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Questions 158

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Question 1 of 5

The nurse is teaching the client regarding use of sodium warfarin. Which statement made by the client would require further teaching?

Correct Answer: C

Rationale: Taking aspirin while on warfarin increases bleeding risk due to their combined anticoagulant effects. The client needs further teaching to avoid aspirin. Monthly blood draws (for INR), checking for rashes (a side effect), and using an electric razor (to reduce cuts) are appropriate.

Question 2 of 5

The nurse is assessing a client with suspected tuberculosis. Which precaution should be implemented?

Correct Answer: B

Rationale: Tuberculosis is transmitted via airborne droplets, requiring airborne precautions (e.g., N95 mask, negative pressure room). Standard, droplet, and contact precautions are insufficient.

Question 3 of 5

The client is diagnosed with a pleural effusion. Which intervention should the nurse anticipate?

Correct Answer: B

Rationale: Thoracentesis is used to remove fluid from a pleural effusion, relieving respiratory distress. Chest tubes are for pneumothorax or persistent effusions, bronchoscopy is diagnostic, and nebulizers are irrelevant.

Question 4 of 5

A male client is scheduled for a liver biopsy. In preparing him for this test, the nurse should:

Correct Answer: D

Rationale: Post-liver biopsy, vital signs are monitored frequently to detect hemorrhage or shock, the most likely complications.

Question 5 of 5

A female client has been treated since childhood for mitral valve prolapse. The antibiotic of choice for her during pregnancy would be:

Correct Answer: D

Rationale: Sulfa is a teratogen and will cause kernicterus. Tetracycline is a teratogen and will affect tooth development. Hydralazine is not an antibiotic but a calcium channel blocker. Erythromycin is safe during pregnancy and can be used when the client is allergic to penicillin.

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