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Questions 164

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Extract:


Question 1 of 5

The nurse learns that an Orthodox Jewish client has not started taking recently prescribed diltiazem extended-release capsules. The client states 'I cannot take the medication in this form.' What is the nurse's first action?

Correct Answer: B

Rationale: The client may object to gelatin in capsules due to dietary restrictions. Consulting the pharmacist for an alternative form respects the client's beliefs.

Question 2 of 5

The nurse is caring for a client with major depressive disorder. Which of the following findings would be consistent with the condition?

Correct Answer: C

Rationale: Major depressive disorder is characterized by symptoms such as changes in appetite, sleep disturbances, and neglect of personal hygiene due to low energy and motivation.

Question 3 of 5

The nurse is caring for a client who is having a thoracentesis. Following the procedure, the nurse monitors for complications. The initial post-procedure monitoring plan should include what? Select all that apply.

Correct Answer: A,B,C,D

Rationale: Monitoring alertness, lung sounds, oxygen saturation, and respiratory pattern detects complications like pneumothorax or respiratory distress.

Question 4 of 5

An adult is admitted with a possible detached retina. Which findings would the nurse expect during the admission assessment?

Correct Answer: B

Rationale: Detached retina causes a visual field defect, like a blank area or curtain, due to retinal separation, unlike pain, halos (glaucoma), or tunnel vision.

Question 5 of 5

The nurse has attended a staff education program about interdisciplinary communication. The nurse should recognize that the most important outcome of effective interdisciplinary communication is

Correct Answer: C

Rationale: Effective interdisciplinary communication primarily reduces medical errors by ensuring accurate information sharing.

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