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Questions 160

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Extract:


Question 1 of 5

Which culturally sensitive nursing technique is best for determining whether a male Jewish client follows the religious orthodox customs?

Correct Answer: B

Rationale: Inquiring about dietary preferences (e.g., kosher laws) is a sensitive way to assess adherence to Orthodox Jewish customs.

Question 2 of 5

When changing a sterile abdominal dressing, which nursing actions would violate the principles of asepsis? Select all that apply.

Correct Answer: D,E,F

Rationale: Cleaning from the outer edge toward the center introduces contaminants to the wound, violating asepsis. Reaching across the sterile field and touching the soiled dressing with sterile gloves contaminate the sterile field and gloves, respectively.

Question 3 of 5

While visiting a client who takes a prescribed diuretic, how can a home health care nurse best evaluate the drug's effectiveness?

Correct Answer: A

Rationale: Diuretics reduce fluid retention, leading to weight loss. Monitoring weight is the best way to evaluate their effectiveness.

Question 4 of 5

The physician orders enoxaparin (Lovenox) for a client who has been diagnosed with a blood clot. To prevent bruising, which actions by the nurse are most appropriate? Select all that apply.

Correct Answer: A,F

Rationale: Avoiding rubbing and applying gentle pressure minimize bruising at the injection site for enoxaparin.

Question 5 of 5

The nurse is caring for a client with a deep vein thrombosis (DVT). Which position should be avoided?

Correct Answer: C

Rationale: Side-lying with legs bent can impede venous return, worsening DVT.

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