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A nurse is reinforcing teaching with a client who is scheduled for an intravenous pyelogram. Which of the following statements by the client indicates an understanding of the teaching?
- A. I can have a meal up to 2 hours before the procedure.
- B. I should limit my fluid intake for 2 days after the procedure.
- C. I do not need to sign a consent form before this procedure.
- D. I will feel a warming sensation after the injection of the dye.
Correct Answer: D
Rationale: A warming sensation is expected with IVP dye injection, indicating understanding.
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A nurse is preparing for the admission of a client who has a seizure disorder. Which of the following supplies should the nurse place at the bedside for this client?
- A. NG tube
- B. Suction machine
- C. Syringe containing lorazepam
- D. Tongue blade
Correct Answer: B
Rationale: A suction machine clears airways during a seizure, enhancing safety.
The client has mild hypertension.
A nurse is reinforcing teaching about healthy lifestyle changes with a female client who has mild hypertension. Which of the following statements by the client indicates an understanding of the teaching?
- A. I should exercise for 15 minutes two times per week.
- B. I should decrease my salt intake to 2 grams per day.
- C. I will set my blood pressure goal at 130 over 84.
- D. I can have two glasses of wine with dinner.
Correct Answer: B
Rationale: Reducing salt to 2 grams daily helps manage hypertension, showing understanding.
The client has methicillin-resistant Staphylococcus aureus (MRSA).
A nurse is caring for a client who has methicillin-resistant Staphylococcus aureus (MRSA). Which of the following actions should the nurse take?
- A. Don gloves prior to assisting the client with brushing their teeth.
- B. Have the client wear a mask when they are out of their room.
- C. Ensure that the negative air pressure is active for the client's room.
- D. Place the client in a room with a high-efficiency particulate air (HEPA) filter.
Correct Answer: A
Rationale: Gloves prevent MRSA transmission during close contact like brushing teeth.
A nurse is collecting data from a toddler during a well-child visit. Which of the following actions should the nurse take to prepare the toddler for a physical examination?
- A. Thoroughly explain each procedure to the toddler.
- B. Start the examination with routine immunizations.
- C. Allow the toddler to handle the equipment.
- D. Completely undress the toddler.
Correct Answer: C
Rationale: Allowing the toddler to handle equipment reduces fear and increases cooperation.
The client reports he has headaches after taking chewable isosorbide dinitrate.
A nurse is caring for a client who reports he has headaches after taking chewable isosorbide dinitrate. Which of the following statements should the nurse make?
- A. Swallow the tablet whole to minimize your headaches.
- B. You can discontinue the medication until the headache goes away.
- C. You should take the medication on an empty stomach to prevent a headache.
- D. The headaches should decrease as you get used to the medication.
Correct Answer: D
Rationale: Headaches are a common side effect of isosorbide that typically lessen over time.