During the initial physical assessment on a client who is a Vietnamese immigrant, the nurse notices small, circular, ecchymotic areas on the client's knees. The best action for the nurse to take is to

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Question 1 of 5

During the initial physical assessment on a client who is a Vietnamese immigrant, the nurse notices small, circular, ecchymotic areas on the client's knees. The best action for the nurse to take is to

Correct Answer: A

Rationale: Asking the client for more information is best. Circular ecchymoses may reflect coin rubbing (cao gio), a Vietnamese healing practice, per transcultural nursing. Family is secondary, reporting premature, and documenting incomplete. A ensures cultural understanding.

Question 2 of 5

The parents of a toddler who is being treated for pesticide poisoning ask: 'Why is activated charcoal used? What does it do?' What is the nurse's best response?

Correct Answer: A

Rationale: Activated charcoal decreases the body's absorption of the poison from the stomach' is best. It adsorbs toxins, preventing systemic uptake, per poison control standards. B oversimplifies, C and D are vague. A explains clearly and accurately.

Question 3 of 5

Which of these clients would the nurse recommend keeping in the hospital during an internal disaster at that facility?

Correct Answer: D

Rationale: The young adult with acetaminophen overdose should stay during an internal disaster. Day 2 is critical for liver damage risk, per toxicology, needing monitoring. Sepsis , MI , and colitis are more stable. D prioritizes acute risk.

Question 4 of 5

A client calls the evening health clinic to state “I know I have a severely low sugar since the Lantus insulin was given 3 hours ago and it peaks in 2 hours.” What should be the nurse's initial response to the client?

Correct Answer: B

Rationale: Assessing symptoms first clarifies if hypoglycemia is occurring; Lantus is long-acting and doesn't peak at 2 hours.

Question 5 of 5

Before administering a feeding through a gastrostomy tube, what is the priority nursing assessment?

Correct Answer: D

Rationale: Ensuring patency prevents complications like obstruction or aspiration during feeding.

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