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Questions 164

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Question 1 of 5

The nurse is caring for a client who does not speak English. Which of the following actions should the nurse take to facilitate communication with the client? Select all that apply.

Correct Answer: B,C,E

Rationale: Short sentences aid clarity. Gender preference respects cultural needs. Ensuring understanding confirms effective communication. Using a spouse risks bias, and speaking to the interpreter excludes the client.

Question 2 of 5

The home health nurse is reviewing current medications with a client who has hypertension. Which of the following statements by the client would require follow-up?

Correct Answer: B

Rationale: Ibuprofen can reduce the efficacy of antihypertensives and cause fluid retention, worsening hypertension. Omeprazole , docusate , and hydrochlorothiazide are unlikely to interfere with hypertension management.

Question 3 of 5

The nurse is preparing to obtain a urine specimen for urinalysis from an 18-month-old client. Which of the following actions should the nurse take?

Correct Answer: B

Rationale: An adhesive collection bag is non-invasive and effective for toddlers. Catheterization is invasive, a cup is impractical, and a dipstick is inaccurate.

Question 4 of 5

The clinic nurse is reinforcing teaching to a client about levothyroxine, which the health care provider has prescribed for newly diagnosed hypothyroidism. Which statement made by the client indicates that further teaching is needed?

Correct Answer: D

Rationale: Antacids reduce levothyroxine absorption, requiring further teaching. Blood monitoring , lifelong use , and morning dosing are correct.

Question 5 of 5

Which statement made by a nurse about the goal of total quality management or continuous quality improvement in a health care setting is correct?

Correct Answer: B

Rationale: Improvement of the processes in a proactive, preventive mode is paramount.
Total quality management and continuous quality improvement have a major goal of identifying ways to do the right thing at the right time in the right way by proactive problem-solving.

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