A client refuses to take the medication prescribed because the client prefers to take self-prescribed herbal preparations. What is the initial action the nurse should take?

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Question 1 of 5

A client refuses to take the medication prescribed because the client prefers to take self-prescribed herbal preparations. What is the initial action the nurse should take?

Correct Answer: B

Rationale: Talking with the client about the herbal preparation is the initial action. It assesses preferences and builds trust, per therapeutic communication. Reporting or contacting skips understanding, and explaining may dismiss concerns. B informs subsequent steps.

Question 2 of 5

The nurse is caring for a client with a deep vein thrombosis. Which finding would require the nurse's immediate attention?

Correct Answer: C

Rationale: Respiratory rate of 32 requires immediate attention in DVT. Tachypnea suggests pulmonary embolism, per vascular nursing. Fever indicates infection, pulse is normal, and BP is concerning but secondary. C prioritizes life-threatening complications.

Question 3 of 5

A 60 year-old male client had a hernia repair in an outpatient surgery clinic. He is awake and alert, but has not been able to void since he returned from surgery 6 hours ago. He received 1000 mL of IV fluid. Which action would be most likely to help him void?

Correct Answer: C

Rationale: Assisting him to stand by the bed is most likely to help voiding. Gravity aids bladder emptying post-surgery, per urological nursing. Water adds volume, Credé's risks injury, waiting delays. C leverages physiology.

Question 4 of 5

The nurse is assigned to a client newly diagnosed with active tuberculosis. Which of these interventions would be a priority for the nurse to implement?

Correct Answer: D

Rationale: Placing the client in a negative pressure room with masks is the priority for active TB. Airborne isolation prevents droplet spread, per CDC guidelines. Coughing (A, B) and handwashing are secondary. D controls transmission effectively.

Question 5 of 5

A school nurse has a 10 year-old child with a history of epilepsy with tonic-clonic seizures attending classes regularly. The school nurse should inform the teacher that if the child experiences a seizure in the classroom, the most important action to take during the seizure would be to

Correct Answer: D

Rationale: Placing hands or a blanket under the head is most important during a seizure. It prevents injury, per epilepsy care standards, a priority in tonic-clonic events. Moving objects , noting , and privacy follow. D ensures immediate safety.

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