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Question 1 of 5

The nurse is teaching a client about digoxin (Lanoxin) therapy. Which statement by the client indicates understanding?

Correct Answer: A

Rationale: Checking the pulse before digoxin helps detect bradycardia, a sign of toxicity.

Question 2 of 5

The nurse is caring for a client with a history of Parkinson's disease. Which intervention promotes mobility?

Correct Answer: B

Rationale: Small, deliberate steps help overcome shuffling gait in Parkinson's disease.

Question 3 of 5

A client diagnosed with a GI bleed has received an order for a blood transfusion. Place the nursing actions in the correct order for administering the blood transfusion.

Order the Items

Source Container

Verify the client's identity and blood product with another nurse.
Obtain the client's baseline vital signs.
Start the blood transfusion at a slow rate.
Monitor the client for transfusion reactions.
Prime the IV tubing with normal saline.

Correct Answer: B,E,A,C,D

Rationale: 1. Obtain baseline vital signs to assess for changes. 2. Prime IV tubing with normal saline to ensure compatibility. 3. Verify identity and blood product to prevent errors. 4. Start transfusion slowly to monitor for reactions. 5. Monitor for transfusion reactions throughout.

Question 4 of 5

The nurse is teaching the client and the family members about protection measures when the client, diagnosed with AIDS, returns home. Which instruction indicates that the nurse is unclear about the disease transmission?

Correct Answer: C

Rationale: A. This is the correct formula for mixing a bleach solution for disinfection. B. Placing contaminated items in a plastic bag and then in the garbage is the correct method for disposing of contaminated articles. Sharps should first be placed in a rigid labeled container (such as a tin can), bleach solution added, the lid taped, and then placed in a bag for disposal in the garbage. C. Because sharing eating utensils does not transmit HIV, it is unnecessary to separately wash dishes and silverware used by the client. The client is prone to opportunistic and other infections. D. Cleaning with soap and water and then disinfecting with bleach solution is the correct method for cleaning body fluid spills.

Question 5 of 5

A 17-year-old unmarried postpartum client is being discharged. Which situation suggests the need for a community-based assistance referral after discharge?

Correct Answer: B

Rationale: Living alone as a young, unmarried mother indicates a lack of immediate support, necessitating a referral for community assistance.

Similar Questions

When a client becomes angry and shouts at the nurse because of a dislike for food that was served, which response by the nurse is most appropriate?
Which assessment finding in a client with heart failure indicates fluid overload? Select all that apply.
While walking down the hallway, a nurse notices that a coworker has left the computer screen on while still logged into the system. A newly admitted client's sexual history is visible. The nurse leaves the screen as it is and tries to locate the coworker. Upon returning, the nurse sees that a visitor is reading the computer screen. Who is responsible for this Health Insurance Portability and Accountability Act (HIPAA) violation? Select all that apply.
A client with a history of hypothyroidism is prescribed levothyroxine. Which instruction should the nurse include?
The nurse teaches the client with erectile dysfunction about the use of alprostadil via subcutaneous penile injection. Which statement indicates the client needs further teaching?

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