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Which statement about environmental safety is accurate?
- A. The nurse should advise clients in a smoke filled room to open the windows.
- B. The first thing that the nurse should do when using a fire extinguisher to put out a small fire is to aim the fire extinguisher at the base of the fire.
- C. Rapidly lift and move a client away from the source of the fire when their slippers are on fire.
- D. The home health care nurse should advise the client that the best fire extinguisher to have in the home is an ABC fire extinguisher.
Correct Answer: D
Rationale: Advising clients to have an ABC fire extinguisher is accurate, as it is versatile for multiple fire types. Opening windows may worsen a fire, aiming the extinguisher follows pulling the pin, and rapid lifting risks injury.
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Chemical cardioversion is prescribed for the client diagnosed with atrial fibrillation. The nurse who is assisting in preparing the client should expect that which medication specific for chemical cardioversion would be prescribed?
- A. Lidocaine
- B. Nifedipine
- C. Amiodarone
- D. Nitroglycerin
Correct Answer: C
Rationale: Amiodarone is an antidysrhythmic that is useful in restoring normal sinus rhythm for the client experiencing atrial fibrillation. Lidocaine is used for control of ventricular dysrhythmias. Both nifedipine and nitroglycerin are vasodilators and are prescribed for the restoration of a normal sinus rhythm.
The nurse is caring for a client who has just undergone a total hip replacement. Which of the following positions should the nurse avoid placing the client in?
- A. Supine with legs crossed.
- B. Semi-Fowler's position.
- C. Side-lying with a pillow between the legs.
- D. Supine with the legs abducted.
Correct Answer: A
Rationale: Crossing the legs post-hip replacement risks dislocation of the prosthesis and should be avoided.
An obese diabetic client complains of bilateral leg aching. His physician has referred him to cardiac rehabilitation to start an exercise program. Which of the following activities is most helpful for the client?
- A. Interval training on the stationary bicycle.
- B. Interval training on the treadmill.
- C. Interval training on a commercial ski machine.
- D. Interval training on the stair climber.
Correct Answer: A
Rationale: Stationary cycling is low-impact, suitable for an obese diabetic client, minimizing joint stress while improving cardiovascular health.
A 10-month-old child has cold symptoms. The mother asks how she can clear the infant's nose. Which of the following would be the nurse's best recommendation?
- A. Use a cool air vaporizer with plain water.
- B. Use saline nose drops and then a bulb syringe.
- C. Blow into the child's mouth to clear the infant's nose.
- D. Administer a nonprescription vasoconstrictive nose spray.
Correct Answer: B
Rationale: Saline nose drops followed by bulb syringe suction is safe and effective for clearing nasal congestion in infants. Vaporizers help with humidity, but saline and suction directly clear the nose.
A client with a urinary tract infection is prescribed ciprofloxacin. What should the nurse include in the teaching?
- A. Take the medication with dairy products.
- B. Report tendon pain or swelling.
- C. Increase fluid intake to 1 L/day.
- D. Avoid sunlight exposure completely.
Correct Answer: B
Rationale: Ciprofloxacin can cause tendonitis or tendon rupture, so reporting tendon pain or swelling is critical.