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A client with acute diarrhea may require prompt attention to prevent dehydration, but it is not as urgent as a fractured hip.

A client who is anxious may benefit from interventions to reduce anxiety, but it is not a life-threatening condition.

A woman who feels isolated may benefit from social support and interventions to address her emotional needs, but it is not an urgent medical condition.

Chewing gum is not an appropriate intervention to improve communication with a client who has hearing loss.

Speaking loudly and clearly may help, but it is not as effective as reducing background noise.

Using paper and pencil may be helpful in some situations, but it is not the most effective intervention to improve communication with a client who is wearing a hearing aid.

Educating the client that fasting is not an option is not respectful of the client’s beliefs and may not be effective in promoting adherence to treatment.

Telling the client not to take his insulin the night before is not appropriate as it may result in uncontrolled blood sugar levels.

Informing the client that he will need to change his lifestyle completely is not a client-centered approach and may not be effective in promoting adherence to treatment.

Temperature 96.9°F; pulse 100 bpm; respirations 20 breaths/minute; blood pressure 120/80 mmHg is within normal limits for an adult.

Temperature 98.6°F; pulse 60 bpm; respirations 14 breaths/minute; blood pressure 110/66 mmHg is also within normal limits for an adult.

Temperature 99°F; pulse 72 bpm; respirations 16 breaths/minute; blood pressure 100/60 mmHg is slightly elevated but not cause for immediate concern.

Thisis not an answer because teaching the client to do active range of motion (AROM) exercises every 2 hours can help maintain joint mobility and muscle strength2.

This is not an answer because evaluating the client’s need for ambulatory aids can help them move safely and independently1.

This is not an answer because keeping skin clean and dry is important for preventing skin breakdown, which can be a complication of immobility1.

This is not an answer because taking prescription medications only as prescribed can help prevent accidental poisoning1.

This is not an answer because sharing prescription medications can be dangerous and lead to accidental poisoning2.

This is not an answer because having the phone number for the poison control center easily accessible can help you quickly get guidance on what to do in case of suspected poisoning1.

This is not an answer because cultural competency involves understanding and respecting the beliefs, values, and practices of different cultures.

This is not an answer because stereotyping involves making assumptions about a person or group based on preconceived notions or generalizations.

This is not an answer because racism involves discrimination or prejudice against a person or group based on their race.

This is not an answer because diarrhea is not typically a result of decreased mobility.

This is not an answer because euphoria is not typically a result of decreased mobility.

This is not an answer because increased energy is not typically a result of decreased mobility.

Choice A is not an answer because incident reports are not typically used as a tool for disciplinary action.

Choice B is not an answer because while incident reports can help identify and address errors, their primary purpose is not to eliminate unforeseen errors.

Choice D is not an answer because the primary purpose of incident reports is not to hold persons accountable for their errors, but rather to identify opportunities for improvement.

This is incorrect because people do not have the same needs at the same time.

This is incorrect because Maslow’s Hierarchy of Needs does not mention the risk of becoming ill.

This is incorrect because not all people have a desire to be the best.

This is incorrect because cyanosis is a sign of inadequate perfusion.

This is incorrect because pallor is a sign of inadequate perfusion.

This is incorrect because coolness is a sign of inadequate perfusion.

This is incorrect because it does not acknowledge the patient’s current feelings and offers false reassurance.

This is incorrect because it does not acknowledge the patient’s current feelings and may come across as intrusive.

This is incorrect because it does not acknowledge the patient’s current feelings and offers false reassurance.

This is incorrect because no blood incompatibility during a blood transfusion is not a “never event”.

This is incorrect because a client falling in their own home is not a “never event”.

This is incorrect because inserting a urinary catheter before surgery is not a “never event”.

This is not an answer because it encourages the patient to share information about their hospitalization and promotes open communication.

This is not an answer because it shows that the speaker is actively listening and engaging with the patient’s previous statements.

This is not an answer because it encourages the patient to share information about their pain management and promotes open communication.

This is not an answer because the pre-interaction phase occurs before the nurse and client meet and involves the nurse preparing for the first interaction with the client.

This is not an answer because the orientation phase is when the nurse and client get to know each other and establish trust and rapport.

This is not an answer because the termination phase occurs when the therapeutic relationship ends and involves evaluating progress and planning for future care.

This is not an answer because while avoiding caffeine after 6 pm may help improve sleep quality, it is not the priority intervention for a client with narcolepsy.

This is not an answer because drinking two cups of regular coffee may worsen the symptoms of narcolepsy and is not a recommended intervention.

This is not an answer because while participating in normal activities may be beneficial for overall health and well-being, it is not the priority intervention for a client with narcolepsy.

This is not an answer because regular exercise can improve sleep quality and is a recommended intervention for individuals with insomnia.

This is not an answer because limiting fluids before bedtime can reduce the need to urinate during the night and improve sleep quality.

This is not an answer because limiting alcohol consumption before bedtime can improve sleep quality and reduce the risk of sleep disruptions.

This is not the correct answer because activating the fire alarm is not the first action that should be taken.

This is not the correct answer because confining the fire by closing all doors and windows is not the first action that should be taken.

This is not the correct answer because notifying the supervisor is not the first action that should be taken.

This is not the correct answer because telling clients that they should not continue taking herbs does not demonstrate cultural competence.

This is not the correct answer because asking clients if they utilize shaman does not demonstrate cultural competence.

This is not the correct answer because telling clients that they should follow the provider’s orders does not demonstrate cultural competence.

This is not the correct answer because beginning the Heimlich maneuver quickly is not the first action that should be taken.

This is not the correct answer because telling the child to put his hands by his neck to signify that he is choking is not the first action that should be taken.

This is not the correct answer because leaving the child alone to find a phone is not the first action that should be taken.

This is not the correct answer because age is a factor that affects bowel elimination.

This is not the correct answer because the diet is a factor that affects bowel elimination.

This is not the correct answer because fluid intake is a factor that affects bowel elimination.

This is incorrect because OSHA’s mission is focused on protecting workers, not clients.

This is incorrect because OSHA’s focus is on preventing work-related injuries, illnesses, and deaths, not injuries a nurse may incur at home.

This is incorrect because OSHA’s mission is not focused on reducing client falls or providing emotional support.

This is incorrect because it focuses on prescription medications and not on preventing the poisoning of a child in the home.

This is incorrect because it focuses on taking medications correctly and not on preventing the poisoning of a child in the home.

This is incorrect because storing medications in a visible and accessible place could increase the risk of poisoning if a child were to access them.

This is incorrect because love and belonging are at a higher level of Maslow’s Hierarchy of Needs and do not include food.

This is incorrect because safety and security are also a higher level of Maslow’s Hierarchy of Needs and do not include food.

This is incorrect because esteem is a higher level of Maslow’s Hierarchy of Needs and does not include food.