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Questions 176

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Question 1 of 5

The nurse is reinforcing teaching for a client with bipolar disorder who has a new prescription for lithium. Which of the following statements by the client would require follow-up?

Correct Answer: B

Rationale: Ibuprofen (
B) can increase lithium toxicity, requiring follow-up. Adequate fluid intake (
A), consistent sodium (
C), and periodic level checks (
D) are correct.

Question 2 of 5

Which test for diabetes measures the long-term management of the disease?

Correct Answer: D

Rationale: Glycosylated hemoglobin (HbA1c) measures average blood glucose over 2-3 months, assessing long-term diabetes control, unlike fasting, tolerance, or finger stick tests, which are short-term.

Question 3 of 5

The client is brought to the emergency department in handcuffs by the police. Witnesses said that the client became violent and confused after consuming large amounts of alcohol at a party. The client is placed in 4-point restraints, and ziprasidone hydrochloride is administered. The client is sleeping 30 minutes later. What is a priority action for the nurse at this time?

Correct Answer: B

Rationale: The client is now sleeping, suggesting reduced agitation. Determining if restraints can be removed (
B) is the priority to minimize harm and promote safety. Bipolar history (
A), ECG changes (
C), and blood alcohol level (
D) are important but less urgent.

Question 4 of 5

The nurse is caring for a hospitalized client. Which is the best example of narrative documentation to provide legal malpractice protection for the nurse after an adverse event?

Correct Answer: C

Rationale: Detailed, objective documentation (
C) with times, actions, and follow-up plans provides the best legal protection. Options A, B, and D include assumptions, vague details, or irrelevant information.

Question 5 of 5

The nurse is discussing positioning with the family of a client who is at home following a total hip replacement a week ago. Which should be included in the discussion?

Correct Answer: C

Rationale: A pillow between the legs maintains hip abduction, preventing dislocation post-hip replacement, a critical positioning instruction.

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