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Question 1 of 5

The nurse is teaching a client about warfarin (Coumadin) therapy. Which statement by the client indicates a need for further teaching?

Correct Answer: C

Rationale: Ibuprofen increases bleeding risk with warfarin; the client should use acetaminophen, indicating a need for further teaching.

Question 2 of 5

The nurse is caring for the client who is 24 hours post-TURP and is having painful bladder spasms. Which intervention should the nurse plan to implement?

Correct Answer: B

Rationale: A. Opioid medications will decrease the pain sensations but will not decrease the muscle spasms. B. The belladonna and opium suppository will inhibit smooth muscle contraction and decrease bladder spasms; thus, it will also reduce pain. C. Ambulation will not decrease the discomfort. D. Heat, rather than cold, is the recommended nonphannacological treatment for bladder spasms.

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 reviewing hospital admission orders for the client diagnosed with acute prostatitis- Which prescription should the nurse verify with the HCP?

Correct Answer: D

Rationale: A. Trimethoprim/sulfamethoxazole (Bactrim) is a common antibiotic used to treat acute prostatitis. B. Analgesics, such as ibuprofen (Motrin), should be used for pain control, and rest should be encouraged. C. Increasing fluid intake and voiding often help decrease irritation when emptying the bladder. D. Passage of a urinary catheter through an inflamed urethra is contraindicated in acute prostatitis. If urinary retention is a concern, a suprapubic catheter should be placed.

Question 5 of 5

The nurse is caring for a client with a history of schizophrenia. Which behavior indicates a positive symptom?

Correct Answer: A

Rationale: Hallucinations are a positive symptom of schizophrenia, involving added sensory experiences.

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When performing a mental status assessment on an adult client with hypothyroidism, which behavior should the nurse expect?
Which assessment finding provides the best evidence that a client with a long history of smoking is experiencing respiratory difficulty?
The nurse is caring for the client who is angry about a new diagnosis of gonorrhea. The client informs the nurse, "I absolutely will not allow the release of this information to anyone." Which response by the nurse is most appropriate?

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