A client with a history of atrial fibrillation is receiving warfarin (Coumadin). Which statement by the client indicates the need for further teaching by the nurse?

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Question 1 of 5

A client with a history of atrial fibrillation is receiving warfarin (Coumadin). Which statement by the client indicates the need for further teaching by the nurse?

Correct Answer: C

Rationale: I can take ibuprofen if I have a headache' indicates need for teaching. Ibuprofen increases bleeding risk with warfarin, per pharmacology; acetaminophen is safer. Blood checks , avoiding greens , and reporting bruising are correct. C risks harm, making it the teachable moment.

Question 2 of 5

When counseling a 6 year-old who is experiencing enuresis, what must the nurse understand about the pathophysiological basis of this disorder?

Correct Answer: A

Rationale: Enuresis has no clear etiology . It's multifactorial possibly maturational delay, genetics, or stress per pediatric urology, not fully understood. Sleep phobia isn't established, genetics contributes but isn't definite, and misbehavior is outdated. A guides nonjudgmental counseling and evaluation.

Question 3 of 5

A victim of domestic violence states, 'If I were better, I would not have been beat.' Which feeling best describes what the victim may be experiencing?

Correct Answer: C

Rationale: Self-blame best describes the victim's statement. Attributing abuse to personal inadequacy reflects internalized guilt, common in domestic violence, per psychological nursing. Fear , helplessness , and rejection may coexist, but C directly matches the expressed belief.

Question 4 of 5

A 35 year-old client with sickle cell crisis is talking on the telephone but stops as the nurse enters the room to request something for pain. The nurse should

Correct Answer: C

Rationale: Administering prescribed analgesia is the priority in sickle cell crisis pain, per pain management standards. It addresses vaso-occlusive pain swiftly. Placebo is unethical, fluids are adjunctive, and relaxation is insufficient. C ensures relief and trust.

Question 5 of 5

The nurse is discussing negativity with the parents of a 30 month-old child. How should the nurse tell the parents to best respond to this behavior?

Correct Answer: C

Rationale: Use patience and a sense of humor' is best for a 30-month-old's negativity. It aligns with toddler autonomy development, per Erikson, avoiding power struggles. Time out escalates, permissiveness lacks guidance, and authority may overwhelm. C fosters positive discipline.

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