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Question 1 of 5

The graduate nurse (GN) is reinforcing education on sitting on and standing up from a chair to a client with crutches. Which instruction by the GN would cause the supervising nurse to intervene?

Correct Answer: A

Rationale: Holding a crutch in each hand is incorrect as crutches should be placed together on the unaffected side or against a stable surface to free the hands for support when standing. Other instructions (B, C,
D) are correct for safe crutch use during sitting and standing.

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

An adult client in an acute care setting asks the nurse to show him his hospital records. The nurse's response should reflect which understanding?

Correct Answer: C

Rationale: HIPAA grants clients the right to access their medical records and receive explanations, ensuring transparency. Court orders, physician approval, or committees are not required.

Question 4 of 5

The client with herpes zoster will most likely have an order for which category of medication?

Correct Answer: C

Rationale: Herpes zoster, caused by the varicella-zoster virus, is treated with antivirals like acyclovir to reduce severity and duration. Antibiotics, antipyretics, and anticoagulants are not primary treatments.

Question 5 of 5

Which observation in the newborn of a diabetic mother would require immediate nursing intervention?

Correct Answer: C

Rationale: Jitteriness in a newborn of a diabetic mother may indicate hypoglycemia, requiring immediate intervention. Crying, wakefulness, and yawning are normal behaviors, so A, B, and D are incorrect.

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