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Questions 164

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Question 1 of 5

The unlicensed assistive personnel (UAP) reports to the nurse that during rounds a client has recently become pale. What is the nurse's first action?

Correct Answer: C

Rationale: Assessing the client directly (
C) confirms the report and guides next steps. Activating emergency response (
A), delegating vitals (
B), or notifying the provider (
D) is premature without assessment.

Question 2 of 5

A client with multiple sclerosis plans to begin an exercise program. In addition to discussing the benefits of regular exercise, the nurse should caution the client to avoid activities which

Correct Answer: B

Rationale: lead to dehydration. The client must take in adequate fluids before and during exercise periods.

Question 3 of 5

The nurse is talking with a client with hypertension and hyperlipidemia who is receiving nifedipine and simvastatin. Which of the following statements by the client would require follow-up?

Correct Answer: B

Rationale: Grapefruit juice (
B) inhibits CYP3A4, increasing simvastatin levels and risk of toxicity. Orthostatic precautions (
A), moderate wine (
C), and herbs (
D) are appropriate.

Question 4 of 5

The nurse is assessing a client at 11 weeks gestation. The first day of the client's last menstrual period was September 7. Which of the following findings should the nurse expect to obtain?

Correct Answer: B,D,E

Rationale: At 11 weeks, increased urinary frequency (
B) is expected due to hormonal changes. The Naegele rule (LMP + 1 year - 3 months + 7 days) gives June 14 (
D). Fetal heart tones are detectable by Doppler (E). Fetal movement (
A) is felt later (16-20 weeks), and fundal height of 24 cm (
C) occurs around 24 weeks.

Question 5 of 5

The nurse is caring for a client with rheumatoid arthritis. Which of the following lifestyle modifications should the nurse recommend to the client?

Correct Answer: B,C,E

Rationale: Rest (
B), range-of-motion exercises (
C), and moist heat (E) manage rheumatoid arthritis symptoms. Ice (
A) can reduce inflammation, and a pillow under knees (
D) may worsen stiffness.

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