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Questions 158

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Question 1 of 5

The primary reason for sending a burn client home with a pressure garment, such as a Jobst garment, is that the garment:

Correct Answer: A

Rationale: Pressure garments apply uniform pressure to prevent or reduce hypertrophic scarring, which is critical during the recovery phase of burn care.

Question 2 of 5

The nurse is teaching a client with a history of GERD about lifestyle modifications. The nurse should tell the client to:

Correct Answer: A

Rationale: Elevating the head of the bed prevents acid reflux in GERD, reducing esophageal irritation.

Question 3 of 5

A client who was started on antipsychotic medication 2 weeks ago is preparing for discharge from the hospital. Compliance with the medication regimen is important despite the mild side effects encountered. In order to increase the likelihood of medication compliance, the nurse would:

Correct Answer: A

Rationale: This answer is correct. If the client is well informed about what reactions to expect from her medication, she is more likely to follow the treatment regimen. This answer is incorrect. There are many side effects that are reversible by medication, and these must be reported to the nurse or physician. There are also more severe side effects, such as neuroleptic malignant syndrome, characterized by fever, tachycardia, and diaphoresis, which can be life threatening. This answer is incorrect. There is no need for weekly blood tests if the drug regimen has been followed properly. This answer is incorrect. The client should continue the medication until the physician recommends any change in the drug regimen. Symptoms will usually reappear if medication is discontinued.

Question 4 of 5

A student in a cardiac unit is performing auscultation of a client’s heart. Which stethoscope placement would indicate to the nurse that the student is performing pulmonic auscultation correctly?

Correct Answer: C

Rationale: The pulmonic valve is auscultated at the second intercostal space, left of the sternum. Apex/sternum (
A) is nonspecific, fifth intercostal space (
B) is for the mitral valve, and manubrium (
D) is not a standard site.

Question 5 of 5

In client teaching, the nurse should emphasize that fetal damage occurs more frequently with ingestion of drugs during:

Correct Answer: A

Rationale: The first trimester is the period of organogenesis, when the fetus is most susceptible to teratogenic effects of drugs.

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