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?

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Question 1 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 2 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.

Question 3 of 5

A hospitalized child suddenly has a seizure while his family is visiting. The nurse notes whole body rigidity followed by general jerking movements. The child vomits immediately after the seizure. A priority nursing diagnosis for the child is

Correct Answer: D

Rationale: Post-seizure vomiting and altered consciousness increase aspiration risk, the immediate priority.

Question 4 of 5

Which tasks, if delegated by the new charge nurse to a unlicensed assistive personnel (UAP), would require intervention by the nurse manager?

Correct Answer: C

Rationale: Bathing a patient with internal radiation requires radiation safety training, beyond UAP scope.

Question 5 of 5

A client returned from surgery for a perforated appendix with localized peritonitis. In view of this diagnosis, how would the nurse position the client?

Correct Answer: C

Rationale: Semi-Fowler's position promotes drainage and reduces peritoneal irritation.

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