or inaccurate.

Question 5 of 5

Which expected outcome should be included in the plan of care for a postoperative client practicing guided imagery?

Correct Answer: B

Rationale: Guided imagery reduces pain perception, so a decreased pain score is the expected outcome. WBC count, urine output, and dressing drainage are unrelated.

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