The nurse is taking a health history from a Native American client. It is critical that the nurse must remember that eye contact with such clients is considered

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Question 1 of 5

The nurse is taking a health history from a Native American client. It is critical that the nurse must remember that eye contact with such clients is considered

Correct Answer: B

Rationale: In many Native American cultures, direct eye contact may be seen as disrespectful.

Question 2 of 5

The nurse is working with parents to plan home care for a 2 year-old with a heart problem. A priority nursing intervention would be to

Correct Answer: A

Rationale: CPR training is critical for managing potential cardiac emergencies in a child with heart issues.

Question 3 of 5

The nurse is teaching a client with atrial fibrillation about the use of Coumadin (warfarin) at home. The need to avoid which of these should be emphasized to the client?

Correct Answer: D

Rationale: Vitamin K antagonizes warfarin, reducing its anticoagulant effect.

Question 4 of 5

A confused client has been placed in physical restraints by order of the provider. Which task could be assigned to an unlicensed assistive personnel (UAP)?

Correct Answer: A

Rationale: Assisting with ADLs is within UAP scope; monitoring and evaluation require nursing judgment.

Question 5 of 5

A client with hepatitis A (HAV) is newly admitted to the unit. Which action would be the priority to include in this client's plan of care within the initial 24 hours?

Correct Answer: C

Rationale: HAV spreads via fecal-oral route; gown and gloves prevent transmission during initial care.

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