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Questions 164

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Question 1 of 5

The nurse is caring for a newly admitted man who has kidney stones. The man asks if he can get up and take a walk. How should the nurse respond?

Correct Answer: C

Rationale: Walking may facilitate kidney stone passage and is generally safe unless contraindicated, with assistance ensuring safety.

Question 2 of 5

The nurse is reinforcing education to a client with a venous thromboembolism who is prescribed rivaroxaban. Which statement by the client indicates the medication teaching has been effective?

Correct Answer: C

Rationale: Rivaroxaban is a direct oral anticoagulant that does not require routine monitoring of clotting levels, unlike warfarin. It also does not necessitate dietary restrictions like avoiding spinach and kale, which are relevant for warfarin due to vitamin K interactions. Avoiding aspirin is correct because it increases bleeding risk when combined with rivaroxaban. Weakness in legs is not a typical side effect of rivaroxaban.

Question 3 of 5

The nurse is talking with the parents of a 4-year-old client. The parents are concerned because the client was previously toilet trained but has started wetting the bed again while hospitalized. Which of the following responses would be most appropriate for the nurse to make?

Correct Answer: D

Rationale: Regression, such as bedwetting, is common in hospitalized children due to stress (
D). Reinforcing toileting behaviors (
A) may help but doesn't address the underlying cause. Fluid restriction (
B) is not appropriate without medical indication. Assuming misbehavior (
C) dismisses the emotional impact of hospitalization.

Question 4 of 5

The charge nurse in a long-term care facility is making assignments. When assigning personnel to care for residents, which principle is important?

Correct Answer: B

Rationale: Consistency with caregivers reduces anxiety and improves trust for confused clients, enhancing care quality. Daily rotation, gender restrictions, or caregiver choice are less effective.

Question 5 of 5

Because the client has hypothyroidism, the nurse expects which of the following to be present in the client?

Correct Answer: C

Rationale: Hypothyroidism slows metabolism, causing hypothermia (e.g., 96.8°F). Weight gain, not loss, slow respirations, and heavy menses are typical.

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