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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

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 3 of 5

The nurse preceptor observes a graduate practical nurse collecting a urine sample for urinalysis and culture as pictured in the exhibit. What is the preceptor's best action?

Question Image

Correct Answer: C

Rationale: Urine for culture requires a midstream clean catch or catheterization (
C) to avoid contamination. A graduated container (
B) is acceptable if sterile. Discarding (
A) is unnecessary, and cooling (
D) is secondary.

Question 4 of 5

What is the most important aspect to include when developing a home care plan for a client with severe arthritis?

Correct Answer: A

Rationale: Maintaining and preserving function. Preserving joint function is critical for quality of life in arthritis.

Question 5 of 5

The nurse is caring for a client who has chickenpox with open lesions. Which of the following infection control precautions should the nurse implement?

Correct Answer: A,B,C,D

Rationale: Chickenpox requires airborne and contact precautions: negative pressure room (
A), protecting pregnant staff (
B), masking during transport (
C), and gown, gloves, N95 (
D). Visitor restriction (E) is too short; it lasts until lesions crust.

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