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Question 1 of 5

The home health nurse is reinforcing teaching for a client with atrial fibrillation who is prescribed digoxin 0.25 mg orally on even-numbered days. Which client statement will require further teaching about digoxin?

Correct Answer: D

Rationale: Taking blood pressure (
D) is unrelated to digoxin monitoring. Anorexia (A Anorexia (
A), dizziness (
B), and visual changes (
C) are signs of digoxin toxicity, requiring provider notification.

Question 2 of 5

A client scheduled for electroconvulsive therapy tells the nurse, 'I'm so afraid. What will happen to me during the treatment?' Which of the following statements is most therapeutic for the nurse to make?

Correct Answer: A

Rationale: Explaining that medication will relax the client addresses their fear and provides reassurance about the procedure's safety, making it the most therapeutic response.

Question 3 of 5

The client with a colostomy does not feel that the irrigating solution has drained completely. The nurse can enhance the effectiveness of the colostomy irrigation by telling the client to:

Correct Answer: A

Rationale: Gentle abdominal massage can stimulate peristalsis and help the irrigation solution drain completely from the colostomy. Reducing solution or using a heating pad is not standard, and increasing oral intake is unrelated.

Question 4 of 5

A client using a diaphragm should be instructed to:

Correct Answer: A

Rationale: Leaving a diaphragm in place longer than 8 hours increases infection risk. Resizing is needed for significant weight changes (e.g., 10+ pounds) or post-surgery, not minor changes.

Question 5 of 5

The nurse recognizes that it is acceptable for which pair of clients to be assigned to share a semi-private room?

Correct Answer: D

Rationale: Clients with gastroenteritis and chemotherapy-induced diarrhea (
D) have similar non-airborne conditions, making them suitable roommates. Pneumonia (
B) and fever of unknown origin (
C) pose infection risks. Anemia and anorexia (
A) are unrelated but not optimal.

Similar Questions

The nurse is talking with a client with hypertension and hyperlipidemia who is receiving nifedipine and simvastatin. Which of the following statements by the client would require follow-up?
The nurse can best ensure the safety of a client suffering from dementia who wanders from the room by which action?
The nurse is caring for a client who has chickenpox with open lesions. Which of the following infection control precautions should the nurse implement?
The nurse has performed the initial assessments of 4 clients admitted with an acute episode of asthma. Which assessment finding would cause the nurse to call the provider immediately?
A charge nurse suspects that the unlicensed assistive personnel (UAP) is falsifying the documentation of clients' capillary glucose results rather than performing the test. What is the best action by the charge nurse to handle this situation?

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