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Questions 149

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Question 1 of 5

A 19-year-old female is admitted to the psychiatric floor after a suicide attempt 3 days ago. With client safety a priority, the nurse should

Correct Answer: A

Rationale: Placing the client near the nursing station allows close monitoring without isolation, balancing safety and autonomy. Constant staff presence is resource-intensive and not always necessary.

Question 2 of 5

The nurse is preparing a client for cataract surgery. The nurse is aware that the procedure will use:

Correct Answer: A

Rationale: Mydriatics are used to dilate the pupil, facilitating lens removal during cataract surgery.

Question 3 of 5

A client arrives in the emergency room with severe burns of the hands, right arm, face, and neck. The nurse needs to start an IV. Which site would be most suitable for this client?

Correct Answer: B

Rationale: The left antecubital fossa is suitable as it is away from burned areas (hands, right arm, face, neck) and provides a large vein for IV access.

Question 4 of 5

The nurse is caring for an obstetrical client in early labor. After the rupture of membranes, the nurse should give priority to:

Correct Answer: B

Rationale: Assessing fetal heart tones is critical after rupture of membranes to detect fetal distress, such as cord compression.

Question 5 of 5

The nurse is caring for a client with a history of schizophrenia who is experiencing auditory hallucinations. Which of the following interventions should the nurse implement?

Correct Answer: B

Rationale: listening to music can distract the client and reduce the intensity of auditory hallucinations

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