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Question 1 of 5

While caring for a client with hypertension, the nurse notes the following vital signs: BP of 140/20, pulse 120, respirations 36, temperature 100.8°F. The nurse's initial action should be to:

Correct Answer: B

Rationale: Rechecking vital signs ensures accuracy, as the low diastolic BP may be an error, and guides further action.

Question 2 of 5

Which client should be assigned to the nursing assistant?

Correct Answer: C

Rationale: The elderly client with a thyroidectomy 4 days ago is stable and suitable for routine care by a nursing assistant.

Question 3 of 5

The nurse knows which of the following would be MOST likely to help the family of an emotionally disturbed client manage behaviors at home after discharge from inpatient treatment?

Correct Answer: A

Rationale: this group provides ongoing support and educational information; people who attend have common needs and goals focused on managing the clients’ behavior at home

Question 4 of 5

The nurse is conducting an admission assessment of a client with vitamin B12 deficiency. Which finding reinforces the diagnosis of B12 deficiency?

Correct Answer: D

Rationale: A beefy, red, swollen tongue is a classic symptom of vitamin B12 deficiency due to glossitis caused by impaired cell division in the oral mucosa.

Question 5 of 5

An obstetrical client calls the clinic with complaints of morning sickness. The nurse should tell the client to:

Correct Answer: A

Rationale: Eating crackers before getting out of bed stabilizes stomach acid and blood sugar, reducing morning sickness.

Similar Questions

The nurse asked the client if he has an advance directive. The reason for asking the client this question is:
The nurse is instructing a client who has had an eye removed in the proper procedure for inserting a prosthetic eye. Place the following steps of prosthetic-eye insertion (in Roman numerals) in the correct sequence from the first to the last.
A client who had major abdominal surgery is having delayed healing of the wound. Which laboratory test result would most closely correlate with this problem?
After a discharge, there is a private room available on the floor. The nurse should move which client to the private room?
The nurse is performing a history on a client admitted for surgery in the morning. Which long-term medication in the client's history would be most important to report to the physician?

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