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When a home health nurse is administering a 10-day prescription for intermittent infusions of daptomycin to a client with Staphylococcus aureus cellulitis, the client inquires why the pharmacy delivered only a few of the premixed bags and not all of the doses. Which response should the nurse provide to the client?
- A. The medication is in short supply at the local pharmacy.
- B. The antibiotic has a limited shelf life after reconstitution.
- C. The healthcare provider should be notified of the discrepancy.
- D. The instructions may change over the course of therapy.
Correct Answer: B
Rationale: Daptomycin has short stability post-reconstitution.
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The nurse is explaining perineal care to the caregiver of a male client. Which information should the nurse include?
- A. Dizziness can occur during cleansing.
- B. The pubic area should be kept shaved.
- C. The foreskin should not be retracted.
- D. An erection may occur while providing care.
Correct Answer: D
Rationale: Reflex erection is normal and should be explained.
When conducting diet teaching for a client who is on a postoperative clear liquid diet, which foods should the nurse encourage the client to consume?
- A. Oatmeal, cream of wheat, pureed liquid.
- B. Pureed beans, liquid protein supplements, milkshake.
- C. Pureed carrots, creamed soup, ice cream.
- D. Carbonated drinks, gelatin, broth.
- E. Water, tea, ice chips.
Correct Answer: D,E
Rationale: Clear liquids are transparent and easily digested.
The nurse plans to encourage a group of young adult clients to engage in problem-solving strategies. Which action is most useful for the nurse to include during the teaching session?
- A. Offer positive reinforcement.
- B. Provide physical demonstrations.
- C. Use simulation activities.
- D. Incorporate verbal analogies.
Correct Answer: C
Rationale: Simulations enhance problem-solving skills.
Which explanation is best for the nurse to provide a client who asks the purpose of using the log rolling technique for turning?
- A. Using two or three people increases client safety.
- B. The technique is intended to maintain straight spinal alignment.
- C. Turning instead of pulling reduces the likelihood of skin damage.
- D. Working together can decrease the risk of back injury to the nurses.
Correct Answer: B
Rationale: Log rolling prevents spinal injury by maintaining alignment.
When assessing a client with a serum potassium level of 2.5 mEq/L, which intervention is most important for the nurse to implement?
- A. Observe color and amount of urine.
- B. Determine apical pulse rate and rhythm.
- C. Compare muscle strength bilaterally.
- D. Assess strength of deep tendon reflexes.
Correct Answer: B
Rationale: Hypokalemia risks arrhythmias; pulse is critical.