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Questions 148

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Question 1 of 5

The nurse is on a memory care unit. A client insists on leaving to go home. Which of the following should the nurse do?

Correct Answer: B

Rationale: Redirecting the client to a social activity can help distract from the desire to leave and promote engagement, which is appropriate for a client with memory issues.

Question 2 of 5

Which of the following is NOT a component of evidence-based practice?

Correct Answer: B

Rationale: Evidence-based practice integrates research outcomes, patient values, and clinical expertise. Culturally competent care is important but not a core component of EBP.

Question 3 of 5

Which snack selection by a client with osteoporosis indicates that the client understands the dietary management of the disease?

Correct Answer: C

Rationale: Yogurt is rich in calcium, which is essential for bone health in osteoporosis management.

Question 4 of 5

A client's admission history reveals complaints of fatigue, chronic sore throat, and enlarged lymph nodes in the axilla and neck. Which exam would assist the physician to make a tentative diagnosis of leukemia?

Correct Answer: A

Rationale: A complete blood count (CB
C) is the initial test for leukemia, revealing abnormal white blood cell counts, anemia, or thrombocytopenia, supporting a tentative diagnosis.

Question 5 of 5

The nurse is caring for a client who is postoperative day 3 following a bowel resection. The client reports sudden, severe abdominal pain and distention. Which of the following actions should the nurse take FIRST?

Correct Answer: B

Rationale: sudden, severe abdominal pain and distention may indicate a complication such as an anastomotic leak, requiring immediate physician notification

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