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Questions 164

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Question 1 of 5

The health care provider has prescribed spironolactone to be given in addition to hydrochlorothiazide to a client with hypertension. Which finding by the nurse indicates that the spironolactone is having the desired effect?

Correct Answer: B

Rationale: Spironolactone is a potassium-sparing diuretic, so a normal potassium level indicates it is counteracting the potassium loss from hydrochlorothiazide.

Question 2 of 5

A behavior modification program is planned for an adolescent who exhibits disruptive behavior. Which action by the nurse is most consistent with a behavior modification program?

Correct Answer: B

Rationale: Positive reinforcement (extra privileges for non-disruptive behavior) aligns with behavior modification, encouraging desired actions. Punishment, reminders, or asking perceptions are less effective.

Question 3 of 5

An infant with Tetralogy of Fallot is discharged with a prescription for Lanoxin (digoxin) elixir. The nurse should instruct the mother to:

Correct Answer: B

Rationale: The calibrated dropper ensures accurate dosing of digoxin, which is critical due to its narrow therapeutic range. Other methods risk incorrect dosing.

Question 4 of 5

The home health nurse prepares to give benztropine to a 70-year-old client with Parkinson disease. Which client statement is most concerning and would warrant notification of the supervising registered nurse?

Correct Answer: A

Rationale: Benztropine can increase intraocular pressure, worsening glaucoma, and requires immediate follow-up.

Question 5 of 5

The nurse makes a home visit to a client with Alzheimer disease. While reviewing the client's home care needs, the client's spouse states, 'It's hard to see my spouse worsen each day. I'm not sure I can keep doing this alone anymore.' Which response by the nurse is best?

Correct Answer: B

Rationale: Exploring the spouse's daily challenges encourages open communication and helps identify specific support needs.

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