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Question 1 of 5

Which of the following is an effective security plan that you may most likely want to consider for implementation within your facility?

Correct Answer: C,D

Rationale: Restricting visitors in special care areas and using bar-coded client identification bands are effective security measures to enhance safety and protect client identity, respectively.

Question 2 of 5

A client with a new diagnosis of hypothyroidism is prescribed levothyroxine. What should the nurse include in the teaching plan?

Correct Answer: C

Rationale: Palpitations or chest pain may indicate overmedication or cardiac effects, requiring prompt reporting to adjust the levothyroxine dose.

Question 3 of 5

A client with a urinary tract infection is prescribed ciprofloxacin. What should the nurse include in the teaching?

Correct Answer: B

Rationale: Ciprofloxacin can cause tendonitis or tendon rupture, so reporting tendon pain or swelling is critical.

Question 4 of 5

A client with a history of type 2 diabetes mellitus is prescribed exenatide (Byetta). The nurse should monitor the client for which of the following side effects?

Correct Answer: B

Rationale: Exenatide can cause pancreatitis, a serious side effect requiring monitoring for symptoms like abdominal pain.

Question 5 of 5

A client has massive bleeding from esophageal varices. In what order should the nurse and care team provide care for this client?

Order the Items

Source Container

Control hemorrhaging.
Replace fluids.
Relieve the client's anxiety.
Maintain a patent airway.

Correct Answer: D, A, B, C

Rationale: The priority is to maintain a patent airway, control hemorrhaging, replace fluids, and then address anxiety to stabilize the client.

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The nurse is discharging a client who has been hospitalized for preterm labor. The client needs further instruction when she says:

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