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Question 1 of 5

The doctor has ordered the removal of a Davol drain. Which of the following instructions should the nurse give to the client before removing the drain?

Correct Answer: C

Rationale: Holding the breath during Davol drain removal prevents air entry into the pleural space, reducing the risk of pneumothorax.

Question 2 of 5

The leukemic client is prescribed a low-bacteria diet. Which does the nurse expect to be included in this diet?

Correct Answer: A

Rationale: A low-bacteria diet includes cooked vegetables like spinach and celery to minimize infection risk, unlike raw foods (lettuce, strawberries, cauliflower) that may harbor bacteria.

Question 3 of 5

The physician has ordered Dilantin (phenytoin) for a client with generalized seizures. When planning the client's care the nurse should:

Correct Answer: D

Rationale: Dilantin can cause gingival hyperplasia, so oral hygiene and gum care are essential to prevent complications.

Question 4 of 5

A client is confused after receiving morphine for analgesia and repeatedly tries to pull out the intravenous (IV) line in her left arm. Which of the following actions is the best initial solution?

Correct Answer: A

Rationale: Camouflaging the IV and providing a safe alternative (
A) is a least-restrictive, non-invasive initial approach to prevent the client from pulling out the IV. Restraints (B,
C) should be a last resort, and discontinuing the IV (
D) is unnecessary.

Question 5 of 5

The physician has prescribed Coumadin (sodium warfarin) for a client having transient ischemic attacks. Which laboratory test measures the therapeutic level of Coumadin?

Correct Answer: A

Rationale: Prothrombin time (PT/INR) measures the therapeutic level of warfarin, ensuring effective anticoagulation.

Similar Questions

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Which of the following would be considered a sensible type of fluid loss?
A client with pulmonary edema is ordered IV hydrocortisone (Solu-Cortef) 40 mg b.i.d. Which laboratory value would the nurse expect to see as a result of this therapy?
A 23-year-old woman who is 16 weeks pregnant is seen by the nurse for a routine maternal-child clinic appointment. The client has had erratically controlled type 1 diabetes since 12 years old. The client asks the nurse if she is at risk during her pregnancy. The nurse instructs the client she should do which of the following actions to limit complications for both her and her baby? Select all that apply.
The nurse in the outpatient clinic teaches the mother of a 10-year-old boy with asthma how to prevent future asthmatic attacks. The nurse would be MOST concerned if the mother made which of the following statements?

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