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Questions 149

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Extract:


Question 1 of 5

The clinic record for a client reads: gravida 3, para 2. The admitting nurse is most correct to confirm which prenatal history?

Correct Answer: B

Rationale: Gravida 3, para 2 indicates three pregnancies and two births after 20 weeks’ gestation, regardless of outcome (live or stillbirth).

Question 2 of 5

The nurse has taken the blood pressure of a client hospitalized with methicillin-resistant staphylococcus aureus (MRSA). Which action by the nurse indicates an understanding regarding the care of clients with MRSA?

Correct Answer: A

Rationale: Leaving the stethoscope in the room prevents MRSA transmission, as it avoids contaminating other areas or clients.

Question 3 of 5

A client with a history of abusing barbiturates abruptly stops taking the medication. The nurse should give priority to assessing the client for:

Correct Answer: B

Rationale: Abrupt cessation of barbiturates can cause withdrawal symptoms like tachycardia and diarrhea due to central nervous system hyperactivity.

Question 4 of 5

A client with a history of schizophrenia is seen in the local health clinic for medication follow-up. To maintain a therapeutic level of medication, the nurse should tell the client to avoid:

Correct Answer: A

Rationale: OTC allergy medications, like antihistamines, can interact with antipsychotics, potentially reducing their effectiveness or causing side effects.

Question 5 of 5

The family of a hospice client wishes to visit at midnight. Which of the following actions by the nurse would be the most appropriate?

Correct Answer: D

Rationale: In hospice care, allowing family visits at any time supports the client’s and family’s emotional needs, especially near end-of-life.

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