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Question 1 of 5

The nurse is assessing the deep tendon reflexes of a client with preeclampsia. Which method is used to elicit the biceps reflex?

Correct Answer: A

Rationale: The biceps reflex is elicited by placing the thumb on the biceps tendon in the antecubital space and tapping it with a reflex hammer.

Question 2 of 5

The nurse is performing discharge instruction for a client with an implantable permanent pacemaker. What discharge instruction is an essential part of the plan?

Correct Answer: C

Rationale: Clients with pacemakers must monitor their pulse to ensure the device is functioning correctly and to detect irregularities, making pulse-taking an essential discharge instruction.

Question 3 of 5

A child with a known peanut allergy is eating lunch at summer camp and develops an anaphylactic reaction from accidentally ingesting peanut butter-flavored cookies. The nurse's first intervention should be to

Correct Answer: C

Rationale: In an anaphylactic reaction, the priority is to stop further allergen exposure. Verifying the child has stopped eating and has no cookies in their mouth prevents additional allergen ingestion, which is critical before administering epinephrine or other interventions.

Question 4 of 5

An elderly client is returned to her room after an open reduction and internal fixation of the left femoral head after a fracture. It is MOST important for the nursing care plan to include that the client

Correct Answer: D

Rationale: prevents respiratory complications due to immobility following surgery

Question 5 of 5

A 20-year-old female has a prescription for tetracycline. While teaching the client how to take her medicine, the nurse learns that the client is also taking Ortho-Novum oral contraceptive pills. Which instructions should be included in the teaching plan?

Correct Answer: D

Rationale: Tetracycline can reduce the efficacy of oral contraceptives, necessitating backup contraception.

Similar Questions

A client who served three tours of duty in Afghanistan has been diagnosed with posttraumatic stress disorder (PTSD). Which of the following signs and symptoms does the nurse expect the client to exhibit? Select all that apply.
The client has an order for Claforan 665 mg. The directions say to reconstitute with 10 mL of bacteriostatic water to yield a concentration of 95 mg/mL. How many milliliters of solution should the nurse administer to give the dose of 665 mg?
A client has had a long leg cast removed after eight weeks. Which of the following actions is the correct method of cleansing the skin after cast removal?
The nurse is assisting the health care provider to perform a renal biopsy. Which position should the nurse place the client in?
The school nurse is assessing an elementary student with hemophilia who fell during recess. Which symptoms indicate hemarthrosis?

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