Extract:

Question 1 of 5

Which of the following is a risk factor for toxic shock syndrome (TSS)?

Correct Answer: D

Rationale: Using tampons only at night increases TSS risk due to prolonged use, allowing bacterial growth. Frequent changing and alternating with pads reduce risk.

Question 2 of 5

A client with a history of type 2 diabetes is prescribed sitagliptin (Januvia). The nurse should instruct the client to:

A. Take the medication with meals. B. Monitor for signs of pancreatitis. C. Take the medication at bedtime. D. Stop the medication if blood glucose normalizes.

Correct Answer: B

Rationale: Sitagliptin can cause pancreatitis, requiring monitoring for abdominal pain.

Question 3 of 5

A therapeutic milieu is:

A. A safe environment of care that is conducive to the prevention of medical errors. B. A client care area that provides personal privacy and the confidentiality of medical information. C. A European method of design and color to promote health and wellness. D. The provision of a therapeutic environment of consistency to promote health.

Correct Answer: D

Rationale: A therapeutic milieu is a structured environment designed to promote healing and recovery through consistency, safety, and therapeutic interactions.

Question 4 of 5

A client has been defibrillated at 360 joules (monophasic) and the attempts to convert the ventricular fibrillation (VF) were unsuccessful. Based on an evaluation of the situation, the nurse determines that which action is best?

A. Terminating the resuscitation effort B. Preparing for the administration of sodium bicarbonate intravenously C. Performing cardiopulmonary resuscitation (CPR) for 5 cycles or about 2 minutes D. Performing CPR for 5 minutes, then defibrillating 3 more times at 400 joules

Correct Answer: C

Rationale: Defibrillation is an asynchronous countershock used to terminate pulseless ventricular tachycardia (VT) or ventricular fibrillation (VF). The defibrillator is charged to 120 to 200 joules (biphasic) or 300 joules (monophasic) for 1 countershock from the defibrillator, and then CPR is immediately resumed and continued for 5 cycles or about 2 minutes. The rhythm is reassessed after 2 minutes and if VF or pulseless VT continues, the defibrillator is charged to give a second shock at the same energy level previously used. CPR is resumed after the shock if needed and the life support protocol is continued. There is no information in the question to indicate that life support should be terminated. Sodium bicarbonate may be prescribed but is not the best action. Giving CPR for 5 minutes may not help oxygenation to the brain and myocardium and is not the best action.

Question 5 of 5

A nurse is having difficulty establishing a relationship with an aggressive client. What strategy will most likely improve the relationship?

A. The nurse and the client agree to work to improve their involvement in the therapeutic relationship. B. The nurse establishes goals for having only positive interactions with the client. C. The nurse agrees to be submissive so the client can dominate the relationship. D. The nurse seeks assistance from colleagues to become more aware of the quality of the interactions and more sensitive to the dynamics of communication.

Correct Answer: D

Rationale: Seeking colleague assistance enhances self-awareness and communication skills, improving the therapeutic relationship with an aggressive client.

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