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A nurse is reinforcing teaching with a client about the use of budesonide for asthma management. Which of the following statements by the adolescent indicates an understanding of the teaching?
- A. I should use my inhaler when I have an asthma attack.
- B. I will rinse my mouth and gargle with water after each inhaler treatment.
- C. I will take my inhaler treatment before each meal and at bedtime.
- D. I should use my inhaler before exercising.
Correct Answer: B
Rationale: Rinsing the mouth after budesonide (a corticosteroid) prevents oral thrush, indicating understanding.
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A nurse is assisting with the care of a group of clients during a mass casualty event. Which of the following tasks should the nurse assign to an assistive personnel (AP)?
- A. Respond to family members about a client's condition.
- B. Determine which clients should be seen first.
- C. Clean and dress client abdominal wounds.
- D. Take vital signs on clients as they are admitted.
Correct Answer: D
Rationale: Taking vital signs is within the AP's scope, unlike triage or wound care.
The client reports having trouble getting to sleep at night.
A nurse is caring for an adult client who reports having trouble getting to sleep at night. Which of the following recommendations should the nurse make?
- A. Remain in bed until you fall asleep.
- B. Keep the television volume low while you are trying to fall asleep.
- C. Sleep longer hours on the weekend.
- D. Establish a daily exercise routine.
Correct Answer: D
Rationale: A daily exercise routine promotes better sleep patterns.
A nurse is caring for a client who is in bed and begins experiencing a tonic-clonic seizure. Which of the following actions should the nurse take?
- A. Measure the duration of the seizure
- B. Restrain the client's arms and legs to prevent injury
- C. Lower the side rails of the bed when the seizure begins
- D. Insert an oral airway into the client's mouth
Correct Answer: A
Rationale: Measuring duration aids in assessing seizure severity and planning care.
A nurse is reinforcing teaching with a client who has an electrolyte imbalance. Which of the following foods should the nurse include as the lowest in potassium?
- A. Cantaloupe
- B. Orange juice
- C. Sweet potato
- D. Baked chicken breast
Correct Answer: D
Rationale: Baked chicken breast has the lowest potassium content compared to the other options, which are potassium-rich.
A nurse is caring for a client who is 2 days postoperative following an above-the-knee amputation. Which of the following actions should the nurse take to promote progression toward independence and mobility for the client?
- A. Encourage the client to use the overbed trapeze.
- B. Maintain abduction of the client's residual limb with a pillow.
- C. Caution the client to avoid a prone position while in bed.
- D. Keep a loose, absorbent dressing over the client's surgical site.
Correct Answer: A
Rationale: Using the trapeze builds upper body strength for mobility.