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Question 1 of 5

The physician has prescribed Cytoxan (cyclophosphamide) for a client with nephrotic syndrome. The nurse should:

Correct Answer: A

Rationale: Cyclophosphamide is nephrotoxic; extra fluids promote excretion and reduce bladder toxicity. Low-protein diets are not indicated, mild soap is unrelated, and joints are not typically inflamed in nephrotic syndrome.

Question 2 of 5

A client has returned to his room following an esophagoscopy. Before offering fluids, the nurse should give priority to assessing the client's:

Correct Answer: B

Rationale: Assessing the gag reflex is critical post-esophagoscopy to ensure the client can swallow safely, as local anesthesia may impair this reflex.

Question 3 of 5

The nurse assesses a client who gave birth 24 hours earlier. Which of the following findings reveals the need for further evaluation?

Correct Answer: B

Rationale: During the early postpartum period, lochia rubra should be moderate to significant. Scant lochia rubra suggests that large clots are blocking the lochial flow. After delivery, vasomotor changes may cause a shaking chill. Thirst, fatigue, and a temperature of up to 100.4°F (38°
C) also are common at 24 hours postpartum.

Question 4 of 5

A nurse is conducting a community health education session on influenza prevention. Which of the following recommendations should be included?

Correct Answer: B

Rationale: Frequent handwashing reduces influenza transmission by removing viruses from surfaces. Vaccination is critical for all ages, masks are beneficial, and fluid intake supports health, not prevention.

Question 5 of 5

The nurse is caring for a client with a history of chronic kidney disease who is receiving hemodialysis. Which of the following findings would require immediate intervention?

Correct Answer: C

Rationale: Bright red blood in the dialysis tubing indicates a potential access site bleed or tubing disconnection, requiring immediate intervention to prevent blood loss. Mild hypertension (
A) and weight gain (
B) are common, and a normal potassium level (
D) is unremarkable.

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