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Questions 210

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Question 1 of 5

The nurse is caring for a client with schizophrenia who is experiencing auditory hallucinations and has a new prescription for an oral antipsychotic. Which of the following actions should the nurse take?

Correct Answer: C

Rationale: Instructing the client to ignore hallucinations helps them manage symptoms by redirecting focus, a practical coping strategy. Music or touch may exacerbate distress, and antipsychotics typically take days to weeks to reduce hallucinations, not hours.

Question 2 of 5

Which of the following interventions is most helpful in determining the need for oxygen therapy for a client with COPD?

Correct Answer: D

Rationale: Pulse oximetry objectively measures oxygen saturation, guiding the need for oxygen therapy in COPD. Subjective reports and hemoglobin levels are less direct.

Question 3 of 5

The practical nurse is assisting the registered nurse in caring for 4 clients in the pediatric emergency department. Which client should be seen first?

Correct Answer: A

Rationale: The adolescent with abdominal pain, tachycardia (heart rate 120/min), and tachypnea (respirations 26/min) may have a serious condition like appendicitis or perforation, requiring urgent evaluation. The other clients' conditions are less acute.

Question 4 of 5

The nurse is reinforcing teaching to a client with a hiatal hernia. Which statement by the client indicates that further teaching is needed?

Correct Answer: D

Rationale: Weight lifting can increase intra-abdominal pressure, worsening hiatal hernia symptoms, indicating a need for further teaching. Raising the bed, staying upright post-meals, and considering surgery for persistent symptoms are correct management strategies.

Question 5 of 5

Which of these clients is at greatest risk for the complications associated with osteoporosis?

Correct Answer: C

Rationale: The 70-year-old postmenopausal woman has multiple risk factors: age, immobility, corticosteroid use, and alcohol consumption, maximizing osteoporosis complication risk.

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