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Questions 148

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Extract:


Question 1 of 5

The nurse is providing client education on self-administration of insulin. Which action by the client indicates the need for further education?

Correct Answer: A

Rationale: Rubbing the injection site can cause tissue damage and affect insulin absorption, indicating a need for further teaching.

Question 2 of 5

Ideally, the first dose of what vaccine is given at birth?

Correct Answer: D

Rationale: The hepatitis B vaccine is recommended at birth to prevent perinatal transmission and establish early immunity.

Question 3 of 5

The nurse is delegating tasks to an experienced, unlicensed assistive personnel (UAP). Which of the following clients should the nurse delegate to the UAP?

Correct Answer: C

Rationale: Ambulating a client is within a UAP’s scope, requiring minimal clinical judgment, unlike wound care, tracheostomy care, or pain assessment.

Question 4 of 5

An 88-year-old client fractured a hip after a fall in her home. Because of her peripheral vascular disease and asthma, surgery is not an option. The client tells the nurse she does not know how she is going to get better. Which response by the nurse is best?

Correct Answer: C

Rationale: This response encourages the client to express her concerns, allowing the nurse to address specific fears and provide tailored support.

Question 5 of 5

The nurse is caring for a client with a history of spinal cord injury who is admitted with a urinary tract infection. Which of the following interventions should the nurse implement?

Correct Answer: B

Rationale: antibiotics are the primary treatment for a urinary tract infection

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