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Questions 157

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Question 1 of 5

The nurse and the unlicensed assistive personnel (UAP) are caring for clients on a medical floor. Which nursing task could be delegated to the UAP?

Correct Answer: C

Rationale: Routine vital sign collection is within UAP scope, unlike post-medication BP, HCP notification, or lab discussions.

Question 2 of 5

The client with a deficiency of the immune system questions the nurse about the use of ginseng. Which information should the nurse teach the client?

Correct Answer: C

Rationale: Ginseng should not be used continuously (>2 months) due to risks like hypertension or insomnia, especially in immunocompromised clients. Daily dosing, caffeine, or no contraindications are inaccurate.

Question 3 of 5

Which comment by the client diagnosed with rule-out Guillain-Barré (GB) syndrome is most significant when completing the admission interview?

Correct Answer: A

Rationale: Recent gastroenteritis (e.g., Campylobacter) is a known trigger for Guillain-Barré, making it significant.

Question 4 of 5

Which expected outcome should be included in the plan of care for a postoperative client practicing guided imagery?

Correct Answer: B

Rationale: Guided imagery reduces pain perception, so a decreased pain score is the expected outcome. WBC count, urine output, and dressing drainage are unrelated.

Question 5 of 5

Which client should the charge nurse of the day surgery unit assign to a new graduate nurse in orientation?

Correct Answer: D

Rationale: The myelogram client is stable, suitable for a new graduate, unlike hypotensive, confused, or ICU-bound clients requiring advanced skills.

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