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Question 1 of 5

The nurse is caring for a client with a history of schizophrenia, alcohol abuse, bipolar disorder, and noncompliance with treatment and medications. The client has also been arrested in the past for violent behavior. Which action by the nurse is the most important when caring for a potentially violent client?

Correct Answer: B

Rationale: Maintaining an open pathway to the door ensures the nurse’s safety if the client becomes violent, prioritizing personal safety.

Question 2 of 5

Which of the following findings is associated with right-sided heart failure?

Correct Answer: B

Rationale: Nocturnal polyuria is a classic sign of right-sided heart failure due to fluid redistribution when lying down.

Question 3 of 5

Which of the following actions does NOT require the use of standard precautions?

Correct Answer: C

Rationale: Standard precautions are required for contact with blood, urine, and vomit due to potential infectious agents. Sweat is not considered a significant risk for transmission.

Question 4 of 5

The primary cause of anemia in a client with chronic renal failure is:

Correct Answer: D

Rationale: Chronic renal failure reduces erythropoietin production by the kidneys, leading to decreased red blood cell production and anemia.

Question 5 of 5

The physician has ordered nitroglycerin buccal tablets for a client with stable angina. The nurse knows that nitroglycerin:

Correct Answer: B

Rationale: Nitroglycerin dilates coronary blood vessels, improving blood flow to the myocardium and relieving angina.

Similar Questions

The client has recently returned from having a thyroidectomy. The nurse should keep which of the following at the bedside?
The nurse enters a client's room and finds him lying on the floor. The client says to the nurse, 'I fell because I was trying to go to the bathroom and no one answered my call light.' Which of the following actions by the nurse are correct? Select all that apply.
The nurse is teaching a client with a new colostomy about dietary management. Which of the following foods should the nurse recommend the client avoid to reduce odor and gas?
A client with schizophrenia is receiving depot injections of Haldol Deconate (haloperidol decanoate). The client should be told to return for his next injection in:
A temporary colostomy is performed on the client with colon cancer. The nurse is aware that the proximal end of a double barrel colostomy:

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