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Question 1 of 5

The nurse is screening clients for those at risk for developing oral candidiasis. The nurse should recognize the client at highest risk for developing oral candidiasis is a client who

Correct Answer: C

Rationale: An HIV-positive client on long-term antibiotics is at highest risk for oral candidiasis due to immunosuppression and microbial imbalance. Albuterol use , sugary drinks , and low albumin are less significant risk factors.

Question 2 of 5

While sitting in the cafeteria, a nurse overhears two students discussing a client admitted for chemical detoxification. The nurse should:

Correct Answer: C

Rationale: Confronting the students addresses the breach of confidentiality directly and educates them. Reporting to the teacher or supervisor escalates unnecessarily, and ignoring the behavior allows the violation to persist.

Question 3 of 5

An adult woman who has multiple sclerosis (MS) asks the nurse why she developed multiple sclerosis. What information should the nurse include when responding?

Correct Answer: B

Rationale: Multiple sclerosis is an autoimmune disorder where the immune system attacks myelin in the central nervous system, unlike infections or mosquito bites.

Question 4 of 5

The nurse has just received the shift report. Which one of the following clients should be seen first?

Correct Answer: D

Rationale: Answer D is correct. There is nothing in answer A that indicates the client is unstable. Answer B is a good choice, but the client three days post-fracture may have a slight temperature, so he should be seen second. Answer C is also a good choice, but if the infant with dehydration is stable, the 8-week-old with respiratory distress (sub-sternal retractions and low oxygen saturation) is the most critical and should be seen first.

Question 5 of 5

A client diagnosed with cirrhosis is started on lactulose (Cephulac). The main purpose of the drug for this client is to

Correct Answer: B

Rationale: Lactulose blocks the absorption of ammonia from the GI tract and secondarily stimulates bowel elimination.

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