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Extract:


Question 1 of 5

The nurse is to obtain an apical-radial pulse on a client. Which statement is true regarding obtaining an apical-radial pulse?

Correct Answer: C

Rationale: Apical-radial pulse requires simultaneous measurement by two people to detect a pulse deficit, ensuring accuracy in conditions like atrial fibrillation.

Question 2 of 5

At what point in the nurse-client relationship should termination first be addressed?

Correct Answer: C

Rationale: Addressing termination in the orientation phase sets clear expectations for the relationship's duration, ensuring transparency. Waiting until later phases or client initiation is less structured. Coordinated Care

Extract:

Which of the following types of diet is implicated in the development of diverticulosis?


Question 3 of 5

Which of the following types of diet is implicated in the development of diverticulosis?

Correct Answer: A

Rationale: A low-fiber diet increases colon pressure, contributing to diverticulosis formation.

Extract:


Question 4 of 5

An adult has completed an alcohol detoxification program and will be discharged later today. Which comment indicates the best understanding of the discharge care?

Correct Answer: C

Rationale: Attending AA meetings indicates commitment to sobriety and support, essential for recovery post-detoxification.

Question 5 of 5

The nurse is caring for a client with a history of seizures who is prescribed phenytoin (Dilantin). Which of the following side effects should the nurse monitor for?

Correct Answer: B

Rationale: Phenytoin commonly causes gingival hyperplasia, requiring oral hygiene monitoring. Weight gain (
A), hypoglycemia (
C), and hair loss (
D) are not typical side effects of phenytoin.

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