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Questions 148

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Extract:


Question 1 of 5

A client elects to have epidural anesthesia to relieve the discomfort of labor. Following the initiation of epidural anesthesia, the nurse should give priority to:

Correct Answer: C

Rationale: Epidural anesthesia can cause hypotension, making blood pressure monitoring a priority.

Question 2 of 5

A nurse on the orthopedics floor is asked by another nurse to witness her waste 1 mg of morphine. The nurse draws the full 2 mg dose of morphine into the syringe and tells the first nurse, 'This client does not get enough pain relief with 1 mg of morphine, so I just go ahead and give 2 mg to keep him comfortable because the doctor won't change the dose.' Which is the correct action by the first nurse?

Correct Answer: B

Rationale: Administering an unordered dose is a medication error and potential diversion. Refusing to sign and reporting ensures patient safety and accountability.

Question 3 of 5

The nurse is caring for a client following a Whipple procedure. The nurse notes that the drainage from the nasogastric tube is bile tinged in appearance and has increased in the past hour. The nurse should:

Correct Answer: D

Rationale: Increased bile-tinged drainage may indicate a complication, such as a leak, requiring physician notification.

Question 4 of 5

A camp nurse is applying sunscreen to a group of children enrolled in swim classes. Chemical sunscreens are most effective when applied:

Correct Answer: D

Rationale: Chemical sunscreens require 30 minutes to absorb into the skin and provide effective UV protection.

Question 5 of 5

If the nurse is unable to elicit the deep tendon reflexes of the patella, the nurse should ask the client to:

Correct Answer: A

Rationale: Pulling against the palms enhances reflex response by increasing muscle tone, aiding in eliciting the patellar reflex.

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