Nokea
A nurse is reinforcing teaching with a client about preventing the transmission of hepatitis A. Which of the following instructions should the nurse include?
- A. Clean surfaces with hydrogen peroxide.
- B. Receive the hepatitis A vaccine.
- C. Avoid sharing bed linens.
- D. Use a condom during sexual intercourse.
Correct Answer: B
Rationale: The hepatitis A vaccine is the most effective prevention method. Cleaning surfaces, avoiding linens, or condoms are less specific to hepatitis A transmission.
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A nurse begins to bathe a newly admitted client who reports that they have not had anything to eat that day. The nurse interrupts the bath and obtains a healthy meal for the client. This action by the nurse is an example of which of the following?
- A. Countertransference
- B. Boundary crossing
- C. Promoting trust
- D. Veracity
Correct Answer: C
Rationale: Providing a meal addresses the client's immediate need, fostering trust and rapport. This action reflects responsiveness, not countertransference, boundary crossing, or truthfulness.
A nurse is reinforcing teaching with a client who has a new prescription for prednisone. Which of the following statements by the client indicates an understanding of the teaching?
- A. I should take this medication on an empty stomach.
- B. I might need to take this medication for several weeks.
- C. I can stop taking this medication if I feel better.
- D. I should avoid getting vaccinated while taking this medication.
Correct Answer: B
Rationale: Prednisone often requires weeks of treatment for efficacy, reflecting understanding. It's taken with food, stopping abruptly risks adrenal crisis, and vaccines need provider guidance.
A nurse is caring for a client who is postoperative following a coronary artery bypass graft. Which of the following findings should the nurse report to the provider?
- A. The client reports chest discomfort.
- B. The client's temperature is 38.4°C (101.1°F).
- C. The client's incision has minimal drainage.
- D. The client's blood pressure is 130/80 mm Hg.
Correct Answer: B
Rationale: A temperature of 38.4°C suggests infection, requiring reporting. Chest discomfort, minimal drainage, and normal BP are expected or less urgent.
A nurse is reinforcing teaching with a client who has a new prescription for amoxicillin. Which of the following instructions should the nurse include?
- A. Take this medication with an antacid to prevent stomach upset.
- B. You might experience diarrhea while taking this medication.
- C. You need to refrigerate this medication.
- D. You should stop taking this medication if you feel better.
Correct Answer: B
Rationale: Amoxicillin can cause diarrhea, a common side effect. Antacids aren't needed, refrigeration depends on form, and stopping early risks resistance.
A nurse is reinforcing teaching with a client who has a new prescription for fluoxetine. Which of the following statements by the client indicates an understanding of the teaching?
- A. I should take this medication in the morning.
- B. I might lose weight while taking this medication.
- C. I need to avoid tyramine-rich foods.
- D. I can expect my mood to improve right away.
Correct Answer: A
Rationale: Fluoxetine is taken in the morning to avoid insomnia, showing understanding. Weight changes vary, tyramine isn't a concern, and mood improvement takes weeks.