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Questions 164

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Extract:


Question 1 of 5

The nurse is conducting intake interviews at the clinic. Which client situations would require the nurse to intervene? Select all that apply.

Correct Answer: A,D,E

Rationale: Milk reduces iron absorption, metronidazole with alcohol can cause severe reactions, and diphenhydramine can worsen closed-angle glaucoma.

Question 2 of 5

The nurse finds a person unresponsive on the floor. What is the initial nursing action?

Correct Answer: B

Rationale: Assessing respirations and pulse determines if CPR is needed, per ACLS guidelines. Compressions, positioning, or breathing are premature without confirming unresponsiveness and absence of pulse/breathing.

Question 3 of 5

The nurse is caring for a client diagnosed with active pulmonary tuberculosis. Which elements of transmission-based precautions are required for the nurse when providing routine care? Select all that apply.

Correct Answer: C,D

Rationale: Active pulmonary tuberculosis requires airborne precautions, including hand hygiene and an N95 respirator. A surgical mask is insufficient.

Question 4 of 5

A client is on a low-residue diet. All of the following are on the client's tray. Which should be removed?

Correct Answer: C

Rationale: Strawberry jam contains seeds, which increase intestinal residue, contraindicated in a low-residue diet. Roast beef, mashed potatoes, and white bread are low-fiber and appropriate.

Question 5 of 5

Which measures will help prevent falls in the elderly clients of a long-term care facility? Select all that apply.

Correct Answer: A,B,C,E

Rationale: Exercise, lighting, handrails, and rounds reduce fall risk. Smooth-soled shoes increase slipping risk.

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