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Question 1 of 5

The nursing assistant finds a client on the floor. Once the client is safe, which of the following should the nurse do next?

Correct Answer: B

Rationale: Falls require documentation in the medical record and an incident report to track safety issues and ensure follow-up.

Question 2 of 5

Which activity is best suited to the 12-year-old with juvenile rheumatoid arthritis?

Correct Answer: B

Rationale: Swimming is low-impact, promoting joint mobility and muscle strength without stressing joints in juvenile rheumatoid arthritis.

Question 3 of 5

The physician has ordered Amoxil (amoxicillin) 500 mg capsules for a client with esophageal varices. The nurse can best care for the client's needs by:

Correct Answer: D

Rationale: Capsules can be difficult to swallow and may lodge in esophageal varices, increasing the risk of bleeding. An alternate form, such as a liquid, is safer.

Question 4 of 5

The client is admitted for evaluation of aggressive behavior and diagnosed with antisocial personality disorder. A key part of the care of such clients is:

Correct Answer: A

Rationale: Setting realistic limits helps manage the manipulative and impulsive behaviors common in antisocial personality disorder, promoting safety and structure.

Question 5 of 5

A client has immune thrombocytopenic purpura. The client's platelet count is 19,000. Which initial treatment does the nurse expect?

Correct Answer: B

Rationale: For ITP with a platelet count of 19,000, immunosuppressive therapy (
B), like corticosteroids, is typically initial to increase platelet production. Splenectomy (
A) is later, observation (
C) is risky, and platelets (
D) are less effective.

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A client has increasing pain in both hands. On examination, the nurse notes that the metacarpophalangeal and proximal interphalangeal joints are enlarged and swollen, swanneck deformity is evident, and the fingers on both hands show ulnar deviation. These findings are consistent with which of the following disorders?
A client on the psychiatric unit is in an uncontrolled rage and is threatening other clients and staff. What is the most appropriate action for the nurse to take?
An older adult has become very confused after surgery for repair of a hip fracture. The client has repeatedly tried to climb over the bedrails and the nurse is considering placing the client in a Posey vest that is secured to the bed. Which of the following must the nurse consider when applying restraints to a client? Select all that apply.
The nurse is working in the emergency room when a client arrives with severe burns of the left arm, hands, face, and neck. Which action should receive priority?

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