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Kristine (RN) is orienting Shella, the new certified medical assistant, to the unit. Kristine mentions that sometimes culturally diverse clients who speak a different language are admitted to their unit. In communicating with these clients, Shella is aware that she should:


A) Speak loudly and slowly.
B) Stand close to the client and speak slowly.
C) Ask an interpreter to facilitate communication.
D) Speak to the client and family together to increase the chances that the topic will be understood.

E) A) and B)
F) A) and C)

Correct Answer

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Moore, a 69-year-old client, is emaciated. The nurse aide takes precautionary measures in order to prevent which of the following problems in skin integrity?


A) Blisters
B) Pressure sores
C) Reddening of the skin
D) Pustules

E) A) and B)
F) A) and C)

Correct Answer

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One evening, Lizbeth suddenly begins running up and down the hall. She strips off her clothing and strikes out widely at anyone she sees. All of the following interventions would be appropriate except:


A) Restrain the patient.
B) Call for the assistance of at least three staff members.
C) Clear the area of other patients.
D) Call the nurse for the administration of a prn drug.

E) None of the above
F) A) and B)

Correct Answer

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A client is admitted to the unit with an order for hourly monitoring of blood pressure. The nurse aide finds that the cuff is too small. This will cause the blood pressure reading to be:


A) Inconsistent.
B) Low systolic and high diastolic.
C) Higher than what the reading should be.
D) Lower than what the reading should be.

E) A) and B)
F) A) and C)

Correct Answer

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