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Questions 149

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Question 1 of 5

The nurse is assisting a client who has experienced a left-sided cerebral vascular accident. The client requires assistance with personal hygiene. Which intervention should the nurse do initially?

Correct Answer: D

Rationale: Assessing the client’s abilities and deficits first guides appropriate hygiene assistance, considering left-sided neglect or weakness.

Question 2 of 5

A client with acute leukemia develops a low white blood cell count. In addition to the institution of isolation, the nurse should:

Correct Answer: D

Rationale: Sealed, single-serving foods reduce infection risk in neutropenic patients.

Question 3 of 5

The nurse is caring for a Muslim client who is recovering from an automobile accident and is unable to cleanse herself after a bowel movement. Which of the following should the nurse do to show respect for the woman's cultural and religious beliefs?

Correct Answer: B

Rationale: In Islamic culture, hygiene after defecation is important, and female clients may prefer assistance from female family members (
B) to maintain modesty. The left hand (
A) is traditionally used by the client, not the nurse. Gloves (
C) are standard but not cultural. The husband (
D) may not be appropriate due to modesty.

Question 4 of 5

A client with a femoral popliteal bypass graft is assigned to a semiprivate room. The most suitable roommate for this client is the client with:

Correct Answer: A

Rationale: Hypothyroidism poses the least risk of infection or complications, making it the safest roommate choice for a surgical client.

Question 5 of 5

The school nurse is teaching a group of preschool mothers about poison prevention in the home. Which of the following statements, if made by a mother to the nurse, indicates that further teaching is necessary?

Correct Answer: B

Rationale: vomiting contraindicated when child ingests hydrocarbons due to danger of aspiration

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