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Questions 157

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Extract:


Question 1 of 5

The home health nurse is making the initial visit to a 42-year-old male client with terminal cancer. The client is first-generation American-Vietnamese and lives with his parents, wife, and three children. Which behavior would best promote a therapeutic nurse-client relationship?

Correct Answer: D

Rationale: In Vietnamese culture, respecting elders is key; addressing the eldest family member first builds trust. Yes/no questions limit communication, head touching may be offensive, and smiles may not indicate understanding.

Question 2 of 5

Which information would be most important for the public health department nurse to obtain before giving the client condoms?

Correct Answer: C

Rationale: Latex allergies can cause severe reactions, making it critical to assess before providing condoms. Frequency, preferences, and history are secondary.

Question 3 of 5

The client has been diagnosed with bronchitis. The client asks the nurse, 'Can I use eucalyptus oil in steam and breathe it in deeply?' Which response by the nurse would be most appropriate?

Correct Answer: B

Rationale: Eucalyptus oil in steam may act as a bronchodilator, relieving bronchitis symptoms, supported by complementary medicine. Dismissing folk medicine, assuming interactions, or preferring topical use lacks evidence.

Question 4 of 5

The client diagnosed with stomach cancer has developed disseminated intravascular coagulopathy (DIC). Which collaborative intervention should the nurse expect to implement?

Correct Answer: A

Rationale: Heparin prevents further clotting in DIC, a standard collaborative intervention, per ISTH guidelines.

Question 5 of 5

Which assessment information is the most critical indicator of a neurological deficit?

Correct Answer: B

Rationale: Level of consciousness is the most sensitive indicator of neurological status, reflecting brain function.

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