What nursing intervention is appropriate for a client with systemic lupus
erythematous (SLE)?
- A. Intense cold therapy to the extremities
- B. Encourage ultraviolet (UV) light exposure
- C. Administer topical hydrocortisone
- D. Administer antibiotics
Correct Answer: C
Rationale:
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A nurse is teaching a client who has out about dietary recommendations. The
nurse should teach the client which of the following beverages can trigger an
attack?
- A. Fruit juice
- B. Alcohol
- C. Milk
- D. Coffee
Correct Answer: B
Rationale:
A nurse is admitting a client who has tuberculosis. What transmission-based
precautions should the nurse initiate?
- A. Droplet
- B. Contact
- C. Airborne
- D. Protective
Correct Answer: C
Rationale:
What is not appropriate client education on the preventing the spread of
methicillin- resistance Staphylococcus aureus (MRSA)?
- A. Avoid contact sports until the infection has cleared
- B. Use a bath sponge to cleanse the skin
- C. Wash hands with soap and water before and after touching the infected area
- D. Use an antibacterial soap when showering
Correct Answer: B
Rationale:
The nurse is providing medication for a client with osteomyelitis. What teaching
should the nurse indicate in the education?
- A. The most common adverse e effect for nonsteroidal anti-inflammatory drugs
(NSAIDS)are liver failure and tinnitus - B. The main side effect of acetaminophen is gastrointestinal GI bleeding
- C. You should not take more than 4000 mg of acetaminophen a day
- D. Nonsteroidal anti-inflammatory drugs (NSAIDS) are very safe and are known to have
no side effects
Correct Answer: A
Rationale:
A post-operative client with a sutured abdominal incision felt a sharp
abdominal pain after having a bowel movement. Upon inspection, the nurse
notices bowel protruding from the incision site. What does the nurse tell the
physician about the event?
- A. The client's incision site has eviscerated
- B. The client's incision site has lacerated
- C. The client's incisional site is approximated
- D. The client's incisional site has dehisced after.
Correct Answer: A
Rationale:
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