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Questions 149

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Question 1 of 5

The nurse is caring for a client with dementia who tends to wander. Which of the following actions can help with this behavior? Select all that apply.

Correct Answer: A, B, C, D

Rationale: Frequent toileting, pain management, reorientation, and close monitoring address wandering causes and promote safety. Restraints are a last resort and not ideal for wandering.

Question 2 of 5

The nurse is preparing a client for discharge following the removal of a cataract. The nurse should tell the client to:

Correct Answer: B

Rationale: Avoiding bending over prevents increased intraocular pressure post-cataract surgery.

Question 3 of 5

The charge nurse on a surgical unit incorporates an authoritative style of leadership. Which characteristics describe this style of leadership? Select all that apply.

Correct Answer: B, D

Rationale: Authoritative leadership involves top-down communication and can use coercion to motivate, focusing on control rather than collaboration or support.

Question 4 of 5

A home health nurse is planning for her daily visits. Which client should the home health nurse visit first?

Correct Answer: A

Rationale: Foscarnet requires monitoring for toxicity, making this client a priority.

Question 5 of 5

A 22-year-old pregnant client is diagnosed with autoimmune hemolytic anemia. The nurse anticipates immediate treatment with

Correct Answer: E

Rationale: Autoimmune hemolytic anemia in pregnancy is typically treated with corticosteroids or IVIG (containing IgG), but IgG alone isn’t administered. None of the options are correct.

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