You are preparing to bathe and wash the hair of an African American woman. Which of the following questions would be most important to ask the client?

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Question 1 of 5

You are preparing to bathe and wash the hair of an African American woman. Which of the following questions would be most important to ask the client?

Correct Answer: B

Rationale: Asking about oil use respects cultural hair care practices for African American women, often needed for moisture. Unbraiding, double shampooing, or brushing are secondary. Nurses tailor care to client preferences.

Question 2 of 5

Which nursing action promotes safe mobilization and transfers for a patient with a lower extremity injury?

Correct Answer: B

Rationale: Providing a firm, stable surface for transfers ensures safety for a patient with a lower extremity injury, minimizing fall risk and supporting controlled movement. Avoiding weight-bearing might apply early but not universally, rapid moves are dangerous, and skipping devices can compromise safety. Nurses prioritize this to stabilize transfers, accommodating the injury while fostering secure mobility, critical for recovery and protection.

Question 3 of 5

A client with pneumonia requires oxygen therapy. Which oxygen delivery system would be most appropriate for this client to improve oxygenation and reduce the work of breathing?

Correct Answer: C

Rationale: High-flow nasal cannula (C) is ideal for pneumonia, providing humidified oxygen up to 60 L/min, improving oxygenation and reducing breathing effort. Simple mask (A) offers less precision (40-60%). Partial rebreather (B) impedes secretion clearance. Transtracheal (D) is invasive, not typical. High-flow supports acute needs, per respiratory care, enhancing comfort and efficacy.

Question 4 of 5

A client hospitalized with severe depression and suicidal ideation refuses to talk with the nurse. The nurse recognizes that the suicidal client has difficulty:

Correct Answer: D

Rationale: Clients with severe depression and suicidal ideation often struggle to express anger outwardly due to internalized emotions, a common psychological barrier in this condition. Depression can suppress verbal communication, particularly about intense feelings like anger, which may be directed inward, heightening suicidal risk. Low self-worth is a symptom they might feel but not the primary difficulty in expression. Remorse or guilt may be present, yet these are less tied to communication challenges than suppressed anger. Dependence on others might occur but isn't the core issue here. Nurses must recognize this pattern to address underlying emotions safely, using therapeutic techniques to encourage expression, reducing isolation and risk.

Question 5 of 5

Which information should be given to the client taking phenytoin (Dilantin)?

Correct Answer: C

Rationale: Phenytoin causes gingival hyperplasia, necessitating more frequent dental visits for gum care to prevent overgrowth and infection a key teaching point for clients. Meals don't enhance efficacy, sleep issues aren't prominent, and it doesn't reduce contraceptive effects significantly. Nurses emphasize oral hygiene, ensuring clients maintain health while managing seizures.

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