Correct Answer: B

Rationale: Reporting signs of infection is critical with prednisone due to immunosuppression. It's taken with food, weight gain is expected, and stopping abruptly risks adrenal crisis.

Correct Answer: A

Rationale: Excessive worrying for at least 6 months is a diagnostic criterion for generalized anxiety disorder, characterized by persistent, uncontrollable anxiety about multiple issues.
Choice B is incorrect because recurrent intrusive memories are more associated with PTSD, not generalized anxiety disorder.
Choice C is incorrect because insomnia, not hypersomnia, is typical due to anxiety-related sleep disturbances.
Choice D is incorrect because weight loss is not a primary feature; weight changes may occur secondary to anxiety or medication.

Correct Answer: C

Rationale:
Choice A is wrong because placing a yellow bracelet on a client who is at risk for falls is not malpractice, but rather a safety measure. A yellow bracelet indicates that the client needs assistance with mobility and should not be left alone. This is a common practice in many health care facilities to prevent falls and injuries.
Choice B is wrong because leaving a nasogastric tube clamped after administering oral medication is not malpractice, but rather a mistake. A nasogastric tube is a tube that goes through the nose and into the stomach to deliver nutrition or medication. It should be unclamped after giving oral medication to allow the medication to enter the stomach and prevent reflux or aspiration. However, this error does not rise to the level of malpractice unless it causes harm to the patient, such as vomiting, choking, or infection. This is because potassium is a medication that can cause cardiac arrest if given too quickly or in high doses. A nurse who administers potassium via IV bolus is not providing the standard of care that a similarly trained nurse would have offered under the same circumstances. This could result in harm or death to the patient.
Choice D is wrong because documenting communication with a provider in the progress notes of the client's medical record is not malpractice, but rather a good practice.

Correct Answer: A

Rationale: Avoiding all products containing alcohol, including mouthwash, is critical with disulfiram, as it causes a severe reaction (flushing, nausea, vomiting) when alcohol is consumed, deterring alcohol use.
Choice B is incorrect because disulfiram is typically taken at bedtime to minimize side effects like drowsiness, not in the morning.
Choice C is incorrect because a metallic taste is not a common side effect of disulfiram; it is more associated with metronidazole.
Choice D is incorrect because disulfiram should not be discontinued abruptly without provider guidance, even if drinking resumes, to avoid complications.

Correct Answer: C

Rationale: Changing the pouch every 3 to 5 days ensures proper hygiene and prevents skin irritation or leakage, which is critical for colostomy care.
Choice A is incorrect because, while hydration is important, the nurse should emphasize 8-10 glasses of water daily to prevent dehydration, especially with an ileostomy or new colostomy.
Choice B is incorrect because a low-fiber diet is recommended for 4-6 weeks post-surgery, not just 2 weeks, to reduce stool bulk and ease digestion.
Choice D is incorrect because bright red output indicates bleeding, which is abnormal and should be reported; normal colostomy output is brown and formed or semi-formed.