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Question 1 of 5

The client is admitted to the unit. A vaginal exam reveals that she is 3cm dilated. Which of the following statements would the nurse expect her to make?

Correct Answer: D

Rationale: At 3 cm dilation (early labor), clients often inquire about pain relief options like an epidural.

Question 2 of 5

A nurse who is a friend on a social media site with a coworker finds that the coworker has written on the media site confidential information about a well-known client's health history (information obtained from the client's her). What is the most appropriate response?

Correct Answer: D

Rationale: Reporting to a supervisor (
D) ensures proper handling of a HIPAA violation. Directly confronting the coworker (
A) may not ensure compliance, notifying the client (
B) is premature, and doing nothing (
C) ignores the breach.

Question 3 of 5

The nurse is caring for a 12-year-old client with appendicitis. The client's mother is a Jehovah's Witness and refuses to sign the blood permit. What nursing action is most appropriate?

Correct Answer: D

Rationale: Notifying the physician respects the mother's beliefs while ensuring the medical team addresses the refusal appropriately.

Question 4 of 5

A client with schizophrenia has been taking Thorazine (chlorpromazine) 200 mg four times a day. Which finding should be reported to the doctor immediately?

Correct Answer: C

Rationale: A sore throat may indicate agranulocytosis, a serious side effect of chlorpromazine, requiring immediate reporting.

Question 5 of 5

The nurse is caring for clients on a medical/surgical unit and determines that several situations need to be addressed. Which of the following situations should the nurse attend to FIRST?

Correct Answer: D

Rationale: should assess client to determine amount and cause of bleeding

Similar Questions

The nurse is educating a client about lifestyle modifications to manage hypertension. Which of the following modifications should the nurse recommend? Select all that apply.
A 3-year-old boy is diagnosed with plumbism. Which of the following information in his chart does the nurse associate with his diagnosis?
The nurse is preparing to administer regular insulin by continuous IV infusion to a client with diabetic ketoacidosis. The nurse should:
The nurse is preparing an adult male for a transurethral resection of the prostate (TURP). Which statement by the client indicates a need for further teaching by the nurse?
The physician has prescribed Nexium (esomeprazole) for a client with erosive gastritis. The nurse should administer the medication:

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