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Question 1 of 5

The physician has ordered an MRI for a client with an orthopedic ailment. An MRI should not be done if the client has:

Correct Answer: C

Rationale: A permanent pacemaker is a contraindication for an MRI due to the risk of device malfunction in a magnetic field.

Question 2 of 5

The nurse has performed discharge teaching to a client in need of a high-iron diet. The nurse recognizes that teaching has been effective when the client selects which meal plan?

Correct Answer: B

Rationale: Veal and spinach are high in iron, and whole-wheat roll provides additional nutrients. The other meals lack significant iron sources.

Question 3 of 5

The doctor orders 2% nitroglycerin ointment in a 1-inch dose every 12 hours. Proper application of nitroglycerin ointment includes:

Correct Answer: A

Rationale: Rotating sites prevents skin irritation and ensures consistent absorption.

Question 4 of 5

A client has been receiving cyanocobalamine (B12) injections for the past six weeks. Which laboratory finding indicates that the medication is having the desired effect?

Correct Answer: D

Rationale: Increased reticulocyte count indicates effective B12 therapy for anemia.

Question 5 of 5

A home health nurse visits a 7-year-old boy on neutropenic precautions. His mother cares for him during the day. Which of the following statements by the mother indicates a need for further teaching?

Correct Answer: C

Rationale: Live vaccines (e.g., nasal flu vaccine) require a 3-week wait, but the standard flu shot is inactivated, posing no risk. The other statements are correct for neutropenic precautions.

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The nurse is assisting a client with diverticulitis to select appropriate foods. Which food should be avoided?
While obtaining information about the client's current medication use, the nurse learns that the client takes ginkgo to improve mental alertness. The nurse should tell the client to:
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