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Questions 148

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Question 1 of 5

A child with a history of seizures begins to seize suddenly in his hospital room. The nurse would do all of the following interventions EXCEPT

Correct Answer: D

Rationale: Restraining during a seizure risks injury. Loosening clothing, removing pillows, rolling to the side, and administering lorazepam (if ordered) are appropriate to ensure safety and stop the seizure.

Question 2 of 5

The nurse is doing a digital removal of stool for a client with a large fecal impaction resulting from opioid use when the client feels faint, and assessment of vital signs shows a marked decrease in pulse. Which of the following is the most likely reason for the change in pulse rate?

Correct Answer: A

Rationale: Digital stool removal can stimulate the vagus nerve (
A), causing bradycardia and faintness. Shock (
B), bleeding (
C), or anxiety (
D) are less likely.

Question 3 of 5

A client is taking nebulizer treatments for asthma, and the nurse is instructing the client in the correct method for measuring peak expiratory flow rates (PEFR) after treatment. The nurse prepares the meter with the indicator at the base of the scale. Place the following steps (Roman numerals) in the correct order from first to last.

Order the Items

Source Container

Client sits upright or stands.
Client places the meter in the mouth and seals lips.
Client expels air through the meter as forcefully as possible.
Client takes a deep breath.

Correct Answer: A,D,B,C

Rationale: PEFR sequence: Sit/stand (I), take deep breath (IV), place meter in mouth (II), expel air forcefully (III).

Question 4 of 5

A client with schizophrenia is receiving depot injections of Haldol Deconate (haloperidol decanoate). The client should be told to return for his next injection in:

Correct Answer: C

Rationale: Haldol Decanoate is a long-acting depot injection typically administered every 4 weeks for maintenance therapy in schizophrenia.

Question 5 of 5

The nurse is assessing a client with suspected hypoparathyroidism. Which of the following findings would the nurse expect?

Correct Answer: A

Rationale: muscle cramps and tetany are signs of hypoparathyroidism due to hypocalcemia

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